Cheekbone and cheek question

[Leon 007]

Hi i developed a lump on my right cheekbone due to having a dermal filler called Radiesse injected into this area. I had the lump surgically removed a year and half ago and the surgeon scraped away some of the cheekbone tissue because the Radiesse lump was entwined with the cheekbone tissue.

My cheekbone looks flat now and not as round and defined as it did as some of the tissue was removed. I want to add some definition to my cheekbone so it has the plumpness and symmetry to my other cheekbone as it once did.

I have done some reseach and i have learned that i can can have a filler called Restylne Sub Q injected into the cheekbone area to add some definition and symmetry. Also there is another option where i can have a fat transfer into the cheekbone. Im undecided at the momment as i want the best possible solution can you help me and tell me in your opinion which would be the best option for me?

Also due to the surgery to remove the cheekbone lump i have now developed some internal scar tissue inside the malar cheeks region. This makes my cheeks look puffy and enlarged, is there anyway i can have the scar tissue identified and reduced?

Thankyou

[Leon 007]

Hi thanks for the advice much appreciated. I understand that with a fat transfer there is a possibility that the fat injected into the cheekbone may not survive resulting in an uneven look as some parts of the fat may dissolve quicker. If this is the case then most probably i would need a touch up. I do believe that injecting your own fat is much better than fillers, although some fillers such as Reytlyne Sub Q can be reversed. Also with certain fillers you will get that even look which you may not from a fat transfer.

May i ask how you would go about reversing the fat thats been transfered if you are not satisfied with it?

As for the internal adhesion/scar tissue thats formed in my malar cheek regions i think the best possibility would be to get an MRI scan done to identify the internal scar tissue. If this is the case then i believe that steroid injections can help reduce the scar tissue?

I came across something called serrapeptase that can help in reducing intrnal scar tissue, what are your thoughts on this?

Thankyou for all your help you are very kind.

[Archibald S Miller III, MD,FACS]

There is only one way to rid yourself of the material and that is surgical removal. The use of restylane is temporary. I would advise considering fat injections only. It is natural, 50% permanent, and can be removed if not liked. The scarring you describe will probably improve with time. Be very careful about extensive debridements as you can harm your skin and facial nerves.

                            arch s miller ms md facs