Cheek Reconstruction Surgery
Cheek deformities may involve missing skin from skin cancer removal, fractures of the bone or congenital under-development of bone and soft tissue. Since the cheek is the highlight of the midface region, deformities in this area can be quite noticeable. Cheek reconstruction aims to restore the normal skin cover and contour of this prominent facial feature.
Repair of skin cancer defects is one of the commonest reasons for cheek reconstruction or another type of face and neck surgery. Skin cancer in this area is usually removed by the Mohs technique. Dr. Khosh is an expert in repair of cheek skin defects after Mohs excision. Depending on the location and size of the defect, skin flaps and secondary laser skin treatments can erase any visible signs of the skin cancer or evidence of its removal.
Cheek Fracture Repair
Cheek fractures occur as a result of motor vehicle accidents, sport injuries or assault injuries. Cheek fractures may be associated with other facial injuries or fractures. A CT scan is necessary to fully evaluate the extent of bony fractures and plan surgical repair. Repair of cheek fractures is accomplished through hidden incisions inside the mouth or the lower eyelid. Small titanium implants are used to reposition and stabilize the cheek fracture.
Congenital abnormalities of the cheek are rare. Dr. Khosh prefers using fat grafting for repair of congenital under development of the cheek (hemi-facial microsomia). Congenital tumors such as vascular malformations or hemangiomas may require laser treatments, surgical excision and flap repair, or a combination of both.
For more information on cheek reconstruction or to schedule a private consultation with Dr. Khosh, contact our office today.
Please view the case studies listed below for examples of cheek reconstruction for various deformities including skin defects, cheekbone fractures, or congenital deformities.
Disclaimer: These are actual results for patients of Dr. Maurice Khosh. Plastic and cosmetic surgery results can vary between patients.
Frequently Asked Questions on Cheek Reconstruction
Repair of small and medium sized cheek skin cancer defects and cheek augmentation with fat transfer can be performed under local anesthesia. Surgical repair of larger cheek defects and repair of cheek fractures requires general anesthesia in an operating suite.
The swelling and bruising that follows surgical repair of cheek skin cancer defects or cheek fractures is mostly resolved after two weeks. Most patients can return to work at that time.
In most cases, sutures are removed after 5 to 7 days.
Advancement flaps are quite useful in repair of cheek defects. The skin from the remaining, intact cheek is advanced to the site of the defect, and the incisions are closed. This requires additional incisions on the face, but such incisions heal quite well.
Reconstructive surgery for cheek defects is aimed at restoring the face. In skin cancer repair, related procedures may entail secondary surgical treatments to enhance the cheek appearnce or laser treatments to camouflage scars. In facial fracture repair, related procedure may include fat transfer or facial filler injections to improve facial contours.