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Purpose of Review <p>The purpose of this review is to summarize the current literature regarding cheek augmentation in the context of gender-affirming&#xa0;facial&#xa0;surgery, providing a&#xa0;guide for&#xa0;surgeons in selecting the optimal approach based on each patient’s anatomy and goals.</p> Recent Findings <p>Cheek augmentation can be achieved through a variety of injectables and implants and tailored to each patient’s goals and anatomy. Currently, the most commonly used injectables include hyaluronic acid, calcium hydroxyapatite, Poly-L-Lactic Acid, allograft adipose matrix, and autologous fat. Alloplastic implantation is a more permanent option compared to the first three injectable materials,&#xa0;with superior aesthetic outcomes in patients requiring more aggressive&#xa0;augmentation&#xa0;to achieve their goals. This review explores the applications, advantages, and disadvantages of these interventions and outlines the senior author’s&#xa0; approach&#xa0;to clinical decision-making in cheek augmentation&#xa0;for gender-affirming facial surgery.</p> Summary <p>Patient goals, in addition to the nuances of facial dimorphism and aesthetics, must be considered when applying established methods for cheek augmentation to those seeking gender-affirming facial&#xa0;surgery.</p>

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Cheek Augmentation for Gender Affirmation

  • 期刊论文

  • 发表日期：

    2025年2月4日

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  • Corin M. Kinkhabwala,
  • Sarah M. Russel,
  • Joanna Jacobs,
  • Sara Yang,
  • AJ Flaherty

摘要

Purpose of Review

The purpose of this review is to summarize the current literature regarding cheek augmentation in the context of gender-affirming facial surgery, providing a guide for surgeons in selecting the optimal approach based on each patient’s anatomy and goals.

Recent Findings

Cheek augmentation can be achieved through a variety of injectables and implants and tailored to each patient’s goals and anatomy. Currently, the most commonly used injectables include hyaluronic acid, calcium hydroxyapatite, Poly-L-Lactic Acid, allograft adipose matrix, and autologous fat. Alloplastic implantation is a more permanent option compared to the first three injectable materials, with superior aesthetic outcomes in patients requiring more aggressive augmentation to achieve their goals. This review explores the applications, advantages, and disadvantages of these interventions and outlines the senior author’s  approach to clinical decision-making in cheek augmentation for gender-affirming facial surgery.

Summary

Patient goals, in addition to the nuances of facial dimorphism and aesthetics, must be considered when applying established methods for cheek augmentation to those seeking gender-affirming facial surgery.