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Cheekbone augmentation

English subtitled video

Three different techniques are available for cheek augmentation: Two are with plastic surgery and one without surgery. The result is not the same in all three cases:

  • Cheekbone augmentation with prosthesis
  • Cheekbone augmentation with your own fat (Cheekbone  Lipofilling)
  • Cheekbone augmentation with hyaluronic acid

We explain what each of these operations consists of so that you can choose the most suitable one for you.

Clínica Sanza in Barcelona is a leading centre for cheekbone surgery.

Cheekbone augmentation with prosthesis

Cheek augmentation with prostheses in Barcelona is an aesthetic operation that can improve and modify the physiognomy of the face, and it must be done well. This means that the proper process is as follows:

The first step is to take the patient’s measurements and advise him or her to order custom-made prostheses. These prostheses are made specifically according to the patient’s wishes. They are then placed in the cheekbone or malar bone area by means of plastic surgery.

These prostheses are made of a material that does not cause an immunological reaction and integrates naturally into the tissue.

Cheekbone augmentation with own fat (buttock lipofilling)


Before going any further, it is important to understand what lipofilling is!

I advise you to read this article on our website where it is explained in detail. It is important …

If you understand what lipofilling is, go on to this section of the website.

Cheek augmentation with your own fat is technically known as cheek lipofilling. It consists of performing a small liposuction of an area where the patient has excess fat (usually the abdominal area or legs), we process it to purify it and then infiltrate it into the cheekbones.

It is an alternative to cheek fillers with biocompatible substances or cheek augmentation with prostheses.

Cheekbone augmentation with hyaluronic acid

If you are not in the mood for surgery and want something quicker and cheaper, then consider cheek fillers with hyaluronic acid.

Cheek augmentation treatment consists of increasing the volume of the cheekbone area with temporary substances, such as hyaluronic acid or calcium hydroxyapatite.

These substances are infiltrated with injections, they do not require surgery and are performed in the same office. They are absolutely biocompatible, do not produce any type of rejection or subsequent problems in the patient’s body, they are applied immediately, the result is seen instantly and they are economical. This is why many people choose it.

It is important to keep in mind that they are not forever, the duration will depend on the patient, it is not the same for everyone.

How long do the results of injecting hyaluronic acid into the cheekbones last?

The duration of hyaluronic acid once injected into the cheekbones can vary depending on several factors. In general, the duration of the results can range from 12 to 18 months or even longer if the product is of high quality.

Hyaluronic acid is a resorbable material, which means that over time it is broken down and metabolized naturally in the body. The rate of resorption can be affected by the concentration and cross-linking of the hyaluronic acid used, as well as the individual’s location and metabolism.

In areas that are not as exposed to movement, such as the cheekbones, the results can last longer than in areas with movement, such as the lips.

It is important to keep in mind that the duration of results may also be affected by post-treatment care and lifestyle habits of the individual.

How is hyaluronic acid injected into the cheekbones?

Hyaluronic acid is carefully injected into the skin layers using a fine needle or cannula. Sometimes several punctures are necessary to distribute the product well and obtain an optimal result.

Don’t just go anywhere. It is essential to keep in mind that learning how to inject hyaluronic acid safely and effectively requires proper training and in-depth knowledge of facial anatomy, injection techniques and the appropriate choice of hyaluronic acid for each patient. Performing these injections without proper training and experience can have risks, such as injury, swelling, bruising or allergic reactions in the patient.

At Clínica Sanza we use the best hyaluronic acid we know, the one that lasts longer, the one that gives the best results.

Beware of saving money at a low-cost center, the result will not last.

If you do not like the result, it is reversible

One of the fears of people who come to cosmetic medicine offices asking for a cheek filler is that they will not like the result. If you are afraid that your cheekbones have too much volume or if you don’t like the shape, it can be left as it was. Lhe most important thing with this treatment is that the result is natural and matches your face.

HYALURONIDASE ! this magic word is your peace of mind.

It is an enzyme that has the ability to degrade hyaluronic acid. In the field of aesthetic medicine, hyaluronidase is used to dissolve hyaluronic acid in cases where you do not like the result, due to complications or adverse reactions caused by hyaluronic acid dermal fillers.

Can I socialize or work the next day?

Yes, you do not need to rest unless you have a profession with risk of hitting the area. What we advise is to avoid going to the gym for the first two days.

You may have small bruises that go away in 24 to 48 hours and minimal swelling.

Hidroxiapatita de Calcio

Differences between filling with Calcium Hydroxyapatite and Hyaluronic Acid

Hyaluronic acid and calcium hydroxyapatite are two substances used in aesthetic treatments to increase cheekbone volume. The differences between the two are explained below:

1. Composition and mode of action:

    • Hyaluronic acid: It is a molecule naturally present in our skin and is used to moisturize and restore volume in the treated area. It provides natural and temporary results, as it is gradually absorbed by the body. It is applied to the superficial layers of the skin.

    • Calcium hydroxyapatite: It is a collagen biostimulator, which means that it promotes the production of collagen by skin cells. In addition to providing volume, it also has a tightening effect and contributes to the firmness of the most superficial layers of the skin. The results can be long lasting due to the formation of new collagen. It is used in deeper layers of the skin.

2. Treatment areas:

    • Hyaluronic acid: Used to augment cheekbones, jawline, chin, lips, improve the appearance of scars, rejuvenate the female intimate area, correct imperfections on the back of the nose and treat fine wrinkles.

    • Calcium hydroxyapatite: Used to restore volume to facial structures, redensify the skin and provide firmness to the most superficial layers of the skin. It can be used in areas such as the cheekbones, but is not recommended for reducing wrinkles between the eyebrows and forehead.

3. Side effects:

    • Hyaluronic acid: It is a biocompatible and well-tolerated substance, so side effects are usually minimal and temporary, such as redness or swelling that disappear in a few days. As a substance found naturally in the body, it does not usually have significant contraindications.

    • Calcium hydroxyapatite: Calcium hydroxyapatite is also well tolerated, but caution should be exercised when injecting it in certain areas, such as the eye area, to avoid complications. As with hyaluronic acid, redness, swelling or bruising may occur at the application site, but these are usually temporary and mild..

Clínica Sanza at the forefront of aesthetic medicine treatments, is in the new era of Dynamic Aesthetics through its team of specialists.

Do not make a mistake with Botulinum Toxin!

Video on the difference between Botulinum Toxin and Hyaluronic Acid

People often confuse the two terms. This video explains very briefly the difference between botulinum toxin and hyaluronic acid. Both are used to remove wrinkles but they are not the same, one or the other should be used depending on the wrinkle to be treated and the area of the face.

Benefits of Cheekbone filler with hyaluronic acid

  • Restore lost volume: Over time, fat mass is lost in the center of the cheekbone, which can make the face look tired and sagging. Hyaluronic acid replenishes lost volume, providing a more youthful and refreshed appearance.

  • Improves nasolabial folds and wrinkles: Cheek filler with hyaluronic acid can help smooth the wrinkles and folds that form between the nose and the corners of the lips, known as the nasolabial fold.

  • Defines and enhances the features: By increasing the volume of the cheekbones, definition and enhancement of the facial features is achieved, contributing to a more balanced and harmonious appearance.

  • Natural and lasting results: Hyaluronic acid offers immediate and natural results. Although the effect is temporary, lasting approximately 12 to 18 months, its application allows for a rejuvenated appearance without drastically altering facial features.

  • Safe and minimally invasive procedure: Cheek filler with hyaluronic acid is a safe and low risk treatment. It consists of microinjections loaded with a high concentration of hyaluronic acid, which provides natural results and minimizes recovery time. In addition, the procedure is usually quick, lasting approximately 30 – 45 minutes.

calendario azul

Book a visit

You can do it in 3 ways:

Free on-site visit: Call +34 932066540 from Monday to Thursday from 9:00 am to 6:00 pm and Friday from 9:00 am to 3:00 pm.

Free on-site visit with IMMEDIATE booking: For booking outside office hours. We charge 60 € on your card to avoid false bookings. It is refunded on the day you come to the consultation.

ONLINE Visit: Video conference using whatsapp or Zoom. Cost of 60 € non-refundable. When booking indicate in the comments that you want videoconferencing and not on-site.

calendario azul

Book a visit

You can do it in 3 ways:

Free on-site visit: Call +34 932066540 from Monday to Thursday from 9:00 am to 6:00 pm and Friday from 9:00 am to 3:00 pm.

Free on-site visit with IMMEDIATE booking: For booking outside office hours. We charge 60 € on your card to avoid false bookings. It is refunded on the day you come to the consultation.

ONLINE Visit: Video conference using whatsapp or Zoom. Cost of 60 € non-refundable. When booking indicate in the comments that you want videoconferencing and not on-site.


At Clínica Sanza we rely on the Sagrat Cor Hospital, part of the Quirónsalud group, to perform our surgical procedures.
Its prestige, facilities, medical and healthcare staff, as well as its technology are a guarantee.


Do you want to know why it is worth coming to Barcelona for plastic surgery and why so many people come from abroad?


Your trip, your flight, your operation, your transfer and your hotel with our support agency. We work with the best travel agencies worldwide.


People with an inharmonious facial structure or who wish to increase the volume of the cheekbones to stylise their face. If they are willing to undergo surgery, the result will be definitive, and if for some reason they do not want to, they have the option of filling with hyaluronic acid, the result of which will last for a few months.


Cheekbone augmentation with prosthesis

We take measurements of the patient’s face, advise them, and according to the patient’s criteria, the prostheses are custom designed to fit the structure of their face and are fitted in two ways. One can be through a small incision in the lower eyelids which is practically imperceptible, and the other through the junction of the upper lip and the gum, inside the mouth. This plastic surgery technique leaves NO scars.

Cheekbone augmentation with your own fat

The patient’s own fat is extracted by means of a mini-liposuction. The fat is then processed and infiltrated into the area to be filled, improving volume problems with a natural appearance and rapid recovery.

The infiltration is performed using a small blunt needle and does not require stitches.


  • 1 -2 hours.



  • Area evaluation to determine appropriateness of the treatment.
  • Follow specific guidelines as determined by the doctor.
  • Blood test, cardiac and respiratory status tests.


  • Local and sedation.


  • Ambulatory.


  • If they are palpebral prostheses, stitches must be removed, as in a lower blepharoplasty, after 4 or 5 days.
  • If they are intraoral prostheses, the most common, no stitches need to be removed as they are self-absorbed.
  • If it is done with the patient’s own fat, the discomfort is minimal after the infiltration, and the surgery is almost painless.
  • Medication if required.
  • Mandatory revisions after a few days, a few weeks and a few months, according to prescription.


  • With prosthesis requires 4 to 5 days of rest due to possible inflammation.
  • With own fat, 1 to 2 days of rest if there is inflammation.
  • Quick recovery.


  • Rejuvenated appearance.
  • Improvement of the patient’s psychological profile and self-esteem.


  • Simple intervention.


  • Low.
  • If it is with prosthesis there may be displacement of the prosthesis if a correct postoperative period is not followed.
  • If it is done with the patient’s own fat, there may be reabsorption of the fat graft if the postoperative period is not followed correctly.
  • In any type of surgical operation there are always the risks of any intervention: haemorrhage, infection, alteration of the scarring, etc.


Before After
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Whatever your case may be, do not hesitate in contacting us.

Clínica Sanza in Barcelona, Spain, quality service

Frequently asked questions about cheekbone prosthesis surgery

What are facial implants?

Facial implants are small prostheses designed to improve facial contour and volume while respecting the anatomy of the face. For example: malar implant (cheekbones), nasal implant and chin implant, in addition to prostheses or implants you can also place the patient’s own fat or temporary filling materials such as hyaluronic acid or Aquamid type permanent fillers.

At what age can I get a chin prosthesis?

The process of ossification of the bones of the face ends between the ages of 15 and 18. It is from this age onwards that we can assess whether he is a candidate for this intervention and if so, we can assess the position, the projection and the necessary volume.

Where do they get the fat for chin lipofilling?

It depends on each patient, in which area has more fat accumulation, although the fat is usually removed from the abdomen. A very small amount of fat is required, in fact, is more important the quality, more than the quantity.

How long does the fat stay on the chin?

This fat, once assimilated by the body remains forever, is a definitive and natural implant.

If I do not want to put a prosthesis what other options are there to increase or improve the chin and jaw?

We can always resort to facial fillers, which can be: temporary, such as hyaluronic acid or calcium hydroxylapatite (Radiesse®) or permanent fillers, such as Aquamid®. When injected, they do not require surgery, are placed with a little local anesthesia and the results are immediately evident.

What is best about prostheses, fat fillers, or injectable fillers to improve the chin and jaw area?

No technique is necessarily better than another, they only have different indications. In fact, it is possible to complement one with another, i.e. you can give a little projection through a prosthesis or a fat graft and at the same time define the jaw ridge with injectable fillers. The indication on which is the most suitable option for your case will be given by our team of surgeons after a personal clinical evaluation.

Will I have a lot of pain after the chin augmentation?

No, it is an intervention that hardly gives discomfort, and in case you felt some sort of pain, it can be perfectly controlled with mild analgesics.

Will I be able to eat and gesticulate normally after a chin implant?

Yes, the only thing is that we recommend resting the area, i.e. do not gesticulate too much or chew excessively during the first hours of the implant placement to avoid displacements.

Frequently asked questions about lipoinjection or lipofilling surgery

What is lipoinjection or lipofilling treatment?

It is the treatment that fills the part of the body where we want more volume by infiltrating the fat itself.

Benefits of lipoinjection?

Lipoinjection offers the great advantage of providing autologous filler material, and therefore, allergy problems or rejections are reduced. This technique also grafts cells with great regenerative power. Currently very fashionable in rejuvenation, as they are found in fat tissue in large quantities.

How is the lipofilling procedure?

When lipoinjection is to be performed, previous liposuction is necessary to obtain the fatty tissue. It is a classic liposuction to preserve fat in the most suitable way and maintaining its properties. (LIPOLASER CANNOT BE DONE). We then process the fat and graft it to the recipient area.

Does fat affect mammography and ultrasound studies at a later date?

No. The studies can be carried out without any inconvenience. Fat is easily differentiated from other tissues. In addition, it must always be placed in the posterior plane to the mammary or subdermal tissue.

How long does this procedure take? Is hospitalization necessary?

Treatment by lipoinjection lasts approximately 2 hours and is ambulatory.  Depending on the areas to be liposuctioned, it will take longer.

Is the injected fat absorbed?

With today’s techniques, a small part can be absorbed, but not all of it. Formerly it was absorbed, but now we have developed techniques for cleaning fat cells (adipocytes) that allow their survival and obtain natural and definitive results.



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