• fillers (but most are only lasting 2 years , so this is not permanent )  ; this is the cheap option ( ( 200 – 600 £  depending on the volume which is injected)


    • implants : silicone, medpore, allologous bone ; the latter two is preferred


    • osteotomy where the zygoma is malpositioned


    • hydroxylapatite paste : permanent and elegant solution through an intra oral approach


    • midface lift if the soft tissues have dropped of the bone , subperiosteal or through a sub SMAS approach (deep plane facelift)


    The word “osteotomy” means the division, or excision of bone.