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Erschienen in:
01.07.2005 | Master Class in Plastic Surgery
Cheekbone: dynamic and anti-aging structure of the midface?
Erschienen in: European Journal of Plastic Surgery | Ausgabe 8/2005
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The cheekbone is not only a static structure but has also a dynamic function. The muscles responsible for its motions are generally ignored or poorly known because they have a tendency to disappear with aging. When present and trophic, they form recognized muscles such as the malaris muscle in the mid-cheek and the risorius muscle in the flabby cheek. These muscles enhance the muscular part of the superficial musculo-aponeurotic system (SMAS) and this has a dynamic effect on the cheek, e.g. the dimple. This article will attempt to demonstrate that the cheekbone could also be the dynamic consequence of a SMAS which is more muscular than aponeurotic, due to an involuntary mechanism whose neurological control is unconscious. Thanks to this, the cheekbone could have an anti-aging effect, since it determines the position of the mid-cheek. The malar bone is well-developed in African and Asian people, but is usually not so marked in Caucasians, although the malar prominence is generally considered to be a sign of youth and beauty. The classic Hellenic appearance shows this perfectly.