MTF Cheekbone Augmentation Surgery in Bangkok, Thailand — By Dr. Jaray Krainam, MD
Overview of the Surgery
MTF (Male-to-Female) Cheekbone Augmentation Surgery is a core component of Facial Feminization Surgery (FFS) designed to enhance facial balance, projection, and harmony. It adds feminine softness and curvature to the midface by augmenting flat or recessed cheekbones.
At Dr. Jaray Cosmetic Surgery Clinic in Bangkok, Dr. Jaray Krainam, MD—a board-certified plastic and aesthetic surgeon with over 20 years of experience—uses advanced cheek implant techniques and fat grafting methods to achieve naturally feminine and symmetrical midface contours.
This procedure helps create the gentle volume and fullness commonly associated with female facial features, providing a more youthful, soft, and attractive appearance.
🩺 Preparation Before Surgery
Before undergoing cheekbone augmentation, patients go through a personalized assessment process that includes:
- Facial evaluation and 3D imaging to determine the optimal projection and symmetry of the cheekbones.
- Pre-surgical medical clearance, blood tests, and anesthesia evaluation.
- Discussion of materials — silicone or Medpor implants, or autologous fat transfer depending on facial structure and goals.
- Cessation of smoking, alcohol, and blood-thinning medications (e.g., aspirin, vitamin E) at least 2 weeks before surgery.
- Customized planning for patients combining this procedure with other feminization surgeries, such as chin contouring or jaw reduction.
International patients also receive support for travel, pre-operative instructions, and recovery accommodation planning.
🔪 Surgical Procedure
MTF Cheekbone Augmentation is performed under general anesthesia and takes approximately 2–3 hours.
The steps include:
- Incision: Usually made inside the mouth (intraoral) to avoid visible scars.
- Pocket Creation: A pocket is created over the zygomatic bone for implant placement.
- Implant or Fat Transfer:
- Cheek implants (silicone or Medpor) are shaped and inserted to add projection and balance.
- Fat grafting (using the patient’s purified fat) may also be used to create a softer, more natural result.
- Symmetry Check: The surgeon ensures both cheeks are proportionate and balanced.
- Closure: Dissolvable sutures are used to close the incision.
Dr. Jaray customizes each augmentation to match the patient’s natural bone structure and aesthetic goals—enhancing femininity while maintaining a realistic, soft look.
💆 Post-Operative Care
After surgery:
- Swelling and mild bruising are common for the first 1–2 weeks.
- Patients are advised to sleep with the head elevated to reduce swelling.
- Soft diet for 5–7 days is recommended to minimize facial strain.
- Avoid touching or pressing the cheeks for 2–3 weeks.
- Full results become visible after 2–3 months when the swelling subsides.
- Follow-up visits ensure proper healing and aesthetic symmetry.
Most patients resume light activities within 7–10 days and can return to work within 2–3 weeks.
⚠️ Possible Risks and Complications
Although cheek augmentation is generally safe, possible risks include:
- Temporary swelling, bruising, or numbness
- Implant shifting or asymmetry (rare)
- Minor infection (prevented with antibiotics)
- Fat resorption (in fat grafting cases)
- Prolonged swelling or sensitivity (temporary)
Dr. Jaray’s advanced techniques and precise surgical control minimize these risks and deliver predictable, natural-looking results.
🌟 Why Choose Dr. Jaray Krainam, MD
Dr. Jaray Krainam, MD, is an internationally trained and highly experienced surgeon specializing in Facial Feminization Surgery and Craniofacial Contouring.
Trained in France, Korea, and the Netherlands, he combines global techniques with Thai precision artistry.
His goal is to create elegant, feminine results that maintain individuality and balance—trusted by both Thai and international transgender patients for his expertise, ethics, and artistry.
📍 Clinic: Dr. Jaray Cosmetic Surgery, Silom Soi 1, Bangkok, Thailand
📲 WhatsApp: +66 86 345 7030
🌐 Website: www.drjaraycosmeticsurgery.com


