Augmentation of cheek bones plays a significant role in facial contouring. The patients who present with a generally flat appearance of the midface will benefit from malar augmentation. The results of midface augmentation in the appropiate patient has been very gratifying. It can produce a nice contour to a flat or poorly defined face. Silicon or polyethylene (porex) implants can be used for augmentation of cheek bones. We prefer polyethylene implants in most of our cases. Our preffered way of implantation through the intraoral way. Malar augmentation is usually combined with face lift procedures.