Worcester Cheek Augmentation doctors

Frank P. Fechner, MD Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
428 Shrewsbury Street, Worcester
18 answers
Kimberley O'Sullivan, MD Kimberley O'Sullivan, MD
Boston Plastic Surgeon
14 Denton Road, Wellesley
Stuart H. Bentkover, MD Stuart H. Bentkover, MD
Worcester Facial Plastic Surgeon
123 Summer Street Suite 675, Worcester
David W. Connors, MD David W. Connors, MD
Worcester Plastic Surgeon
10 Winthrop Street, Worcester

Recent Answers

Cheek Augmentation for Male

will getting cheek implants at a younger age in my 20's mean that ill have to get them again in my 50's or 60's. or is getting them done a permanent thing. is it true that cheek augmentation is an anti ageing procedure aswell?. im wanting this done but not to make my face look "fatter" but more chiselled. do both types of cheek implants offer benefits ? male and female?. also. how do i decide what size and shape my plants should be and where they should be placed. id hate to have a revision. !

A: Cheek Implants for Young Man

We like cheek implants for their predictability and longevity. You raise many important questions which are all discussed before surgery but really depend on your anatomy, aesthetics and goals.

Once implants are in place they will give you benefit for years to come. We all age and if an implant is chosen wisely they will give you lasting benefits.

A few words of caution: In some patients, malar implants (chiseled high cheek bone look) can look too chiseled (or even boney) a few decades later or if a patient loses significant weight. This reasoning lies behind my hesitation with buccal fat extractions: it may look good for a few years but then patients want that fat back... 

Therefore, my preferred implant for most cheeks is the combined malar/submalar implant which provides a softer lower cheek transition. For patients who suffer from hollowness of the lower cheeks, a submalar implant is an alternative and will not augment the cheek bone.

Alternatives to cheek implants include facial fat grafting and injectable fillers such as Radiesse, Sculptra or Perlane. We like all of these options and tailor it to the specific goals and philosophy of our patients for the most appropriate procedure.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
Cheek Implants for Young Patients

I'm 18 years old and considering about to get cheeck implants when i'm 20 , is it worth it for someone young, with long thin face ? I can't gain fat on my face when i gain weight, it's frustrating.

A: Cheek Implants for a 20 Year Old

If you have flat cheeks at age 18, it is unlikely that they will get fuller with age UNLESS you gain significant weight. Most of the time, we loose facial fat volume over the decades further accentuating flat cheeks. Cheek implants are a good option but I do think it is smart to wait and consider this for a while as you plan. These implants come in different shapes and sizes and you want to plan for implants that will continue to benefit you for decades after surgery.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
Silicone Cheek Implant Fixation

What method is preferred? I am an extremely active individual with a job that forces me to exercise a lot and jump around a lot. However, I don't plan on getting punched in the face or anyhting. My augmentation will be more towards the medial cheek area, orbital rims, and some augmentation slightly on the lateral cheek. I have thick skin. Should I absolutely get screws? Will suture to the bone be enough? What are the pros and cons of each fixation method?

A: Fixation for Cheek Implants

Silastic implants heal by formation of a tight capsule around them. Once this happened, the implants will not move. Some surgeons always use rigid fixation with screws to the cheek bones, others never. And then there are some plastic surgeons who use them sometimes. Another fixation method is the use of temporary sutures to the cheek - usually in place for only a couple of days. Suturing to the bone is difficult and would require drilling multiple holes into the cheek bone which is usually not necessary.

Although personally, I prefer temporary suture fixation to the cheek itself for immobilization, I consider screw fixation a good option, too. Probably more important for cheek implants is the appropriate implant choice and accurate placement.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
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