Las Vegas Cheek Augmentation doctors

Morning Halfasian,

I work primarily with the Asian face and I get this question all the time.  If it's the more oval shape or "upside down triangle" you're going for here's a couple of advantages you have that you should be aware of before you do anything:

A.  You have great position of your malar/cheek bones.  Good width, not to much volume.

B.  You have a nice shape to your chin.  The overall height and projection of it is okay.  Just a touch small which adds a bit to the cheek fullness but it's not much of a concern.

You're most effective options for this would be one of three things.  Some more involved and aggressive than others.  We'll go from least to most aggressive.

1.  Buccal fat and cheek lift under local with suspension.  This is done with sutures that anchor to the problem areas and hold them in position.  This has about 3 days down time and is reversible.  No tissue is removed and there is no real tissue dissection so will not have changed your facef for life.  Should last about 5 years or more.  It's a specific technique I've used in Thailand and brought here.  

2.  Buccal fat removal can be okay but it doesn't really change the position of the cheek tissue.  Also, you want to be conservative, very conservative. If too much is taken the initial look may be acceptable but you can look gaunt and hollow as you age, particularly since you're half Asian.

3.  Suspension with chin implant.  About a week of down time.  Little more dramatic effect and the look lasts much longer since your petite jaw line and chin is augmented very naturally and subtly, therefore camoflaging the buccal cheek even if it sags with age.

4.  Surgical cheek lift and suspension.  This is an open technique via your temporal hair area not that different from a facelift but with hidden incisions and only about 7 to 10 days down time.  Advantage?  Lasts a life time.

Hope that helped

Chase Lay, MD

Removing permanent filler can be done, but you need to know that it's difficult and some scarring may occur, depending upon the area and type of filler being removed. I have removed silicone from many people's lips over the years but it does require several procedures and healing time. I would say you need to be evaluated by a physician who has done a great deal of filler removal and who has a great grasp of facial aesthetics.

Morning Tomy.  Dr. Mabrie is correct, you have several options, all great but all different.  I'll just make a quick outline of your options:

1.  Restylane, Perlane, Juvederm are fillers that are great because they give you volume and are very low risk.  In fact, this class of filler can be melted if you wanted to modify the look or felt like was too much put in but this is almost unheard of in the cheek area.  The trade off is these are more temporary, lasting about a year.

2.  Radiesse is a calcium based filler that lasts longer, looks great, costs about the same, maybe a bit more.  You can't "melt"it once it's in but really it's just not an issue in the cheek area.

3. Malar and submalar implants are a good option for your face.  The look natural, the procedure can be done under local anesthesia and it lasts for a life time.  Risks low; bleeding, infection, and malposition of the implant which can be adjusted if needed.

Best of luck

Chase Lay, MD