Austin Cheek Augmentation doctors

Tanuj Nakra, MD Tanuj Nakra, MD
Austin Oculoplastic Surgeon
3705 Medical Pkwy Ste 120, Austin
4 answers
Steven E. Rasmussen, MD Steven E. Rasmussen, MD
Austin Dermatologist
1717 West 6th Street Suite 120R, Austin
4 answers
Louis W. Apostolakis, MD Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon
5656 Bee Caves Road Suite E-201, Austin
3 answers
Anand D. Patel, MD Anand D. Patel, MD
Austin Facial Plastic Surgeon
3807 Spicewood Springs Suite 201, Austin
2 answers
Mario Diana, MD Mario Diana, MD
San Antonio Plastic Surgeon
19234 Stonehue Suite 101, San Antonio

Recent Answers

Can I Have Sculptra with Existing Cheek Implants?

I had cheek implants done in 1998. They have been quite successful in giving me a more youthful appearance. However, I am now 65 and have lost volume in my lower face with some lines and cheek hollowing and a genetic asymmetry in my cheek size becoming more apparent with the fat loss. Can Sculptra be used OVER the existing implants as well as in the submalar area. I don't want large cheeks, just a somewhat fuller face with lines minimized. I'm told I have good skin quality for my age.

A: Can I Have Sculptra with Existing Cheek Implants?

Yes, Sculptra can be used to further augment and enhance the appearance of cheeks if the cheek implants did not fully correct the volume loss or if over time further volume loss has occurred. 

Steven E. Rasmussen, MD
Austin Dermatologist
Cheek Augmentation with Bio Alcamid

Dear doctors, What do you think about bio alcamid regarding cheek augmentation. My surgeon is offering me that procedure after removing my infected cheek implants provided that I dont want to go for surgery with implants again. Do you have any long term experiences with bio alcamid? It seems this procedure is considered as very critical in cosmetic surgery. I appreciate your help as I have to decide soon the way I will go further after removal of my implants. Thank you very much

A: Bio-Alcamid For Cheeks

Bio-alcamid is not available in the United States.  I have spoken to physicians in Canada who have used it.  From my readings I don't think you would get a very good cheek implant affect with this product and it would be much messier if you had any issue with infection or if you developed a reaction to the product.

I would say that you should either leave things alone or try cheek implants again.  You might consider using platelet rich plasma to help with healing.  I had a patient who was not willing to give up on his cheek implants despite 2 years of the left side implant not healing, even after three attempts at removing, allowing for healing, and replacing.  Finally we used platelet rich plasma and the implant promptly healed and has not had any issues in a year now.

Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon
Cheek Implant Removal

Dear doctors, Why it is not possible to remove infected implants, clean them and put back into the cheeks at the same time? Provided that you have a quite mild infection and were able to resolve the infection by antibiotics and it came back as you discontinued the regimen. Is there no chance to do so? Thank you

A: Cheek Implant Infection Correction

When a cheek implant gets infected, the infection is in the tissue and on the implant (a biofilm).  So, removing the implant and cleaning it, does not remove the infection in the tissue, even if the implant were sterilized.  The tissues have to be cleared of infection.  This requires using antibiotics and local wound care without an implant being present.  Clearing an infection with an implant present is nearly impossible because implants create "hiding places" for bacteria where antibiotics and your body's infection fighting cells can't get.

So, after the implant has been removed, the infection has resolved, and several months have passed for resolution of inflammation and fibrotic tissue, the implant can be put back in.  Certain types of implants can be reprocessed and put back.  Silastic, for example, can be re-sterilized.  Gortex for example can not.  Most of the time, however, you just put a new implant in since the implant itself isn't the main cost.

Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon
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