Pain, Swelling, and Asymmetry After Cheek Implants

It is imperative for you to see your surgeon if fluid has accumulated or if something abnormal is occurring with the implants.  Fluid, if left undrained, can form an infection that could greatly compromise your results.

  After cheek implant surgery, patients should expect to experience significant swelling in the face. It is recommended that they keep their head elevated at all times and that they place a cold compress on to the face to help resolve the swelling. After the healing process, if you continue to have a very different appearance from one side of the face to the other, it is important to immediately return to your plastic surgeon for evaluation. It is possible that you may have a... more

Temporary asymmetry after cheek implants is common although you are describing more than I would expect after 4 weeks. Pain under the eye could be caused by irritation of the nerve that supplies sensation to the under-eye and cheek region. I would be concerned that you develop a late infection. You certainly should not feel fluid in your cheeks at that point in the healing process. You should follow up with your surgeon to be examined! Best of luck!