After many years of pricey temporary fillers to restore lost cheek volume (fat, radiesse, juvi, sculptra-my fav), I have decided to seek a permanent solution. In reviewing cheek implant trends and in calling many doctors offices, it appears this is not a favorable treatment. Would like to know exactly why. For a person in their early 40's with a strong metabolism, what else is recommended to restore youthful cheek volume?
Cheek Implant Procedure: Materials/fixation/shape
Doctor Answers (5)
Cheek augmentation with implants
Cheek augmentation restores volume to the cheeks. Minimal volume can also be placed with temporary fillers, but it is only temporary and after four to five months there may need to be additional treatment. A cheek implant made of silastic plastic can be inserted with changeable sulcus for cheek augmentation. The implants are made by Implantech and come in small, medium, large, and extra large. These are the implants we use in our practice for the last 20 years and have had excellent success rate with them. It is important to make sure your surgeon selects the right size and not overdo it. Silastic implants do not need fixation.
I respectfully disagree with those surgeons who suggested that cheek inplants are "not a favorble treatment". I always give patients this option when they want to improve cheek contour or projection. The implants, usually silicone, are typically placed through an intra-oral incision and fixed with sutures or tiny surgical screws.
Cheek Augmentation with Silicone Implant
Cheek augmentation may be initially performed with injectable facial fillers such as Radiesse, Sculptra, or fat. These non-surgical cheek enhancements are good options. However, many patients require or seek a more permanent solution. Silicone cheek implants are the preferred option of permanent cheek enhancement. Silicone implants are easy to insert via a small intraoral incision, and easy to remove if there is any problem. The are a few different shapes to silicone implants, largely based on surgeon & patient preference and specific facial anatomy. Silicone implants may be fixed into position with screws, or more commonly temporary sutures until your body encapsulates them. Speak with plastic surgeon for a comprehensive evaluation and to help determine appropriate options for you.
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The reason cheek implants are very in disfavor is the high rejection/infection rates. Approaching 25%. I recommend Stem Cell Fat with HA's as a graft.
Permanent cheek implants for cheek augmentation are an excellent procedure for patients with deficient bony architecture in this area. These implants are inserted surgically through an incision under the upper lip and are secured to the underlying cheek bone. Cheek implants or malar implants are made of silastic which can be surgically repositioned, replaced, or removed if necessary. Minimal risks involved are malposition, assymetry, and infection.
Another option may be microfat injection into the cheek area. Fat can be more unpredictable than fillers in terms of absorption and duration, but typically lasts longer than filler injection. This is also performed surgically in the operating room.