Is there a higher risk of migration and/or infection when a cheek implant is placed without securing it with screws? Will just the pocket created, with the resulting scar tissue be enough to keep the implant in place?
Cheek implants: To secure or not secure?
Doctor Answers (3)
Cheek Implants: To Secure or Not
I have been dong cheek implants for many years and never found it necessary to secure them with screws. Every surgeon has their own technique.
There is no general consensus whether to screw in cheek implants to the bone. We make a precise pocket to place the implant in directly over the bone through intra-oral approach. The implants generally stay in the position where they were placed once the scar tissue capsule forms around them
Screw Fixation for Cheek Implants
Whether cheek implants are secured in placed by a screw is a matter of surgeon preference. However, the most assured way to know that a cheek implant will never move from its placed position is to secure it to the bone with a self-tapping 1.5mm screw. This takes less than a minute to do and has a very low cost.