Cheek Implants - Sutured or Screwed?

I want to get cheek implants, just small ones that will add some slight definition but not make me appear like another person. One plastic surgeon (who I have gone to before and really liked his work) places the cheek implant in and sutures it. However, another surgeon that I contacted actually screws his in. My main concern is that the implant will shift. Why do some surgeons choose sutures and others screws? Is one better that the other? Pros/ cons of each. Thanks

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4 Doctor Answers | Asked by Cincinnati4904 in Cincinnati, OH

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Placement of Cheek Implants

The only reason to use screws/or sutures is if the implants look like they mobile in the pocket after the sugeon inserts them. Usually a small enough pocket is made so that the implants do not need to be secured. Implantech currently has a silastic implant with a "gripping" internal surface that also prevents slippage.

Roy A. David, MD

11 reviews

San Diego Facial Plastic Surgeon

Cheek Implants, Cheek Augmentation, Cheek Enhancement

I have been performing Cheek Implant surgery for over 20 years here in Beverly Hills and do not use either screws nor sutures to hold the Cheek Implants in position. If you use soft silastic Cheek Implants, the screws would depress the Cheek Implant creating a dimple. Because the Cheek Implant could still rotate around a single screw point of fixation like a pin wheel, two screws and fixation points would be required. That means two dimples. Because the Cheek Implants are placed directly... more

Screwed or sutured?

Both techniques work however I prefer to use a pullout suture just to hold the implant in the pocket for the first few days. After that period I feel the implant will stay put in the pocket if the pocket is created properly. Good luck.