Best Way to Fill Apple of Cheek Doctor Answers, Tips
Cheek Augmentation: Q&A
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Best Way to Fill Apple of Cheek

Does fat transfer have long lasting results in the apple of the cheek? Does a submalar implant fill it up? Whats the best treatment, My cheeks are flat, with strong bone prominence.

13 Doctor Answers | Asked by kittymeowmeow in los angelos
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Cheek Implants

Acial Implants for facial bone augmentation A wide variety of facial implants are currently available for the enhancement of the skeletal elements of facial aesthetics. The most commonly used facial implants are used to enhance the profile of the chin and the cheeks. Facial implants very widely not only in shape and style, but also in terms of the materials from which they are fabricated. My preference is to use structural fat grafting, as much as possible, to enhance facial features... more
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Fat and Fillers to the Midface

As the comments below are reviewed, it's clear there's no one correct answer.  Different surgeons have their favorite approaches that work well in their own hands.  Each of the recommended approaches can achieve excellent results, although each has its own pitfalls. Perhaps the greatest longevity with the least risk profile it the use of autologous fat.  I have found it to achieve a very long-lasting result with less risk than permanent implants.  More... more
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Fillers for cheeks vs. implants

Volumization of the cheeks has become well accepted as we have learned that fat atrophy causes much of the downward shift of the face. Perlane, Juvederm UltraPlus, Sculptra and Fat injections are often done to accomplish this. There are risks with these treatments as there are with cheek implants but the risks are different. Implants can shift, compress nerves and if infected need to be removed. See a plastic surgeon to discuss this. see video

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+1

Best way to fill apple of cheek

Fat transfers have very inconsistent results and are best avoided in the facial area because of the ensuing asymmetries of resorption.  It is just not a consistent procedure.  The submalar implants when placed are inserted up on an intraoral approach above the upper tooth roots and placed directly over the bone.  If they are too large they can be removed and a smaller one inserted and vice versa.  The implants give a very consistent result and can actually be removed if... more
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Methods for Filling "Apple" of Cheek

Hi, Strong cheek bones with a flat midfacial area may be treated via multiple methods.Several cosmetic options are available to improve volume loss in the cheeks or midface. Volume loss is a natural progression seen with facial aging, or present at young age due to inadequate bone structure. Midface volume loss may also be seen earlier with genetic predisposition, medical conditions, severe weight changes, or medications too. Treatment obviously is to add volume, typically... more
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"Best Way" To Fill Cheeks

There is no "best way" to fill cheeks for every patient. The surgeon and patient have many choices including permanent implants, or injectables such as fillers and the patient's own fat. I discuss and provide all alternatives with every patient. There are advantages and disadvantages of each.
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Sculptra, Radiesse or restylane or juvederm for cheeks

Depending on several factors including skin thickness, amount of correction needed, budget, size of the rest of the face and presence or absence of tear troughs (need to fill right under the eye). I will choose Radiesse, Sculptra or restylane or Juvederm. If only mild correction is needed then one of the hyaluronic acid fillers such as restylane/perlane or juvederm is often a great choice. If more volume is needed, I will use sculptra or radiesse. If I plan to do a significant amount under... more
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Filling Cheeks

I quit using cheek implants many years ago since they rarely solved the problem well. Instead, I use fillers. For something off the shelf, I use Radiesse. It fills the area well, lasts reasonably long and is easy to use and safe. My preferred filler, however, is your own fat. With modern techniques, it is generally long lasting or permanent, and the most natural.  
+1

Sculptra or Radiesse are the Best Way to Create Nice Round Cheeks

Why have surgery when the same results can be achieved safely with minimal down time using injectable treatments? Stimulatory fillers such as Radiesse or Sculptra have given physicians and patients a new dimension in facial contouring through a minimally invasive approach. They have a low incidence of side effects and result in high patient satisfaction. Radiesse or Sculptra are injected deep, beneath the skin, and will generate volume to create a much better lifting effect. They work... more
+1

Radiesse Works Great for Cheek Enhancement

There are many options, and it is best to have a consultation with a plastic surgeon who is comfortable with several techniques.  If you have good bone structure, then a cheek implant, that mimics structure (bone) is probably not what you need, and it is probably best to increase the soft tissue volume.  Injectable products that do this well include Sculptra and Radiesse.  Fat injection is another option that works well, albeit with an element of unpredictability as... more
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Two Viable Choices, Temp Fillers & Cheek Implants

IMHO performing Cheek Augmentation for over 20 years using fillers, fat transfer and cheek implants, you have two viable choices. Temporary fillers like Perlane and Radiseese work great but will need to be repeated every 9-12 months.  The good part of using fillers is that there's no surgery or downtime and you get the chance to see how you like the look (more on this later). Cheek Implants, I prefer malar/submalar combos that take over the cheek bone creating the... more
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Best Way to Fill Apple of Cheek

Although the cheek implants can have some complications, generally they are the best way to enhance the midface area. If done correctly by an experienced surgeon, they should not move and nerve injury should not occur. The result is immediate and long lasting. Fat is an alternative but survival is unpredicatble. More often than not, will have to repeat the procedure in order to achieve the final result. Fillers are good but temporary.
+1

Cheek implants are problematic...

They can move, they can get infected and while the risk of surgery is low, nerve injury is always possible.  The general trend is to move away from these implants and instead go with fat transfers or injectables like Radiesse or Sculptra.  There are pros and cons to each of these procedures--fat transfers can last years but they are somewhat unpredictable and therefore may need to be repeated once or twice to get the final result.  Facial fillers such as Radiesse or Sculptra... more
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