Help with fluid filled malar edemas (Photo)

Thank you for your question and pictures.It is possible to see malar swelling post cheek implants and also after fat grafting and also fillers.  It often resolve in 1-3 months.Rarely, a reaction to the implant is the cause.  Most other times, the patients are prone to "festoon" and any surgery or procedure in the same region can exacerbate this anatomical predisposition.  Diluted steroids can help but should be done carefully and in small dose as steroids around the eyes can rarely lead to glaucoma.Hope this helps!

Best regards,Dr. Marc DuPere, Toronto Aesthetic Plastic Surgeon

Dear MelbgpoThank you for your question and photo! I am sorry you are having trouble.  There are 2 products that can help- LYMPHDIARAL® Drainage-Cream, LYMPHDIARAL® dropsWith Warm RegardsTrevor M Born  MD

It is unusual for the malar edema to persist three months following implant placement. I would follow up with your surgeon for re-evaluation and management. Sometimes I will inject Kenalog or perform laser treatments to help resolve this issue; however, what needs to be ruled out is the possibility that you are experiencing some type of reaction from the implants themselves. Good luck!

The swelling you have at three months is very unusual. Some patients do have protracted swelling of this area but nearly always heals with the passage of time. I sometimes used dilute steroids in the area in particularly refractory cases. You also might be having some unexpected reaction to your implants. There is the remote possibility that removal may be necessary.

Thank you for your questions. It is unusual to have this type of swelling from a facelift at 3 months post. Speak with your surgeon to discuss your results and concerns. Best, 

Typically patients with prolonged malar edema had it pre-operatively , but not as severe as that seen post-op. Your photos are more consistent with peri-orbital edema.  As the lymphatic system recovers  which in extensive facial dissections can take up to 6 months, and normalization of drainage occurs your edema should resolve.   Be patient and follow up with your surgeon . Regards.

As previously stated, it is unusual for you to have this much edema 3 months post op. I recommend you see your surgeon sooner rather than later for your options, which may include steroid injections or possibly removal of the implants.

I dont have any experience with this particular implant, but your surgeon might want to try some kenalog injections in the area of edema. The swelling may get better with time on its own, but this could potentially speed the process up.wishing you best of luck

At 3 months persistent edema over the cheek implant is concerning. An implant reaction is not typical,but recurrent edema is unusual also. Your surgeon should be able to manage this problem or remove the implant. Fat grafting can help when the tissues settle. Voluma may also be an option if the malar implants are removed.