Bone Resorption with Cheek Implants?

I've come across several articles regarding bone resorption with silastic chin implants. That the material is causing pressure on the bone and is therefore through the years "shaving" it down a few millimetres. I am soon getting cheek(bone) implants. Does bone resorption usually happen with implants on the cheekbone area as well? If so, how can one reduce this issue as much as possible?

Doctor Answers 6

Bone resorption with cheek implants

While bone resorption does occur with implants directly placed over the bone, it is usually a minimal amount,1-2 mm of bone resorption over many years.  We have performed many silastic cheek implants and have never seen a problem with bone resorption in the cheek area.

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Bone Resorption with Cheek Implants?

 I frequently use Cheek and Chin IMplants for facial augmentation and have done so for over 25 years.  I only use silastic implants and believe they are superior to all other implant materials.   Although bone absorption is possible with Chin Implants very infrequently, bone found around the implant is far more common IMHO and represents a localized reaction of the implant on the bone.  This is most likely due to the large Mentalis muscle that moves constantly with chewing and facial animation.  This however is rarely an issue.

 For Cheek Implants, the muscles above the implants are not as large or active as the Mentalis muscle and therefore the amount of absorption or bone reaction, to the implant, is minimal.  I have removed many older silastic Cheek Implants, that were placed 20 years earlier elsewhere and there was no evidence of bone changes below the implant.  I believe Cheek Implants are the best tolerated implants in the body.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Cheek implants

There is a small amount of bone resorption with implants after several years, but should not be of much consequences.

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon
4.6 out of 5 stars 12 reviews

Bone Resorption with Cheek Implants?

Bone resorption can occur with any silicone implant over time.It is more commonly seen with silicone chin implants

My preferenec for augmenting the cheek is the use of injectables including Sculptra, Radiesse and fat . The survival of fat injections to the cheek can be enhanced with the addition of PRP, platelet rich plasma

Hilton Becker, MD
Boca Raton Plastic Surgeon
4.6 out of 5 stars 15 reviews

Bone resorption with cheek implants.

Yes this happens. But is not clinically significant.  It is the best option for cheeks iny 35 year experience. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Bone Resoprtion with Silicone Implants


There is very little bone resorption with facial implants. The resorption is not clinically significant. There is little you can do about it but it is of no consequence.



Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 273 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.