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

 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.