Cheek Augmentation: Implants, Fat Transfer or Fillers? (photo)

The choice of cheek augmentation with implants fat transfer or fillers is a commonly asked question. In your case it appears that a combined implant that goes over the cheek as well as the sub malar area will give you the best results fillers can be use for the area next to your nose as well as the nasal labial creases.

There are several options available to help augment the cheek area.  There are advantages and disadvantages to each of them, so one is not necessarily better than the other.  Your basic options would be to augment just the submalar area or to augment the submalar and malar areas.  The decision between them is really a matter of preference.  Augmenting just the submalar area will help primarily with the area you have circled in your picture, but you could also augment the malar area if your preference is also to get a more prominent cheek bone.  The options for how to augment would basically be between surgically placed implants or fillers.  There are implants that can just be used for the submalar area, implants for just the malar area, and an implant that does both.  Fillers could be used as well, and there are several to choose from, including Radiesse and Sculptra, or fat.  In regards to the nasolabial lines that you have, normally this is improved when the submalar area is augmented.  

Various options exist to improve these conditions.

With the advent of Artefil a long lasting filler and the refinements that we have achieved with fat grafting these areas can be safely improved without silicone implants.  Using injectables these areas can be corrected with more precision and less chance of a visible or dislodged implant.  Fat injected to the malar areas lasts for years successfully in 2/3 of patients.

Artefill when injected twice will improve these depressions as well as the nasolabial folds for many years. Perlane and Radiesse are also good options for these folds.

Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.