Do Cheek Implants Feel Like Natural Cheeks?

My dr suggested i should get cheek implants to give my face more chiseled look. However i m little nervous about living with some sorta solid material in my i am hopin to find some answers to few questions, how do they feel .. will i be aware on day to day basis that i have them? should i expect to give up certain habits such as resting my face(cheek portion) on my hands (as in sleepin in class)? do i need to give up playin hockey to avoid gettin punched on the face?

Doctor Answers 4

Natural cheek implants

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Yes. Cheek implantsare very usefull for facial contour and can feel natural if they are done correctly.If they are fastened to the cheek bone they will feel like a larger cheek bone. If they are silicone and only put in a soft tissue pocket they can move  a little with palpation. After healing you should not be aware of them. You can resume all normal activity including sports. Any slight asymmetry of the face should be taken into account out before surgery.

Houston Plastic Surgeon

Are cheek implants natural? Plusses and minuses.

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The overall satisfaction of RealSelf patients for cheek augmentation is 50%.  Not stellar.  Why is this?

In my opinion, cheek implants have certain inherent problems. 

First, cheek implants are made of plastic, and are palpable.  The larger they are, the more obtrusive and palpable they become.  Cheek implants made of bone like materials are very difficult to adjust if the patient is not happy with them; however they are typically not palpable at all.  If the patient is not happy with a cheek implant, it is usually possible to remove or replace it readily, an advantage of the plastic cheek implant.

I have seen many patients who have had multiple redos of their cheek implants, searching for perfection or absolute symmetry.

Too bad they did not know it would never occur in their faces.

Cheeks are NEVER absolutely symmetrical, nor are the eyes in the eye sockets.  Nor are the brows.  Patients are often focused on absolute symmetry of their cheek implants, but this ignores that often the eye bone, the globe (eyeball), brow position and often the entire side of the face are not symmetrical. 

It takes a very artistic eye to anticipate and balance the effect that bringing out the flatter cheek will cause.  If you bring out the flatter cheek, the deeper set eye can suddenly appear even deeper.  Oops.

In our practice, we prefer soft tissue augmentation with autologous fat-fascial grafts (LiveFill) for augmenting cheeks because the graft material is soft and does not feel artificial.  As with any graft, however, there is a possibility the graft would not survive or would be lumpy.

For older patients, and even for patients in their 40's, significant redistribution of facial fat and fibrous tissues has occurred.  A facelift with volume adjustment is preferable to plastic implants in our practice.  Nowadays, such procedures can be performed without the usual pulled appearance from a high lateral pull facelift.

Sorry for the long answer to your question, but each and every component of this analysis is important when analyzing the cheeks.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 191 reviews

Cheek implants feel natural when right size is placed correctly

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Cheek implants are an excellent way to augment a flat cheek profile. They are placed under local or general anesthesia. They are inserted through the mouth on the top of the upper tooth roots and placed directly over the bone and underneath the periosteum layer. The patient will not be able to feel them if placed in the right anatomical position. Within a month after the procedure there are no activity restrictions whatsoever. Feel free to engage in sports activities. The implants themselves feel very natural and the implant acts as a bony augmentation.  

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 155 reviews

Cheek implants

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As with all cosmetic procedures it is important to find a surgeon who has done a number of these procedures. Cheek implants yield esthetically exscellent results. Women do look better with a well defined high cheek bones. The commonest material uised is a semi firm silastic (silicone) , the same that is used for chin implants and has been around for decades and stood the test of time well. When propoerly placed and properly sized it blends imperceptibly and after a few weeks of healing it should feel natural and part of the anatomic cheek bone.  As with all procedures there is always a small risk of complications but in experienced hands this should be minimal.

Andrew Pichler, MD
Sacramento Facial Plastic Surgeon

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.