Cheek implants for men?

Hello makieveliTypes of anesthesia available for cheek implant procedure includes local anesthesia, intravenous sedation and general anesthesia. Your PS would recommend the best choice for you.

Hello and thank you for your question. Cheek augmentation can be
done in one of two ways.  Voluma is an injectable filler which can be
injected into the malar region as a temporary filler.  Malar implants can
be placed as a permanent way to gain volume in the cheek.  I always use
medpor implants with screw fixation.  Silicone malar implants tend to
have a high rate of malrotation over time.  If using medpor implants, I recommend general anesthesia.   The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Yes, you can get implants with local anesthesia. Both implants and fillers in the cheeks can create good results for patients. Both can build up the cheeks and create symmetry. You must balance the pros and cons of each procedure and do what you feel is the best decision for you.
Fillers:
Pros: No downtime Reversible Quick
Cons: Temporary More expensive in long run
Implants Pros: Permanent Great for patients with poor bone structure Less expensive overtime
Negative: Risks associated with surgery Possible infection Downtime
Hope this helps.

I normally perform cheek augmentation with implants using local anesthesia with IV sedation.  The type of anesthesia used for a procedure is usually determined by the surgeon with input from the patient.  

Most frequently we do cheek implants in twilight anesthesia which is practically local anesthesia with sedation. No tubes are used just IV access for drug delivery. However, in selected and well prepared patients it is possible to do it in local anesthesia only or with some preoperative per mouth pain/anxiety medications. Good luck.

Thank you for your question. You are asking if cheek implants can be done for men under local anesthesia.
I can certainly guide in the absence of a physical exam, but you don’t really give much background or a photo for reference. I’m Dr. Amiya Prasad. I’m a Board Certified Cosmetic Surgeon and Fellowship-trained Oculoplastic Surgeon. I’ve been in practice in Manhattan and Long Island for over 20 years. I perform cheek implant surgery, often at the same time as a facelift, as well as perform non-surgical cheek augmentation with fillers, using a special technique called Structural Volumizing.
I do regularly perform cheek implant surgery with local anesthesia, and for men. As mentioned earlier, cheek implants are often performed with a full facelift and neck lift, which are also done with local anesthesia. I usually place cheek implants intraorally, or through the mouth, so there are no visible incisions at the face. A customized silicone implant, or often two implants known as the malar and submalar implant, are pre-measured prior to surgery. The implants are placed above the cheekbones.
Cheek implants should not be confused as permanent solutions. As we get older, we lose volume through diminishing bone, muscle, fat, and soft tissue. As aging does continue even after the cheek implants are placed, with time they no longer fit the face, so their edges can be seen through the skin. The implants will eventually need removal, and replaced with new ones to fit the changed proportions of the face.
What I am recommending more often now is the use of long lasting cheek filler, but placed with a different technique that doesn’t involve surgery, or its recovery time. I have been placing long lasting fillers like Juvederm Ultra Plus or Juvederm Voluma deep within the bone structure in a technique I call Structural Volumizing, or the Y Lift. These fillers are placed at the bone level, and between the muscle to hold the material in place. This is contrast to filler placement at the more superficial soft tissue layer, which can shift, and look soft, doughy, and unnatural. At the bone level, filler gives the face more structured looking volume, which looks more contoured and solid, not soft and squishy with traditional cheek filler placement. These fillers last up to two years, and the same technique can be applied to the jawline and chin. This process can be done in minutes, with virtually no recovery time, but you may need a day or two for the reactive swelling to go down. These thicker fillers last 1-2 years. A topical anesthetic or local anesthesia are also used for this process. If you don’t like the results, these fillers can be dissolved with the injectable enzyme hyaluronidase, unlike implants which will require another surgery to remove.
I suggest you consider cheek fillers as well as cheek implants. Cheek filler may be more convenient for you, and they do last longer than they used to. Not too many doctors perform cheek filler placement at the bone level, so ask doctors about the technique in consultation. I hope you found this information helpful. Thank you for your question.

 Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek, chin), liposuction and/or facelifts for over 30 years.  Following my beauty principles, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles.  Non smiling photos, of your face, from the front and side would help in the evaluation.  The following procedures would create a more ruggedly handsome face.
Cheek augmentation with cheek implants to add angularity to the cheeks and mid face.  Liposuction can be combined to reduce any excess fat to further shape the cheeks and face.
Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face.  I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut bone segments).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.  
Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.
 I have placed silastic cheek implants for 30 years in military, SWAT, LE, professional fighters, as well as actors and many regular people who are active.  I prefer the patient be under a general anesthesia for cheek implants.  A small incision is placed on the inside of the mouth and the procedure typically takes 30 minutes or less.  When placed below the covering of the bone and when the layers of the cheek are closed from the inside out, there is no need for fixation screws or sutures in my humble opinion.  I do ask that all my cheek implant and chin implant patients sleep on a U-shaped pillow for 1 month following the surgery.  In addition, I have had the opportunity on numerous occasions to replace silastic cheek implants (placed by others) that had been screwed into the cheek bone.  During the replacement it was evident that the metal screws pushed right through the soft implant as it was tightened down on the hard cheek bone.  Which makes perfect sense.  So in the long run, these fixation methods alone are no guarantee that the implant won't move.  Proper placement, proper implant pocket creation and meticulous closure of all the tissues layers is what is required in my humble opinion. The cheeks can be augmented using precise placement of a dermal filler in the hands of a facial shaping expert.  The key in creating shape to a man's face is the ability to create angularity.  Too much filler will result in feminization of the cheeks and face.  In addition, permanent fillers and fat transfer (injection) should be avoided when shaping facial features as discussed below.  I have performed many facial shaping procedures using dermal fillers, facial implants (cheek, chin), liposuction and/or facelifts for over 30 years.  In my experience and despite its recent increase in popularity, fat transfer (fat injection) offers "far" less of a reliable and predictable volume for facial shaping than an off the shelf dermal filler or silastic facial implant.  For that reason, I do not use fat to shape the cheeks, chin, lips or jaw line.  Tissue physiology is quite simple.  Tissue requires a blood supply in and out as well as lymphatic connections to remain viable and alive.  Once fat is removed from the body all of these things have been disrupted.  Just because the removed fat is mixed with PRP or something else doesn't make the blood and lymphatics magically re-appear.  The fat at that point is not living tissue which means that it's prone to being dissolved by the body (most likely in an uneven and unpredictable manner).  Injecting fat back into the face does not create the required elements to make the fat living tissue once again.  So the argument that fat is alive and viable in the face once it's been removed and re-injected makes no sense to me as a physician and surgeon.
 The other issue that I have with fat transfer is the lack of precision.  Fat is thick by nature which means it's not the same consistency as an off the shelf dermal filler.  Fat injections use an increased volume injected in an attempt to compensate for the volume loss that "will" happen.  This means a lack of specific shape and volume that simply can not begin to compare with the specificity of using a silastic facial implant of a "known" shape and volume.  In that regard fat offers too much of an unknown to make it a reliable and predictable method for facial shaping.  There's a significant difference between a 3mm and 5mm thick cheek implant.  You can imagine the magnitude of difference there is between retaining 60% of 25cc's of fat versus 35%.  In my humble opinion, I just don’t see how fat could possibly be used to precisely shape facial features?
Hope this helps.