Cheek implants: To secure or not secure?

Is there a higher risk of migration and/or infection when a cheek implant is placed without securing it with screws? Will just the pocket created, with the resulting scar tissue be enough to keep the implant in place?

Doctor Answers 3

Cheek Implants: To Secure or Not

I have been dong cheek implants for many years and never found it necessary to secure them with screws. Every surgeon has their own technique.

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Cheek augmentation

There is no general consensus whether to screw in cheek implants to the bone. We make a precise pocket to place the implant in directly over the bone through intra-oral approach. The implants generally stay in the position where they were placed once the scar tissue capsule forms around them

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Screw Fixation for Cheek Implants

Whether cheek implants are secured in placed by a screw is a matter of surgeon preference. However, the most assured way to know that a cheek implant will never move from its placed position is to secure it to the bone with a self-tapping 1.5mm screw. This takes less than a minute to do and has a very low cost.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 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.