Fat Grafting or Cheek Implants?

Hi Sigal,

There are many non-surgical treatments that can make you look younger, rested, and healthier.

I would not recommend cheek implants unless you like that Wayne Newton/ Dionne Warwicke full and unnatural appearance (works well for Las Vegas strip entertainers).

Fat transfer is an excellent choice, but is also a surgical procedure.

Sculptra injections by an experienced well trained injector gives very good results without anesthesia, the operating room, surgical scars, or the risk of surgical complications. It is not yet FDA approved for cosmetic use, but some physicians are using it off label. I believe that it will be the filler of the future.

Fractionated CO2 (Fraxel re:pair or Deep FX) will correct all of your concerns, plus give you refreshed skin tone, texture, and color, again without the surgeons scalpel. Again, as with any procedure on your one and only face, it is extremely important to choose your treating physician most carefully.

Good luck and be well.

Dr. P

Either fat grafting or cheek implants could be a potential option for you. There are advantages and disadvantages to each procedure. I encourage you to meet with a certified plastic surgeon in your area who can discuss your concerns, see your volume loss in person, and recommend the best procedure(s) for your specific concerns and situation.

Cheek implants will address the midface, while the fat grafting procedure can be customized to address the entire face in small increments to provide a nice overall improvement. Raffy Karamanoukian Los Angeles