Options to Fix Asymmetrical Cheekbone?

There are a number of moderate and long lasting fillers that work so well that I do many fewer cheek implants than I did a few years ago. If this is your first time, I suggest a hyaluronic acid filler, Juverderm, Restylane, or Perlane. The advantage is that they last +/- 9 months in the cheeks. If you don't like it, it will go away. If you really are unhappy it can be dissolved with an enzyme. If that works then a longer lasting filler such as Radiesse or Artefill can be used.

For very asymmetric cheeks, we can use an implant on one side. For the ultimate, custom facial implants are made by Implantech. We send them a 3-D CT scan and they create a model of your skull. Then together with the patient and implant company we design custom shaped and sized implants for your specific needs.

It is possible to fix asymmetrical cheeks bones. The flat cheek is augmented higher to match the other side with a custom carved silastic cheek implant placed on one side, which we have performed in our practice.  The implant is placed through the intraoral approach and directly placed over the bone to match the existing opposite side.  Depending upon a patient’s needs and wishes, this surgical procedure may be done using either local or general anesthesia.

The first question is to determine which cheek bone you prefer, the higher or the lower one? I will assume that you prefer the higher one. Your options would be to either custom carve a single implant for the lower cheek (if you only seek symmetry) or do cheek implants for both sides which are different in size and shape. (if you desire cheek augmentation as well) This will require a surgeon who is facile with such manipulations to both get symmetry and the desired facial effect. The most definite option would be to get a 3-D CT scan and have a skeletal model made. Then the implants could be shaped and modified beforehand so you would be absolutely certain the final cheek results are symmetric.