Flat Cheeks After Accident

Yes, you should go to the original surgeon and if he does not do cheek implants as part of his practice see another experienced surgeon for a second opinion.

The surgeon that performed the major operation to reconstruct your face is intimately knowledgeable with your particular anatomy and healing.  An oral and maxillofacial surgeon is certainly qualified to address your current issue.

There may be residual post bony fracture reasons for your flat cheeks. Certainly implants are one option.  If however, the soft tissue and skin injury caused soft tissue contraction, then a better option might be fat grafting.  You might ask your surgeon to sort out the reasons for your current appearance and assess their comfort in addressing the cosmetic deformity.  If for some reason he/she is not comfortable in facial implants or fat grafting, you certainly have myriads of options in Los Angeles.

I trained and spent signficant time in LA.  Other options in LA I can personally recommend for this type of problem include Drs. Mark Berman, Kenneth Steinsapir, Mehryar Taban,  Ronald Strahan, Jonathan Hoenig, and Jay Calvert.

Flat cheeks after a cheekbone fracture can be addressed through unilateral or bilateral cheek implants.  If both cheeks are flat then augment both cheeks a silastic implants.  These are placed through a gingival incision just above the upper tooth roots and inserted directly over the bone to augment a flat area.  If only one cheek bone has been fractured, then an implant it is put in on that side to balance with the original opposite side.  These are usually performed under general anesthesia.  It is best to have a surgeon perform these who has performed a lot of them and has excellent experience with that procedure.