Are Cheek Implants placed intraorally safe or is it better to go through the eyelid?

Question

I just watched a cheekbone implant video of the intraorall approach and it scares me quite a bit. The tissues, muscles, and everything seem to just get ripped off the bone and the implant is squeezed through the incision under the lip. Is there anything that could go wrong with this approach?

Jeffrey H. Spiegel, MD · Answer

There are risks with any procedure.  However, I find that through the mouth is the best way to place cheek implants.  They are done quickly, the risks are overall lower, I believe, and the results are excellent. In fact, we do them right in the office over just about 20 minutes.

William Portuese, MD · Answer

In our practice for over 30 years, we have been placing cheek implants  through an intra oral approach with an excellent success rate. They're placed directly over the bone underneath the periosteum of the maxilla. That way, they don't shift around or float in the soft tissues in the face. It's not a good idea to put them through the eyelids due to  retraction of the lower eyelid that can occur

Barry L. Eppley, MD, DMD · Answer

Like almost all surgery seeing how it is done raises questions/concerns for the patient who is considering undergoing the surgery. In reality whether an intraoral or lower eyelid approach is used the tissue pocket needed and the dissection used to create it is identical for the placement of cheek implants. The incision used to do it merely provides access for it to be done. There are different risk factors with each incisional approach.

Are Cheek Implants placed intraorally safe or is it better to go through the eyelid?

Answers (3)

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