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Screw out of cheek implant. What can be done to treat this? (Photo)

SN21Mar 6, 2023
I had silicone cheeck implants placed 6 years ago. I started having pain in my left side. The dentist did a 3 d X-ray which showed that the screw was not on my bone on the left side. My surgeon retired. My question is what can be done ? Will I need them out and replaced ? Can they only fix the one side ? Also a hall park of the price as I'm financially strapped. I'm devastated.

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Dr. Thomas Spalla, MD
Board Certified Facial Plastic Surgeon
5.0 | 12 Reviews
Answered on Mar 24, 2023
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Zoran Potparic, MD

Based on your photos, it appears that you have mild form of malar hypoplasia (small cheek bones). This condition is best corrected with silicon cheek implants. They are placed throught an incision inside upper lip vestibulum. Lower, transconjuctival blepharoplasty, to address tear trough...

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Thomas Spalla, MD

Cheek implants may cause a slight, temporary, swelling to the lateral aspect of the nose, but they should not result in permanent nasal swelling. They are placed away from the nose and shouldn't distort nasal features. They will change mid-facial volume and you may perceive your nose slightly...

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Thomas Spalla, MD

I would never recommend facial implants in an active fighter - MMA, boxing, etc. Given the nature of such activities, you WILL be struck in the implant(s) at some point. You risk dislodgement of the implant even if it is fixated with screws. This could be a very challenging situation to revise...

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