Cheek implants with screws?

Although probably most surgeons do not use screws for silicone cheek implants, the titanium screws used may help an implant stay in position if a pocket is a bit larger than expected when it is being created. If an implant were to become infected in the future, the screws can be used although the brand should be known as special screwdrivers are sometimes needed for certain screws. Usually the screws if properly placed and sized do not cause significant issues although care must be taken to avoid issues with the sinuses.

Each surgeon will have an individual preference for how cheek implants are placed.  I personally do not use screw fixation of cheek implants but fix them externally for 3 days.  After this point, a capsule normally forms around the implant and will hold it in place.  

Fixation of chin implant with a screw is an option which is not practiced by many plastic surgeons. However, some type of implants or a particular clinical situation may dictate the use of screw fixation. Removal of the screw used for fixation is simple procedure even if done years after implant placement. Good luck with your surgery.