Where are the incisions placed during a cheek lift?

A cheek implant can be placed through an incision in the lower lid or through the mouth, in the gum line.   This intraoral incision is more commonly used. If you have further questions or concerns about cheek augmentation, either with implants or injectables, I encourage you to seek an in person consultation.

 Hi, I have performed many facelifts and neck lifts for over 30 years and have performed many minimally, invasive SMAS facelifts.  Non smiling photos of your face from the front and side would help in the evaluation.  If there is sagging in the cheek area (mid face) this may indicate an underlying lack of bony support at the cheek bone level.  If that is the case, the cheek will be flat or even concave when you press on the front portion of the cheek(s).  There can be significant asymmetry in the front cheek volume between the two sides of the face.  In my experience and humble opinion, when the mid face is weak and there is evidence of excess loose skin in the face, a combination of facelift with shaping of the mid face should be performed.  
 Following my beauty principles, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  With cheeks that are concave or flat in the front portion of the cheek(s), cheek augmentation with precise placement (to the front portion of the cheek, not off to the sides which will broaden and create an odd cheek/face shape) of a dermal filler or using silastic cheek implants (for a permanent enhancement) can create full, round cheeks that will feminize the entire face.
 If the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.  I have found placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.
 "Jowls” are sagging facial tissues and the main indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
My most popular SMAS facelift is the minimally invasive, short incision SMAS facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
very small incisions that curve around the front contours of the ear and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
no incisions within the hair = no hair loss
excess fat can be removed from the face and neck
excess skin removed from the face and neck
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
 I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.
Hope this helps.