Can I have submalar implants placed below my malar cheek implants?

Facial fillers are now long lasting, forgiving, and are able to accomplish the same result as cheek implants. Cheek implants can cause bony resorption which worsens mid face projection.

There is very little bone settling that occurs with cheek implants on tea zygomatic body. Thus the bones will be normal of cheek implants are removed.

The best way to determine how effective your described procedures would be towards a more feminized appearance is computer imaging. Based on your pictures that certainly seems to be true but it is important to see how you would interpret those facial changes.

The area you have highlighted is neither the cheek nor the paranasal area. It is in the upper maxilla under right under the infraorbital nerve. If you are trying to achieve a simultaneous Ogee curve enhancement with augmentation of the upper maxilla that would require a custom implant approach...

Custom Medpor implants as you have described can be made but their manufacture will be fairly expensive to do so. In addition that is an extremely large implant which almost always turns out to be too big for any patient. How have you come to select this size cheek implant?

Hello, thank you for your question. The best way to address would be with volume correction , either using facial fillers or your own fat. Neither correction is permanent, but fat grafting can last much longer. Most patients typically require more than one transfer to achieve correction due to...