Cheek implants are really not designed to augment a tear trough, they are designed to augment a flat maxilla and cheek bone. Cheek implants are composed of Silastic, manufactured in a variety of sizes( small, medium, large) and a variety of shapes( malar, sub--malar, and combined). Since the cheeks and the cheek implants are three-dimensional structures, a full set of photographs and in-person examination and consultation is required. Cheek implants are inserted through an intra-oral approach under a brief general anesthetic. Anticipate 2 weeks of visible bruising and swelling after the procedure. For many examples and more information, please see the video and the link below regarding cheek implants