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Why do some cheek implants look like balls in the faces of the patients?

Pristine
Recently I saw Cher but also Meg Ryan (originally both beautiful women) smiling on TV, and I could see clearly that something strange and artificial is sitting under their skin on their faces. And these ladies are not the only ones with those strange balls on their cheeks. There are numerous others. Is there an alternative to get great/full cheeks without the implants?

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