Are customised cheek implants an all around more expensive surgery than off-the-shelf cheek implants?

Dear Ladyduck,

Thank you for your question.  Standard cheek implants, in their more advanced form, can cover more than one area of the midface.  There are malar, sub-malar, and combined implants for these regions and reasons.  There are also specific tear trough implants that have also been designed.  Patients can also have custom implants made specifically for them.  These implants will cost approximately 2-3 times the amount of standard implants as they are based off of a CT scan and created specifically for you.  Given the investment that you are continually placing, your consideration of silicone implants is with good merit.  Additionally, given the finances that you are investing annually, you may also consider custom implants as these will take into account subtle variations of the facial skeleton that are not uniform between left and right sides. I hope this helps you to find the best answer for you.



Be healthy and be well,



James M. Ridgway, M.D., FACS

Generally, custom made implants are 5-10 times more expensive because of CT scan, complex 3D printing etc. In most cases when it comes to facial contouring this is not necessary considering diversity of cheek implants available on the market.However, before making decision about cheek implants you should discuss benefits of fat grafting of the cheek and periorbital area. It is procedure that provides long lasting (3+ years) very natural results if done by an expert plastic surgeon.You should have a consultation with a board certified plastic surgeon with good reputation in facial fat grafting and discuss your options. Good luck.

It's not necessary to have customized implants. Cheek implants come in various sizes that can be easily adjusted in volume and shape. The plus side to fillers are they can give you the look of an implant with little downtime.  Cost will always vary with practitioners. I recommend getting a formal evaluation with a cosmetic dermatologist to discuss your desired results and options. Best, Dr. Emer

Hello,Tear-Trough Implants are my specialty.  The "off the shelf" tear-trough implants do not provide any augmentation to what people traditionally thing of as the cheek.  In fact, the standard implants only go about 2/3 of the way to the outside corner of the eye.  Implanttech makes a combined sub-malar/tear trough implant that offers some additional filling but it is more below the cheek and it isn't a lot.  I have taken two approaches to patients like you.  One is to simultaneously do a cheek implant and tear-trough implant.  The two implants will overlap, which is tricky, but it does work.  The other, of course, is to use custom implants.  Custom implants are very nice.  They are pricey and bring the total cost of the procedure up to nearly $10,000.  However, the perfect fit is wonderful.  In my hands, I do this procedure entirely through the backside of the lower eyelid.  There are therefore no scars anywhere that anyone could see.  My experience with custom implants is that they do not bruise very much either.Best of Luck,Dr. AAustin, Texas

Only custom designed cheek implants can be made to go along the infraorbital rim and/or back along the zygomatic arch. No standard cheek implants has this design. They can be made to however the patient wants to augment the midface area. Custom cheek implant costs will be higher as they are designed from a 3D CT scan of the patient which entails additional engineering and manufacturing costs. While they are more expensive they are roughly twice the cost of getting standard cheek implants. In addition, getting standard cheek implants that do not create the desired effect will, in the end, be more expensive than having a custom design initially if the need for revisional surgery arises.