Cheek Implants

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Overview

Cheek implants are usually made of silicone and are placed in the cheek area to make them look fuller and more shapely and enhance the contours of the middle face. The procedure of inserting implants leaves minimal scars since incisions are made inside the mouth or lower eyelid. Cheek implants are permanent but the procedure is reversible since silicone implants do not integrate with the cheek tissues and could be simply removed.

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Enigma63

Why is it that one week after cheek implant surgery, the swelling appears to be more pronounced at night?

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Latest Reply: 3 June 2024

. Dr. Mehmet Surmeli

cedesz

Is it possible for cheek implants to transform a flat mid-face area into one with an "ogee curve" in the cheeks?

Hello. Can cheek implants create an "ogee curve" in a previously flat midface area? Additionally, I've come across concerns online that suggest cheek implants can lead to bone dissolution if left in for many years. Can you provide some insights on these topics? Thank you.

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Latest Reply: 20 Dec 2023

. Dr. Ali Riza Oreroglu

ladymd1

How can I enhance my facial volume and achieve a heart-shaped face?

I have a very flat midface, and my face is narrow. I'm interested in achieving a heart-shaped face with more volume in the midface region. I'm also contemplating a rhinoplasty.

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Latest Reply: 3 Nov 2023

. Dr. Gorkem Atsal

leinc

Is it advisable to opt for submalar implants or consider an alternative procedure to achieve high cheekbones?

Hello, I'm a 26-year-old male, and I'm interested in achieving the look of high cheekbones. I've noticed that my face lacks significant cheek prominence. Could you please advise on the most effective method to achieve this desired look? Thank you.

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Latest Reply: 5 Oct 2023

. Dr. Ali Riza Oreroglu

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Dr. Ali Riza Oreroglu

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Everything About Cheek Implants

Published on 6 July 2023 | Last updated on 10 Oct 2023

By Medical Content Team

Medically Reviewed by Dr. Thierry Cahuzac

Fact-checked

What are cheek implants?

Cheek implants, also known as malar implants, are a type of facial implant used to enhance the structure and volume of the cheeks. They are made of solid materials, typically medical-grade silicone or porous polyethylene, that are biocompatible and safe for implantation in the body.

Cheek implants are designed to add definition, contour, and projection to the midface region. By augmenting the cheeks, they can create a more youthful and balanced appearance, restore lost volume due to aging or genetics, and improve facial harmony. These implants come in various shapes and sizes to suit individual facial features and desired outcomes.

During the cheek implant procedure, a plastic surgeon makes small incisions either inside the mouth or along the natural creases of the face. The implants are carefully positioned and secured onto the cheekbones or soft tissues of the face. The incisions are then closed, resulting in minimal visible scarring.

Cheek implant surgery is typically performed on an outpatient basis under local or general anesthesia, depending on the patient's preference and the surgeon's recommendation. Recovery time can vary, but most individuals can expect mild swelling and bruising for a few days. Over time, the implants settle into place, providing long-lasting results that enhance the contours of the cheeks and overall facial aesthetics.

Who are good candidates for cheek implants?

Good candidates for cheek implants are individuals who desire to enhance the structure and volume of their cheeks for aesthetic reasons. Here are some factors that may make a person well-suited for cheek implant surgery:

Lack of cheek definition: Candidates often have flat or undefined cheekbones, which can create an unbalanced facial appearance. Cheek implants can add projection and contour to address this issue.
Loss of cheek volume: Aging, weight loss, or genetic factors can lead to a loss of natural cheek volume, resulting in a sunken or hollowed look. Cheek implants can restore volume and create a more youthful appearance.
Facial asymmetry: Candidates with facial asymmetry, where one cheek is noticeably different from the other, may benefit from cheek implants to achieve better facial symmetry.
Realistic expectations: Good candidates have realistic expectations about the outcome of the procedure. They understand that cheek implants can enhance their facial features but will not drastically change their overall appearance.
Good overall health: Candidates should be in good general health, free from any medical conditions that could interfere with the surgery or healing process.

While the suitability of a candidate for cheek implant surgery is assessed on an individual basis during a consultation with a plastic surgeon, there are certain factors that may indicate someone is not a good candidate for the procedure. These factors include:

Unrealistic expectations: If a person has unrealistic expectations or desires an extreme change in their facial appearance, they may not be a good candidate for cheek implant surgery. It is important to have a clear understanding of the achievable outcomes and to have reasonable expectations.
Poor general health: Certain medical conditions or underlying health issues can pose risks during surgery and the recovery period. Conditions such as uncontrolled diabetes, hypertension, bleeding disorders, or autoimmune diseases may affect the eligibility for the procedure. Additionally, individuals who are currently undergoing medical treatments or taking medications that can interfere with the healing process may not be suitable candidates.
Active infections: If a person has an active infection, such as a tooth abscess or respiratory infection, it is generally recommended to postpone the cheek implant surgery until the infection is resolved. This is to minimize the risk of complications and ensure a successful outcome.
Insufficient bone structure: Cheek implants require a certain level of bone structure to support and secure the implant. If a person lacks sufficient bone density or has an abnormal facial bone structure, they may not be a good candidate for cheek implant surgery. In such cases, alternative options like dermal fillers may be more suitable.
Pregnancy or breastfeeding: It is generally advised to postpone elective cosmetic surgeries, including cheek implant surgery, if a person is pregnant or breastfeeding. Hormonal changes during pregnancy and breastfeeding can affect the results and increase the risk of complications.
Psychological concerns: Individuals with significant psychological or emotional concerns, such as body dysmorphia or unrealistic body image issues, may not be good candidates for cheek implant surgery. It is important to have a stable mental and emotional state before undergoing any cosmetic procedure.

It is crucial to have a thorough consultation with a qualified plastic surgeon who can assess your individual circumstances, medical history, and goals to determine if you are a suitable candidate for cheek implant surgery. The surgeon will consider these factors and provide personalized recommendations based on your specific situation.

What are the different shapes of cheek implants?

Cheek implants are available in various options to cater to different facial structures and desired outcomes. Here are 4 common shapes of cheek implants you can choose for your procedure:

Malar implants: These are the most widely used cheek implants and provide enhancement to the malar or cheekbone area. Malar implants typically have a curved shape that follows the natural contour of the cheekbones, adding projection and definition to the midface.
Submalar implants: Also known as "apple" or "submalar-midface" implants, these are designed to augment the area below the cheekbones. Submalar implants add volume to the midface region, addressing sunken or hollowed cheeks. They have a more rounded shape to create a fuller appearance.
Combined malar and submalar implants: Some patients may benefit from a combination of malar and submalar implants to achieve comprehensive enhancement of the cheek area. These combined implants provide both projection along the cheekbones and volume in the midface region.
Customized implants: In certain cases, customized cheek implants may be created to address specific facial asymmetry or unique anatomical features. These implants are designed based on precise measurements and specifications to ensure an optimal fit and desired outcome.

It is important to consult with a qualified plastic surgeon who can assess your facial structure and discuss the appropriate shape and size of cheek implants that will best suit your individual needs and aesthetic goals.

What to expect before a cheek implant procedure

Before a cheek implant procedure, there are several important steps and preparations to expect. Here is an overview of what you can anticipate:

Consultation: The first step is to schedule a consultation with a qualified plastic surgeon who specializes in facial augmentation procedures. During this consultation, you will discuss your goals and expectations for cheek augmentation. The surgeon will evaluate your facial structure, skin quality, and overall health to determine if you are a suitable candidate for the procedure. They will explain the details of the surgery, including the potential risks and benefits, and answer any questions you may have.
Medical evaluation: Before the procedure, your surgeon will conduct a thorough medical evaluation to ensure that you are in good health and can safely undergo surgery. This may include reviewing your medical history, performing physical examinations, and ordering any necessary lab tests.
Pre-operative instructions: Your surgeon will provide you with specific pre-operative instructions to follow in the days leading up to the procedure. These instructions may include guidelines for medications to avoid, dietary restrictions, and alcohol or tobacco use. It's important to adhere to these instructions to minimize any potential risks and optimize your chances of a successful surgery.
Medications: Your surgeon may advise you to stop taking certain medications or supplements that can increase the risk of bleeding or interfere with anesthesia. It is important to inform your surgeon about any medications or supplements you are currently taking to ensure a safe surgical experience.
Pre-operative assessments: Prior to the surgery, you may undergo additional assessments such as blood tests, imaging studies, or pre-operative photographs. These assessments help the surgeon plan the procedure and track progress during the recovery period.
Consent and paperwork: Before the procedure, you will be required to sign consent forms, acknowledging that you understand the risks, benefits, and potential complications associated with the cheek implant surgery. You may also need to complete other paperwork related to your medical history and insurance.
Arrangements for recovery: It is important to make necessary arrangements for your recovery period. This may include arranging for someone to drive you home after the surgery, ensuring you have someone to assist you during the initial recovery phase, and preparing your home with necessary supplies such as ice packs, soft foods, and comfortable resting areas.

Remember to follow your surgeon's instructions closely and ask any questions or address any concerns you may have before the procedure. By being well-prepared and informed, you can have a smoother and more successful cheek implant procedure.

What to expect during a cheek implant procedure

Cheek implant surgery is typically performed as an outpatient procedure. This means that patients can go home on the same day as the surgery, without the need for an overnight stay in a hospital or surgical facility. During a cheek implant procedure, there are several key steps and considerations to expect. Here is an overview of what you can anticipate during a cheek implant procedure:

Consultation: Prior to the surgery, you will have a consultation with your plastic surgeon. They will assess your facial anatomy and discuss your goals and expectations. You can also ask any questions or address any concerns you may have during this consultation.
Anesthesia: On the day of the procedure, you will be given anesthesia to ensure your comfort during the surgery. The type of anesthesia used can vary and will be discussed with you beforehand. It may be general anesthesia, where you will be asleep throughout the entire procedure, or local anesthesia with sedation, where you will be awake but relaxed.
Incision placement: Your surgeon will make small incisions either inside your mouth along the upper gum line or externally in inconspicuous locations, such as within the natural creases of your face. The choice of incision placement depends on factors like the type of implant and your surgeon's preference.
Implant placement: The cheek implants, which may be pre-selected or custom-made based on your facial structure, will be carefully positioned and secured. Your surgeon will ensure that the implants achieve the desired projection and symmetry. Once in place, the incisions will be closed with sutures.
Recovery and follow-up: After the procedure, you will be taken to a recovery area to wake up from the anesthesia. You may experience some swelling, bruising, and discomfort, which are normal and can be managed with pain medication and cold compresses. Your surgeon will provide specific aftercare instructions, including dietary restrictions, oral hygiene recommendations, and any necessary follow-up appointments.

Recovery and aftercare

Recovery and aftercare following a cheek implant procedure are crucial for ensuring optimal healing and long-lasting results. Here are some general guidelines to expect during the recovery period:

Swelling and bruising: Swelling and bruising are common after cheek implant surgery and typically peak within the first few days. Applying cold compresses or ice packs to the treated area can help reduce swelling. Your surgeon may also recommend keeping your head elevated while resting to minimize swelling.
Pain management: You may experience some discomfort or mild pain after the procedure. Your surgeon will prescribe appropriate pain medication to manage any discomfort during the initial stages of recovery. It is important to follow the prescribed dosage and instructions.
Oral hygiene: If your incisions were made inside the mouth, proper oral hygiene is essential to prevent infection. Your surgeon may recommend rinsing your mouth with an antiseptic mouthwash or a saltwater solution after meals. Be gentle when brushing your teeth to avoid disturbing the incision sites.
Diet and nutrition: Your surgeon may advise you to follow a soft or liquid diet for a few days following the surgery. This helps to prevent strain on the incisions and allows for proper healing. It is important to stay hydrated and consume nutritious foods to support the healing process.
Physical activity and rest: Avoid strenuous activities, heavy lifting, or any activities that could put strain on your face during the initial recovery period. It is crucial to get adequate rest and avoid excessive facial movements to allow for proper healing.
Follow-up appointments: Your surgeon will schedule follow-up appointments to monitor your progress and remove any sutures if necessary. Attend these appointments as scheduled to ensure that your recovery is progressing well and to address any concerns or questions you may have.

It is important to note that recovery times can vary from person to person. While some individuals may resume normal activities within a week or two, it may take several weeks for swelling and bruising to completely subside. It is crucial to follow your surgeon's specific aftercare instructions for the best possible outcome. If you experience severe pain, excessive swelling, or any concerning symptoms, contact your surgeon immediately.

Risks and complications

Like any surgical procedure, cheek implant surgery carries certain risks and potential complications. It is important to be aware of these possibilities and discuss them with your plastic surgeon before making a decision. While complications are rare, they can include:

Infection: Although uncommon, there is a risk of infection following cheek implant surgery. It can usually be managed with antibiotics, but in rare cases, the implant may need to be removed temporarily to treat the infection.
Hematoma: A hematoma is a collection of blood that can form under the skin, causing swelling and discomfort. If a hematoma occurs, it may require drainage to alleviate the pressure and promote proper healing.
Implant misplacement or asymmetry: There is a possibility that the cheek implants may shift or become asymmetrical after the surgery. This can usually be addressed through revision surgery if necessary.
Nerve damage: Temporary or permanent damage to facial nerves can occur, leading to altered sensation or movement in the affected areas. It is important to choose an experienced surgeon who takes precautions to minimize this risk.
Extrusion or displacement: In rare cases, the implant may extrude through the incision site or become displaced. This may require surgical intervention to correct or remove the implant.
Scarring: Although efforts are made to minimize visible scarring, incisions can result in some degree of scarring. Most incisions for cheek implant surgery are made inside the mouth or along natural creases to minimize visible scarring.

It is crucial to carefully follow your surgeon's pre-operative and post-operative instructions to minimize the risk of complications. Choosing a qualified and experienced plastic surgeon is essential to reduce the likelihood of adverse outcomes. During your consultation, your surgeon will discuss these risks and complications in more detail and address any concerns you may have.

Cheek implants cost

The cost of cheek implant surgery can vary depending on several factors, including the geographic location, the surgeon's experience, the type of implant used, and any additional procedures performed in conjunction with cheek augmentation. Generally, the cost of cheek implant surgery typically includes:

Surgeon's fees: This covers the expertise and skill of the plastic surgeon performing the procedure. The surgeon's experience and reputation may influence the cost.
Anesthesia fees: The cost of anesthesia, whether it is local anesthesia with sedation or general anesthesia, will be factored into the overall cost.
Facility fees: This includes the use of the surgical facility, including operating room costs, equipment, and nursing staff.
Implant costs: The cost of the cheek implants themselves will be included in the overall price. The type of implant chosen can affect the cost.
Pre-operative and post-operative care: This covers consultations, follow-up visits, and any necessary medications or dressings during the recovery period.

It is important to note that the cost of cheek implant surgery can vary significantly depending on the aforementioned factors. As a rough estimate, the cost of cheek implant surgery can range from $3,000 to $8,000 or more. However, it is crucial to consult with a qualified plastic surgeon for a personalized assessment and an accurate cost estimate based on your specific needs and goals. During your consultation, the surgeon's office can provide you with a detailed breakdown of the costs involved. Additionally, it is important to inquire about any financing options or payment plans that may be available to you.

Cheek implants vs cheek fillers: pros and cons

Cheek implants and cheek fillers are both popular options for enhancing the appearance of the cheeks, but they differ in terms of their approach, longevity, and invasiveness. Here are some pros and cons of cheek implants and cheek fillers to consider:

Cheek Implants

Pros:

Long-lasting results: Cheek implants are a permanent solution to enhance cheek volume and contour. Once placed, they maintain their shape and projection over time.
Customizable outcomes: Cheek implants come in various sizes and shapes, allowing for a tailored approach to achieve the desired cheek augmentation.
Structural enhancement: Cheek implants can provide significant structural enhancement by adding volume and definition to the cheekbones, resulting in a more prominent and balanced facial appearance.

Cons:

Invasive procedure: Cheek implant surgery requires anesthesia and involves incisions, which carry a small risk of complications such as infection, scarring, or implant displacement.
Longer recovery time: Compared to fillers, cheek implant surgery typically has a longer recovery period, with potential swelling and bruising lasting several weeks.
Irreversible: As cheek implants are permanent, they cannot be easily adjusted or reversed if the desired outcome is not achieved.

Cheek Fillers

Pros:

Non-surgical: Cheek fillers are non-invasive and do not require anesthesia or incisions. They are administered through injections, making the procedure relatively quick and convenient.
Immediate results: Results from cheek fillers are visible immediately after the treatment, providing instant volume and contour to the cheeks.
Reversible and adjustable: Unlike implants, fillers can be adjusted or reversed if necessary, allowing for flexibility in achieving the desired outcome.

Cons:

Temporary results: Cheek fillers are not permanent and typically last between 6 months to 2 years, depending on the type of filler used. Maintenance treatments are needed to sustain the results.
Limited volume enhancement: While fillers can add volume to the cheeks, they may not provide the same level of structural enhancement as implants.
Cost over time: As fillers are temporary, ongoing treatments are required to maintain the desired results, which can result in higher cumulative costs compared to a one-time implant procedure.

Ultimately, the choice between cheek implants and fillers depends on individual preferences, desired outcomes, and the advice of a qualified plastic surgeon. Consulting with a professional will help determine the most suitable option based on your facial anatomy, goals, and budget.

FAQs

How long do cheek implants last?

Cheek implants are considered to be a long-lasting solution for enhancing the appearance of the cheeks. They are typically designed to be permanent and can last for many years or even a lifetime.

Can cheek implants be removed?

Yes, cheek implants can be removed if desired. While they can technically be removed through a surgical procedure, the removal of cheek implants is not as straightforward as with temporary cosmetic treatments like dermal fillers.

How long does it take for cheek implants to settle?

After cheek implant surgery, it can take several weeks to months for the implants to fully settle into their final position.

How long does the cheek implant surgery last?

The duration of cheek implant surgery typically ranges from 1 to 2 hours, but it can vary depending on factors such as the complexity of the case and any additional procedures being performed simultaneously.

Can I have cheek implants and jaw implants in one appointment?

In some cases, it is possible to have both cheek implants and jaw implants placed during the same surgical appointment. However, this decision depends on various factors, including the patient's overall health, the surgeon's recommendation, and the complexity of the procedures. It is crucial to consult with a qualified plastic surgeon who can assess your specific needs and determine the feasibility of combining these procedures safely and effectively.