Overview of the surgery:
Cheek Augmentation is a type of plastic surgery procedure use to augment the cheek using silicone implants. Cheek Augmentation is an effective method towards enhancing the shape, contour, and balance of a person’s face; providing a new sense of symmetry. This can be done in a variety of ways, using synthetic materials like Alloderm, silicone, or Gore-tex. For a youthful, healthy-looking appearance, cheek implants may also be created through the use of fat injections. This procedure can improve a “sunken” or tired look.
Cheek Augmentation By Fats:
Fat transfer is often considered a “natural” method of augmentation since the material used for achieving increased fullness is produced by the patient’s own body. This also means that unlike cheek implants or dermal fillers, fat transfers will not be rejected by the body as a foreign substance. Although some injected material will be absorbed by the body, the effects of transferred fat typically lasts for longer periods of time than hyaluronic acid based injectables. In order to use the patient’s own fat for transfer, a liposuction procedure must first be performed. Liposuction is commonly performed in the stomach or thigh region to retrieve the fat which will then be methodically cleansed and purified before injection. Once the liposuction procedure is complete, the face will be prepped for the fat grafting. Usually, 10-15 cc’s of fat will be injected into each cheek however placement and amount will depend on the individual. Since it is common for some of the fat injected to be reabsorbed by the body, the doctor may overcompensate and initially inject more to account for the inevitable loss. Additional treatments may be necessary to achieve desired results.
The goal of cheek augmentation with a fat transfer is to increase volume in the cheeks and contour the face to create a younger, more rejuvenated appearance.
Cheek Augmentation By Implants:
Surgical enhancement of the cheeks can be performed through an augmentation procedure using implants. There are several types of implants available and the choice depends on your specific anatomy. The main type of implant used is called Medpor (porous polyethylene), but silicone, Gortex and hydroxyapatite (coral) can also be used.
The procedure is usually performed through an incision in the mouth, placed just above the gum line. A pocket is created above the bony surface of the cheek to insert the implant. The implant is positioned and stabilized using a screw that provides stability to the implant during the healing phase. The screw is left in place permanently.
Duration of the surgery:
About 1-2 minutes.
Patient may experience temporary bruising, swelling, numbness, tightness of skin, and restriction of chewing.
Dietary restrictions and activity limitations depend on whether another procedure was performed with your surgery. The ability to move your mouth and lips may be diminished temporarily. Recovery time should average about 1 to 2 months. Return to work: 1 to 2 weeks after surgery.
Risks and possible complications:
Possibility of infection (which may require cheek implant replacement) and improper placement (possibly leading to repositioning through a second operation), hematoma, numbness from nerve damage, permanent discolorations, and capsular contracture.
Cheek implants are permanent, although it depends on the material used and whether a revision is necessary.