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Francis R Palmer III MD FACS
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Cheek Augmentation

Cheek Implants Beverly Hills Ca – Cheek Augmentation

Cheek Implants can be used to augment the cheek and enhance the beauty of the face. Dr. Francis Palmer, has literally defined beauty with his “Palmer Beauty Principles”. In these “Palmer Beauty Principles” the cheeks carry Facial Beauty. Cheek Implants are a way to achieve the ideal aesthetic cheek shape through augmentation.

Before Cheek Implants

Before Cheek Implants

After Cheek Implants

After Cheek Implants

Actual Patient Photos. Results may vary.

Cheek implants come in many shapes and sizes but obviously there must be an ideal shape and size for each individual to see the most aesthetic improvement from the Cheek Implants. With 40-60 possible sizes and shapes of Cheek implants and several types of Cheek implant materials currently available. According to Dr. Francis Palmer, the cheeks are the number one beauty feature of the face and as such, the Cheeks have the ability to make the face appear male, female, young, old, attractive or less so.

So it would seem that the first order of priority is for you to learn exactly what is the ideal shape of the cheeks? Only then, can you accurately asses your need for Cheek Implants as a means to augment your cheeks to this ideal aesthetic shape. Based on Dr. Palmer’s research, men and women have vastly different ideal beauty shapes when it comes to their cheeks. Women look soft, feminine and attractive with full round cheeks. Men, on the other hand, are ideally suited for cheeks that are short and narrow. This gives the face an overall chiseled or angular appearance that is perceived as ruggedly masculine. “I have done many cheek augmentation procedures using cheek implants over the years and I am always amazed at the beauty power of this one facial feature” Dr. Francis Rogers Palmer III.

cheekFor women considering cheek implants for cheek augmentation use this maneuver to analyze the face. Before considering the procedure, take a look at the Pictures here as a means to analyze whether you have ideally shaped cheeks. This simple maneuver was invented by Dr. Palmer for use during his patient consultations.

Look forward into a mirror. Using your imagination draw a vertical line through the pupil of the eye down the your face-be sure to only use an imaginary line. Place your index finger on your face along this line up by your lower eyelid. This is the top of your cheek bone. Use your finger to follow the vertical line down your face and you will feel the bone of your cheek. Be sure to apply a little pressure so that the fatty tissue is moved out of the way of your cheek Bone. Continue to do so until you feel your finger drop off of the bone. This is the bottom of your cheek bone. Draw a second imaginary line (horizontal) across from the nostril. The area between these imaginary lines, as seen in the illustration above reveals the volume of cheek that is present. For women, it is important that you feel rounded cheek bone at least to the point where these two lines intersect. If you feel your cheek below this point, your cheeks will look even more soft and feminine. Should your cheek bones end above this intersection, your face may appear relatively flat, angular and masculine. This then would be an indication for cheek augmentation using Cheek Implants as one of the options.

cheek augmentationConversely, ideally handsome male cheeks are narrow and elevated higher off of the face for a more angular, rugged appearance. This illustration reveals Dr. Palmer’s maneuver to measure the cheek shape. You can plainly see that the area within the intersecting lines is less round and full than the ideal cheeks for women.

So there’s the information that you need in order to evaluate your face and cheeks to determine if cheek augmentation and cheek implants are right for you. Cheek implants have the power to literally change your overall appearance but beware, performing this procedure requires, in Dr. Francis R Palmer’s opinion, a quantum level higher aesthetic ability of the surgeon performing the cheek implant surgery. “The difference between a 3mm and a 5mm cheek implant is enormous. There simply is no substitute for precise aesthetic judgment and plenty of experience”.

Cheekbones Cheekbones

These two illustrations show the gender differences between men and women’s ideal Cheeks. Dr. Francis R Palmer and his revolutionary “Palmer Beauty Principles” have outlined these important beauty differences as a means to identify, quantify and evaluate the cheeks for augmentation with implants. Using the wrong shape or size of implant may lead to a gender non-specific change in the face. In other words, the implants may make a female face appear more masculine and vice versa.

According to Dr. Francis R Palmer, the cheeks should be augmented with implants when the ideal cheek shape does not exist and the individual is over 18 years of age. “I actually prefer allowing people to get rid of their baby fat and be in their 20′s before I perform Cheek Augmentation using Cheek Implants” says Dr.Palmer.

Simply put the cheeks are the most important feature when it comes to facial beauty!

Dr. Palmer’s research into human beauty has identified the cheeks as the aesthetic focal point of the face. The cheeks not the eyes, as many have previously stated, are responsible for the vast majority of what makes a face appear beautiful, feminine, masculine, youthful or aged. Dr. Palmer calls the cheeks the beauty “focal” or “trigger” point of the face.

Indications for Cheek Augmentation using Cheek Implants:

  • Inadequate cheek volume that requires augmentation of the cheeks. This may be genetic…in other words you were born with small cheeks that need implant surgery to give them the appropriate aesthetic shape and volume. See Dr. Francis Palmer’s maneuver above to learn how you can evaluate your cheek volume for possible cheek implant surgery. The implants may be required to restore cheek volume that was lost due to some traumatic event. Crushing type injuries are not uncommon in car accidents or blunt facial trauma. In these instances, the Cheeks may be quite asymmetric with one Cheek requiring additional Augmentation. Current technology allows for custom made 3-D cheek implants that are fashioned from a CT scan of the facial bones. These cheek implants are very expensive and are used for only the most extreme cases of cheek asymmetry.
  • Inadequate Cheek Volume due to Cheek Asymmetry. Now is a good time to mention that asymmetry exists in all faces! As the face forms in-utero, each side of the face forms independently and later fuses (comes together) in the midline. As the two sides come together, one may be higher, lower, fuller or flatter than the opposite side there by creating the asymmetry that we all have. Cheek implants are not meant to reverse or correct these asymmetries. Cheek implants are meant to take your Cheeks and give them a more aesthetic overall size and shape. Dr. Francis Palmer has performed many cheek implant surgery procedures for over 15 years and has had to use different thickness of implants on the same patient in only a handful of cases. “The vast majority of people look quite good after Cheek Augmentation when the proper size and shaped Cheek Implants are used…they have a vast improvement in the overall beauty of the face and frankly, the asymmetries just are not that obvious anymore.”
  • Inadequate Cheek Volume caused by the Aging Process. Aging causes the fatty tissues, of the face, to roll forward blocking what may be adequate cheek volume. This is when Dr. Palmer’s maneuver is even more relevant. By accurately measuring the cheek bone, the proper decision regarding your need for cheek implants is more likely. Having said that, there are many instances where aging has further revealed inadequate Cheek volume. Let me explain this a bit further. In youth, (until late 20′s) the fatty tissue of the face includes the area over the Cheeks. The Cheeks appear full and life is wonderful. As aging progresses, the same fatty tissue is pulled down away from the Cheeks towards the nose and mouth. This then accentuates the inadequate Cheek Volume and the face appears gaunt, aged and relatively masculine. This is OK for Men, but can be devastating for Women. “This is the primary reason why men are said to age better than women”.

cheek5Unfortunately, the shape of the cheeks changes with age as the amount of soft tissue over the cheek bone decreases shifting downward toward the corner of the nose and mouth. As the face ages the tissues fall towards the nose, mouth and center of the neck-giving the face a more angular and therefore more relatively masculine look. The figure (left) has undergone aging due to the pull of gravity the direction of which is shown by bold arrows. The overall effect is a relatively angular and more masculine appearance. These changes begin to occur in the thirties.

Inadequate or aesthetically incorrect cheek implants from a previous cheek implant Surgery. Cheek augmentation with implants requires a tremendous amount of skill and aesthetic judgment from the surgeon. Think about it for a moment. Cheek implants are quite literally altering the facial architecture and shape at the facial bone level. Cheek implants that are the wrong shape or size may result in a decrease in attractiveness and appearance. Not all surgeons, or anyone else for that matter, are created equal with the same level of skill and experience. All skills fall under a bell-shaped curve and Plastic & Cosmetic Surgeons are no different. Cheek implant revision surgery, like all revision cases, becomes more difficult for the Plastic & Cosmetic Surgeon to perform. The tissues have been scarred and disrupted from the initial procedure. “I have personally seen and corrected the Cheek Implants on numerous cases where people were almost deformed from previous Cheek Implants done elsewhere….some refused to leave the house because of the way they looked.”

cheek6Cheek Implant Sizes and Shapes: There are many, many different sizes and shapes of cheek implants. If there are 60-70 different sizes and shapes of implants available, how are you going to know what’s the correct implant size and shape for your face? Let’s first make an important point. According to Dr. Francis R Palmer, you must not loose track of the most important point when thinking about cheek implants and augmentation. Keep in mind the ideal shape of the cheeks that you are trying to achieve when selecting implants. This may not sound important but it will guide you to the correct implant and steer you away from sizes and shapes that are incapable of giving you the desired final result. The Picture below shows the average shape of the Cheek Bone. Here you can see the shape of the Cheek Bone. If you compare this to the ideal shaped Male Cheek or Female Cheek, according to Dr. Francis Palmer’s “Palmer Beauty Principles”(See Above), you will be able to see how the cheek implants have to change the overall shape of the Cheeks in order to achieve this ideal aesthetic shape. The arrow points to the segment of Cheek Bone that is augmented with Cheek Implants. * photo from Clemente’s Book of Anatomy.

From this example, it’s plain to see that for a narrow, raised male Cheek we would want a more narrow implant to cover the existing cheek bone. Conversely for Women that look best with full round Cheeks, we would want an implant that is wider and covers the cheek bone and extends beyond that bone giving the cheek the desired aesthetic shape. When using cheek implants for augmentation, there are two choices, you can use an implant that enhances, or adds to without completely changing the existing shape of the Cheek, examples would be Submalar Cheek Implants (discussed later) or you can use cheek implants that cover the entire cheek bone and give it a new shape entirely. Dr. Francis R Palmer believes that it’s best to use cheek implants that give the cheeks a new shape as a way to control what the final outcome will be in regards to the cheek shape. Implants come in a dizzying array of shapes and sizes and that’s without the custom implants and Solid Blocks of material that can be used to literally carve whatever shaped implant that is desired, but the following is a list of the more common Cheek Implants currently available.

Malar and Submalr Combination Cheek Implants: These types of Cheek Implants cover up the Malar (Cheek ) bone and give it the new shape of the Cheek Implant that is used. The Picture (photo) Figure 1 below is an example of some different shapes from Hanson Medical Corp. There are 5 different shapes and each Cheek Implant comes in 3 or 4 different sizes.

Fig. 1 Hanson Medical  Cheek Implants

Fig. 1 Hanson Medical Cheek Implants

Fig.2  Hanson Solid Blocks

Fig.2 Hanson Solid Blocks

Fig. 3 Inamed  Sub Malar  & Malar Cheek Implants

Fig. 3 Inamed Sub Malar & Malar Cheek Implants

Fig. 4 Inamed Sub Malar & Malar Cheek Implants

Fig. 4 Inamed Sub Malar & Malar Cheek Implants

Figure 2 above shows solid blocks of silicone that can be used to carve any shape Cheek Implant imaginable.

cheek11Figure 3 above shows Cheek Implants that are Sub-Malar styles. This means that the Cheek Implants are added to the lower end of the Cheek Bone to enhance the shape. These particular Cheek Implants come in 3 different shapes of Cheek Implants and 4 different sizes of each shape. Figure 4 above shows Malar/Submalar combination Cheek Implants. These Cheek Implants cover the entire Cheek Bone and give it the shape of the Cheek Implant used. There are 3 different styles of these Cheek Implants. Each style of Cheek Implant has between 3 and 14 different sizes. This represents almost 50 different choices of Cheek Implants between these 2 companies alone. Some companies are now offering more pliable versions of some of these Cheek Implant styles by having the Cheek Implants designed with perforations. This is wafer effect on the Cheek Implant is supposed to allow the Cheek Implant to more easily conform to the shape of the Cheek Bone.

This picture (photo) shows the facial bones with a Sub Malar & Malar combination Cheek Implants in place. You can see from the Picture how the Cheek Implant completely covers the Cheek Bone and extends beyond and below the Cheek Bone to give the Cheek a fuller, more rounded overall shape. If you then follow Dr. Francis Palmer’s “Palmer Beauty Principles”, and specifically the ideal Cheek measurements outlined above, you can begin to see the thought process involved when Dr. Francis Palmer is deciding which Cheek Implant will best suit your aesthetic needs.

cheek12Figure 5 shows a Cheek Implant style from Gore corporation. It comes in 6 different sizes and is a Malar & Submalar combination type Cheek Implant. You can see that the shape is not all that dissimilar to other companies Malar & Submalar combination Cheek Implants. It does differ by the material used to make the Cheek Implant which will be discussed later. The Porex Corporation has a series of Cheek Implants (Fig.’s 6-10) below. This is yet a different Cheek Implant material than all the previously shown Cheek Implants.

cheek13Fig. 6 Porex Corporation: Extended Malar (Cheek) Implants. Malar & Submalar Cheek Implants. These Cheek Implants come in 6 different sizes.

cheek14Fig. 7 Porex Corporation: Design M Malar (Cheek) Implants that comes in 6 sizes. Porex Corporation says their Design M Malar Shape Cheek Implants mimics the lazy “S” curve of the Cheek Bone and that these shapes are designed specifically to contour over the Cheek Bone starting from the zygomatic arch, proceeding over the malar prominence and extending down to the maxillary buttress. The Cheek Implant, according to the company’s literature is designed to lay directly below the infraorbital nerve.

cheek15Fig. 8 Porex Corporation: Design RZ Malar (Cheek) Implants that comes in 4 sizes. The projection of these malars (Cheek Implants), according to the company, is central to the malar prominence with a tapering towards the zygomatic wing. This creates a delicate malar augmentation without increasing the bitemporal distance. The medical edge, of the Cheek Implant, is notched to accommodate the infraorbital facial nerve. These Cheek Implants may be stabilized with suture or rigid fixation screws.

cheek16Fig. 9 Porex Corporation: Midface Rim Cheek Implant. According to the company’s literature, the Midface Rim Cheek Implant is designed to augment areas of bony concavities of the midface, including the inferior orbital rim and malar. When positioned in the hollow under the eye, this Cheek Implant aids in restoring the natural convexity of the lower eyelids and cheeks. The Cheek Implant provides an excellent working contour for patients with orbital rim recession and mild midface hypoplasia. The medial area of the Cheek Implant may be carved as necessary or utilized in its entirety to augment a tear trough depression.

cheek17Fig. 10 Porex Corporation: Midface Contour Cheek Implant. According to the Company’s literature, this Cheek Implant is designed to aid in rejuvenation of the midface. The broad surface area, of this Cheek Implant, allows for support of the overlying soft tissues and a smooth transition between the Cheek Implant and underlying Cheek Bone. The shell-type design of the Cheek Implant may be used to address a number of different midfacial deformities by allowing the surgeon to carve portions of the Cheek Implant most appropriate for each patient.

* A 3-D Facial CT scan can be done recreating the facial bones and a custom Cheek Implant made from this model. Typically used to correct traumatic injuries these Cheek Implants are expensive and unnecessary for the average person seeking Cheek Augmentation with Cheek Implants. Inamed Corp.

Cheek Implant Material: Now that we talked about the many Cheek Implants sizes and shapes, let’s spend a little time talking about the types of materials that some of these Cheek Implants are made.

Silicone or silastic Cheek Implants. These Cheek Implants are made from solid soft silicone. There is no gel or liquid in these Cheek Implants to bleed or leak out from the Implant. These type of Cheek Implants have been used for many years and are well tolerated by the body. Because the Cheek Implants are not porous, tissue does not grow into the Cheek Implant and they are easily removed and or replaced at any time. “These are the type of Cheek Implants that I prefer using and have used for over 15 years. The body forms a capsule of tissue around the Cheek Implant but I have had no problems removing and replacing old style Cheek Implants many years after they were originally placed.” Dr. Francis Palmer.

GORE (S.A.M.) Cheek Implants. These Cheek Implants are made from a man made material called “expanded polytetrafluoroethylene” (ePTFE) with some configurations of Cheek Implants that may also include a fluorinated ethylene propylene (FEP). Both ePTFE and FEP are nontoxic polymers that are used in many different kinds of medical products implanted throughout the body. According to the Company’s literature, unlike some other materials, their material is not “rejected” by the body, so the Cheek Implants made with it can remain in place permanently and no “anti-rejection” treatment is necessary after the Cheek Implantation Surgery. In addition, among the 4 million ePTFE implants to date, there have been no confirmed cases of an allergic reaction to the material. Unlike a silicone implant, an ePTFE implant is a porous, solid material. Its porosity allows the body’s s tissue to grow into the Cheek Implant. Flexible and soft to the touch, ePTFE is very strong and extremely unlikely to stretch or tear. It should be mentioned however, that some experts have questioned whether these types of Cheek Implants, because they are porous allowing soft tissue to grow into the Cheek Implant, can be removed as easily as solid Cheek Implants made of Silicone. You may find ardent supporters on both sides of this Cheek Implant issue.

MEDPOR® Biomaterial Cheek Implants. According to the Company’s literature, MEDPOR Cheek Implants are comprised of a lightweight, porous form of high-density polyethylene, a material with a long history of medical applications. Like SAM Cheek Implants, these Cheek Implants are porous in texture, something that the company states allows vessels to incorporate into the enhancement shape, integrating the MEDPOR Cheek Implant into a patient’s tissues. Obviously, the same issue applies to these Cheek Implants regarding the ability to easily remove them should that be desired sometime after the Cheek Implant Procedure.

Cheek Implant Procedures can be performed in the following Manner:

Cheek Implant placement through the mouth. The Cheek Implant is placed through a small incision that’s made in the inside of the Cheek just above the gums. The Cheek tissues are elevated until the covering of the Cheek Bone is identified. The bony covering is elevated to the approximate shape of the Cheek Implant which is to be inserted. The Cheek Implant is then placed under the elevated covering of the bone and the tissues are closed with dissolvable sutures from the inside out. It is very important, when using this method of Cheek Implant placement, to close the tissues layers thoroughly. This helps prevent the Cheek Implant from rotating downward towards the mouth. The bony covering of the Cheeks are typically all that is needed to secure the Cheek Implant and prevent it from moving. Sutures and screws are used by some surgeons to further secure the Cheek Implants and prevent them from moving. If fixation is desired however, at least 2 fixation sutures or screws must be used because the Cheek Implant could still rotate around a single point of fixation.

Cheek Implant placement from an incision of the lower eyelid. Cheek Implants may be placed through an incision inside the lower eyelid or outside the lower eyelid just below the eyelash margin. The Cheek tissues are then elevated and the Cheek Implant is placed below the elevated bony covering as mentioned above. This approach can be challenging when the Cheek Implants are of a larger size and shape as the eye area is rather small. There may be some downward pull of the tissues during the post-op period that may cause the lower eyelid to change shape and become rounded. The Cheek Implant can be secured with this approach as well.

âCheek Implant placement from an incision in the scalp. Here an incision is placed in the temple area within the hair. The tissues are elevated down to the Temporalis Muscle Fascia covering and then continued downward onto the face and Cheek area. An endoscope or a lighted retractor may be used in this Cheek Implant Procedure. The bony covering is elevated and the Cheek Implant is placed over the Cheek Bone. Fixation, of the Cheek Implant, may be done but requires the placement of direct stab incisions over the Cheek Implant for suture or screw placement.

Cheek Implant placement from inside the skin flap of some form of face Lift. This is a terrific method of Cheek Implant placement if you are having a Face Lift performed at the same time. When the face tissues are elevated, Dr. Francis Palmer makes an additional opening in the deeper tissues over the Cheek Bone. Further dissection of the bony covering is then performed. The Cheek Implant is placed through the small opening that was made under the elevated skin. Once the Cheek Implant is placed, this additional opening is closed with dissolvable sutures and the rest of the Face Lift Procedure is completed.

With all of these Cheek Implant Placement methods Dr. Francis Palmer uses reinforced tape on the skin to secure the Cheek Implant. This tape is changed at 7 days and is replaced with tape along the skin at the top and bottom edges of the Cheek Implants. This tape is generally removed after an additional 5-7 days.

Before and After Pictures

cheek18

Cheek Augmentation with Silastic (solid silicone) Cheek Implants in a 50 year old female using the under the Face Lift flap method of placement of the Cheek Implants. She looks much softer and more youthful after the Cheek Implants have filled out her Cheek area.

Cheek Augmentation using Silastic (solid silicone) Cheek Implants placed through the Face Lift Flap method in a 50 year old female. The Cheek area is fuller and more plump according to Dr. Francis Palmer’s “Palmer Beauty Principles” that delineate the ideal shape and size for a female Cheek. Using these guidelines, Dr. Francis Palmer placed a Cheek Implant on top of the Cheek Bone to achieve the desired aesthetic result. The Patient looks more attractive, yet natural, youthful and feminine after the Cheek Augmentation with Cheek Implants.

Cheek Augmentation using Cheek Implants in a younger woman. Solid Silastic Cheek Implants were used. The Cheek Implants have softened and feminized the entire face.

Before Cheek Implants

Before Cheek Implants

After Cheek Implants

After Cheek Implants

Actual Patient Photos. Results may vary.

Before Cheek Implants

Before Cheek Implants

After Cheek Implants

After Cheek Implants

Actual Patient Photos. Results may vary.

Cheek Implant Revision Surgery: Revision Cheek Implant Surgery can be done to remove and change the existing Cheek Implants if a different aesthetic result is desired. It should be mentioned that some Cheek Implants prove quite difficult to remove because of tissue in-growth and/or fixation sutures or screws that have been used to secure the Cheek Implants. The bony covering of the Cheeks may also become scarred making Cheek Implant Placement difficult. For these reasons, it’s best to spend more time initially being sure that the proper aesthetic judgment is followed to give you the best chance of looking great after your Cheek Implant Procedure. Dr. Francis Palmer uses 2 styles of Cheek Implants and only a few different sizes because he feels that these allow for a more natural Augmentation of the Cheeks. “Cheek Implants can make the face look amazing but just 1 size to large can make the face look odd and off balance” Dr. Francis Palmer.

Cheek Implant Recovery:

Frequent Questions and Answers regarding Cheek Augmentation with Cheek Implants:

What will the Cheek Implants do for me? Cheek Augmentation with Cheek Implants should improve your overall appearance by enhancing your facial shape.

Where will the Cheek Implant Procedure be performed? Dr. Francis Palmer will perform your Cheek Augmentation Procedure with Cheek Implants in our fully accredited out patient surgical facility.

What will happen during my Cheek Augmentation Surgery? Your Cheek Implants will be placed according to your aesthetic pre-op plan established during your consultation, with Dr. Francis Palmer. Before your Cheek Implant Surgery, you and Dr. Francis Palmer will review your unique aesthetic goals and the way to achieve this goal using Cheek Implants. Once that plan has been agreed upon by you, that is what will be done during the Cheek Implant Surgery. You will be given an anesthetic for you to go to sleep. Once you are completely asleep, Dr. Francis Palmer will numb up the Cheek area with a novacaine-like substance. The tissues are then elevated off of the Cheeks and the Cheek Implants are inserted. Reinforced tape is placed on the skin to secure the implants. You awake from the anesthetic and are taken home. Ice should be applied to the Cheek area for several days.

How long will the Cheek Implant Procedure last? Cheek Augmentation with Cheek Implants takes about 1 hour to perform although this does depend on the approach that is used to place the Cheek Implants.

What type of Anesthesia will I have for my Cheek Implant Surgery? Dr. Francis Palmer performs Cheek Augmentation with Cheek Implants using either IV or General anesthesia given by a qualified anesthesia provider. Placing the Cheek Implants properly requires elevation of the Cheek Bone covering. This would be uncomfortable under a local anesthetic hence a deeper form of anesthesia is used for Cheek Implant Procedures. If you are in good health, anesthesia offers little additional risks to your Cheek Implant Procedure.

Will there be pain after my Cheek Implant Surgery? Cheek Augmentation with Cheek Implants is not painful but there may be some mild discomfort and Dr. Francis Palmer typically prescribes a mild anaelgesic post-operatively. Ice therapy to the Cheeks is a great way to decrease the discomfort and swelling that may occur after your Cheek Implant Procedure.

Is there any numbness after my Cheek Implants Surgery? It is not uncommon to have some mild numbness for a day or so after your Cheek Augmentation with Cheek Implants. If the Cheek Implants were placed through the mouth (gums) there is a slightly higher risk of some longer lasting numbness but this should be decreased with an experienced Cheek Implant surgeon. Initially, numbness after Cheek Implant Surgery occurs as an effect of the novacaine-like liquid injected into the Cheek tissue during the Cheek Implant Procedure. This typically resolves over the first several days.

How much swelling and bruising should I expect after my Cheek Implant Procedure? Swelling and bruising after Cheek Augmentation with Cheek Implants is highly variable from patient to patient. Some patients swell after Cheek Implant Surgery and others barely swell or bruise at all. As a general rule, you will typically swell and bruise more the longer the Cheek Implant Procedure takes and the rougher the Cheek tissues are handled during the Cheek Implant Procedure. Bruising and swelling go up exponentially based on these two factors during Cheek Implant Procedures just as they do with any other surgery. So, be sure to find an experienced Cheek Implant Surgeon. You can also help decrease your bruising and swelling, after the Cheek Implant Procedure, by eliminating medications that thin the blood for about 3-4 weeks before your Cheek Implant Surgery. These include Vitamins C and E, aspirin, ibuprofen and some herbal products. Check with your pharmacist if you are unclear about anything that you are taking.

When will I be able to resume my regular activities after my Cheek Implant Procedure? After Cheek Implant Surgery, it’s best to avoid physical exertion for about 3 weeks although you’ll be able to go to work, back to school and see your family and friends after 1 week.

What is the recovery from Cheek Implant Surgery? For the first several days after your Cheek Implant Procedure you may have some mild discomfort and swelling. Ice therapy typically reduces this quickly. You will probably want to eat a soft diet for a couple of days after that you should be able to eat whatever you like. If the Cheek Implants were placed through the mouth, be sure to avoid the incision line when brushing your teeth. It’s also a good idea to gently rinse that area with water after eating so food debris does not get stuck inside the sutures used to close the incision after the Cheek Implant Procedure. The stitches dissolve after 2-3 weeks. If you had Cheek Implants without other facial surgery, you should have little swelling after the first week. You might appear a bit puffy over the area where the Cheek Implants so grow a beard (men) or tell people that you had some dental work (women or men). After a couple more weeks, your cheeks will look good and there should be no telltale signs that you had Cheek Implant Surgery. After Cheek Implants, you should expect the tissues over the Cheeks to be firm. This is from the dissection of the tissues to reach the Cheek bone where the Cheek Implants are placed. You may also feel that your smile is restricted. This is normal after Cheek Implant Surgery and typically resolves over the next several months. Do not exercise your mouth or go out of your way to keep it still. After Cheek Implant Procedures, it’s best to use your mouth and smile as you normally would before the Cheek Implant Procedure. The normal feeling and movement will return several months after the Cheek Implant Surgery. It is possible to have decreased sensation or movement from nerve injury during the Cheek Implant Surgery so be sure to find an experienced Cheek Implant Surgeon.

What are the possible complications with Cheek Implant Surgery? Dr. Francis Palmer has performed Cheek Implant Procedures for over 15 years and believes that the #1 complication is a lack of aesthetic judgment causing the wrong size or shape of Cheek Implant to be used. In that case, even when the Cheek Implant Surgery goes perfectly, the desired aesthetic result is unattainable and you do not look more attractive. This can be avoided by finding an experienced Cheek Implant Surgeon with great aesthetic judgment. Other possible complications include: bleeding before or after the Cheek Implant Procedure (this can be avoided by limiting your activity for the first week after the Cheek Implant Surgery and avoiding blood thinning medications 3-4 weeks before the Cheek Implant Procedure) Numbness, Nerve Injury (facial weakness), Infection (typically post-op antibiotics are given but this varies with different surgeons), Cheek Implant extrusion (Cheek Implants placed through the mouth may migrate downward into the mouth, this is avoided by meticulous deep tissue layer closure at the time of the Cheek Implant Procedure), Cheek Implant Shifting (the Cheek Implant may shift within the Cheek Implant Pocket….this can be minimized by limiting the size of the Cheek Implant pocket and by fixing the Cheek Implant internally or externally…it’s also best to avoid pushing, pulling or sleeping on the Cheek Implants for the first month. Dr. Francis Palmer tells his Cheek Implant patients to use a neck pillow for sleeping during the first month after their Cheek Implant Augmentation Procedure. Dr. Francis Palmer has his out of town patients remain in the Beverly Hills, Los Angeles area for about 7-8 days after their Cheek Implant Procedure. After that time they are cleared for airplane travel.

What can be done to reverse the Cheek Implant Procedure? As mentioned above, Cheek Implants can be removed and even replaced with another size and style Cheek Implant. However, there is a limited number of times, according to Dr. Francis Palmer that you lift up these tissues and it becomes increasingly more difficult each time that Cheek Implant Procedures are performed. For this reason it is extremely important to make the correct choices the first time. For this very reason, Dr. Francis Palmer has written a simple, easy to follow step by step guide to selecting your Plastic Surgeon.

What are the typical costs for Cheek Implant Procedures? Cheek Implant Surgery costs vary from surgeon to surgeon based on reputation and experience. For a well-known experienced Plastic & Cosmetic Surgeon to perform your Cheek Implant Procedure, expect to pay between $4,000-$8,000. Operating Room and Anesthesia fees will be added to this amount. Revision Cheek Implant Procedures will be more expensive as these are more difficult to perform.

Non-Surgical Methods of Cheek Augmentation

There are methods to Augment the Cheeks without using Cheek Implants. These include the following:

Soft Tissue Fillers. There are several long lasting (around 2 years) soft tissue fillers that can be used for non Cheek Implant Cheek Augmentation. Radiesse, Sculptra, Artecol (methymethacrylate beads in an injectible paste) , Silicone ( some experts do not recommend injecting silicone into the tissues as it has be known to migrate and cause benign tumors ) and Perlane ( a newer thicker material similar to Restylane that is currently under review for FDA approval) will shape the Cheek area. Cheek Augmentation with a soft tissue filler will be a temporary measure (silicone and artecol are permanent) and would need to be repeated. These fillers do have the benefit of modification with additional treatments until the desired Cheek Augmentation is achieved. That’s not a bad thing if you’re not sure that you’re ready for Cheek Implant Surgery.

Autologous Fat transfer. Your fat is removed from an unwanted area and re-injected into the Cheeks for Cheek Augmentation. Dr. Francis Palmer believes that fat does not afford the same level of predictability that Cheek Implants or some of the long-lasting soft tissue fillers offer.

Makeup. You can learn how to shade your Cheek Bones to make them appear similar to the shape after Cheek Augmentation with Cheek Implants. This is a temporary illusion but still worth learning.