Cheek augmentation can be performed both non-surgically and surgically. Nonsurgical facial augmentation can be performed by using either autologous fat (patient's own fat) or a dermal filler. Cheek augmentation using a facial implant is a more permanent way of enhancing and adding volume and support to the cheeks and overlying soft tissues. A cheek augmentation also results in mild "lifting" of the face and jaws.
Cheek Augmentations are composed of several different forms of fake materials. The common types are either silicone-formed implants or porous polyethylene. The silicone implants are usually smooth in composition and the polyethylene ones have a textured surface. I use both in my practice and prefer the textured implants when performing cheek augmentation. Prior to the surgery, I occasionally order a radiograph to evaluate the symmetry of the facial cheekbones or to rule out any boney pathology.
In my practice, the implants are placed under anaesthesia, either general or local anesthesia with sedation. I prefer to place the implants through an incision in the mouth. I make an incision inside the mouth, in the region where the upper teeth meet the inner cheek. I create a pocket between the cheekbone and the facial muscles. I frequently use a sizer, which is a temporary implant that can be placed into the pocket to determine which permanent implant to use. In this manner, I can place a different size or shaped size on the right and left to make a decision in the operating room which implant best aesthetically augments the patient's appearance. With cheek implants, I occasionally place a permanent titanium screw through the implant, securing it to the underlying bone to prevent any movement or rotation of the implant. The oral incision is sutured closed and the patient discharged home shortly afterward.