When cheeks appear deflated without any kind of shape, a person can look older than his or her years, but cheek augmentation surgery can restore a younger, healthier look. Cheek augmentation can involve cheek implants, which are either placed on or below the cheekbones by Seattle area plastic surgeon, Dr. Marosan. He will make a small incision to place the implants, which come in a variety of shapes and sizes. If a patient wants to avoid surgery and/or is looking for something temporary, Dr. Marosan will personally inject fillers into the cheeks to enhance their appearance. Another popular option is to use the patient's own fat to enhance the cheeks and periorbital area.
"Top level care! - Very professional and thorough. I had several consults and Dr. Marosan was by far my favorite. From the first phone call, help at the front desk, scheduling and every aspect of the appointment, the staff is the best. I will for sure be scheduling my procedure here. I have had other procedures done at another place in Seattle but felt much more cared for at Bellevue Plastic Surgeon. Excited for..."- M. / RealSelf / Oct 05, 2018
"Great Experience, Took His Time with Me! - I am considering a face lift and have been to see several doctors, I was so impressed with Dr. Marosan I have cancelled my other consultations. Very kind and very thorough. Loved the fact that he actually spent time talking to me, I did not feel rushed. all the other consultations were like 5 minutes in and out, this is the price, good bye. I will definitely use Dr. Marosan"- R. / RealSelf / Aug 09, 2018
"Beyond ecstatic with my results!!! - Doctor Marosan is a true Master of his craft! VASER Hi-Def Lipo has been something I have wanted to do for quite some time. After thoroughly researching doctors up and down the West Coast (including many in Beverly Hills) I decided that Doctor Marosan was the best doctor for the job! Two months post-op and I am so thankful I trusted him and his team. For the first time since kids I am..."- N. / RealSelf / Jul 17, 2018
"37 Yr Old Fit Mom of 3. Bellevue, WA - Dr. Marosan is the best of the best. My results are over-the-top amazing."- F. / RealSelf / Feb 13, 2016
"First off I want to say that Yelp is so ridiculous because half of the REAL customer reviews I give go into some sort of undesirable reviews and I ask WHY. So it is very likely they will throw this REAL customer review in the same place. But here I go. I had been to 2 other plastic surgeons in Bellevue until I had a consultation with DR. MAROSAN. I knew after my consultation he would be my doctor to complete my entire body makeover after loosing 90 pounds. He and his ENTIRE staff made me feel like family. I like his simple NO NONSENSE approach and non judgemental way he explains things. Other surgeons I saw before him made me feel not worthy of what I wanted to have done. After loosing 90 pounds I had skin and fat hanging everywhere I didn't want it. So I had vazer lipo on my entire torso and fat transfer to my buttocks. At 60 years old I never thought I could feel and look better than I did when I was 40. I can hardly wait until He does my breast and tummy tuck in 6 months to complete my look. I did my research to find him and I'm extremely confident in his work. He's a genius in my eyes. He gave me an hourglass figure that I've always wanted. Research means: understanding the difference between VAZER and Lazer liposuction is HUGE. Learn the difference and the qualifications that goes with that. I love the fact that you have to ring the doorbell to get into his office makes me feel secure and SAFE. So the same day I booked my surgery without any hesitation. So glad I did. This picture is only 1 week post op and I couldn't be happier. Yes...this is my new buttocks and I am 60 years old. I believe 60 is the new 40. Thank you so very much Dr. Marosan and I'll see you soon for one of my many post ops that are so important to him and myself."- B.G. / Yelp / Jul 15, 2018
Cheek implants are either placed within the malar (directly on the cheek bone) or submalar (below the cheekbone) area. These are inserted through incisions made typically within the upper lip or below the eyes. Implants can vary in type, size and shape depending on the analysis of the cheek structure. Listed below are the common methods used for cheek augmentation techniques.
Silicone is a permanent solution to add volume to the cheeks with a variety of shapes and sizes that match the patient’s preference. The surgeon will consider the silicone shape and size, as well as the definition the implant will provide after a digital analysis of the patient’s face structure has been assessed. Pockets will be made directly against the cheekbone where the implants will be fitted and sutured. This type of silicone is unlike the silicone gel found in breast implants and it is a safer option as it is in solid form and does not run any risks of leakage.
Another popular implant option is porous polyethylene, which is also inserted the same way as a silicone implant. Because the material is porous, it shapes naturally according to the cheek’s internal contours. This type of implant also attaches better to the bones and tissues and allows tissue grow through it further adjusting it to the cheek’s natural form. A disadvantage with this implant is because of this tissue integration, it is quite difficult to remove the implant should the patient want it taken out.
This is a natural occurring substance within the body and often found in the connective tissue. It is processed as an injectable filler for medical purposes, including cosmetic surgery. The least invasive of all procedures, the filler is injected in deep layers within the mid-face area. While most fillers create beautiful, natural results, the outcome is not permanent. Most fillers will last approximately 6-12 months. Newer fillers like Voluma XC can last up to two years. Usually, it takes up to six syringes (one cc each) to create a beautiful, natural result without any downtime. Dr. Marosan use blunt injection cannula which minimizes tissue trauma or bleeding and the injections are virtually painless. No topical or local anesthesia needed.
Another natural substance that can be injected into the mid-face to enhance volume is the patient’s own fat tissues that are harvested from donor sites using liposuction, and then reinjected into the cheeks. This procedure is done under local anesthesia only. Some of the fat can be absorbed by the body over time, but the procedure can be repeated. Although fat injections do not stop aging, they give the longest long term results including skin rejuvenation.
Cheek augmentation with implants is done as an outpatient procedure with the use of intravenous sedation anesthesia. It is performed in our accredited surgical facility and normally takes up to 1 hour to complete. Bruising, swelling and numbness are a part of the immediate recovery and usually subside within the second week. Although the result is instantly noticeable, over the course of a few months as the implant settles into its new position, the results will become softer and more natural. Fat injections are done with local anesthesia only ansd can expect some swelling and minimal bruising for a week. Filler injections do not require anesthesia and there's no downtime.
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Cheek Implant FAQs
Implants or Fillers?
Generally, both have long-standing records when it comes to safety. The major concern that many patients have is how permanent the results are. Injectable fillers are mostly temporary. As these are manufactured from natural substances, a great volume of the filler is absorbed by the body. Silicone implants are made solid in this type of augmentation and has no risk of leakage, which renders them more permanent than the other materials. Although cheek implants can return volume to the cheeks, with aging, this does not stop loss and or descent of your native tissues. Fillers or fat can be added to soften the contours.
Initially, the face will feel stretched and tight as the implants settle into its position. This is normal and the sensation will gradually disappear until a month passes. It is important to find a plastic surgeon that has a good track record in performing facial procedures to ensure that the results will be according to the patient’s aesthetic goals.
Will There Be Scars?
Since the incisions are made within the mouth and underneath the upper lip, the scars will not be visible. The scars will dissolve on their own. In case of fillers or fat injections, there will not be any permanent visible scars.