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.
"The Best High-def Liposuction Expert in the Seattle Area - Dr. Marosan provided me with an excellent abdomen, love handles, back. He's an absolute expert and understand body conturing, natural anatomy, scar management and placement. My results are natural, slim, cut (but not too much, naturally cut) and I am very pleased with his attention to details and expertise. His staff is extremely attentive and capable. I apologize that I am unable ti share images. My privacy is important."- T. / RealSelf / Dec 02, 2019
"I love this Doctor and his Team. 5 star. Highly Recommended. I have had three different procedures done. Dr. Marosan is not only the best in body procedures but facial surgeries as well. It's my third year and i kept coming back. Their price is competitive and better compared to others of the same field. The location is great free parking lots of parking. High-end clinic. I enjoyed my surgery from beginning to end. Most importantly, i enjoyed the results which is more important to me than anything. He delivers. Such a talented and artistic doctor. I have been telling everyone. I am very grateful. I am so lucky i found this doctor and his team took really good care of me from beginning to end. Highly recommended."- S.I. / Yelp / Aug 26, 2019
"Bullhorn lip lift/subnasal lip lift - I definitely look younger! - 5 star review for Dr.Marosan and his team! My expectation is low and realistic but the result is unbelievably astonishing. Not only it exceeded my expectation, it also has given me this satisfaction that only a very talented artistic doctor can provide. I mean the bang for your buck. I feel really lucky to have found this doctor. This is my third year going to Dr. Marosan. I have been coming back every year Lol. I thought he is only great with body procedures. He is very talented and artistic with my face. He sees what i am envisioning and then gave me a surprise Lol He gives more than expected maybe as long as we are realistic and logical. I am not saying he is a magician. Sorry this is getting too long i am just very appreciative of how subtle procedure can make an outstanding difference in ones appearance. I definitely look younger! I feel younger than my age to be honest so now i look exactly how i feel. Thank you Dr. Marosan!"- A. / RealSelf / Aug 18, 2019
"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
"Labiaplasty & perineoplasty 07/17/19 - I have had a long labia minora probably since I went through puberty and it has bothered me not only looks wise but also rubbing on clothing and uncomfortable. After I had 2 vaginal childbirths the labia became very lopsided (see pictures) and I have a lot of loose stretched skin around the perineal area. The loose skin in the perineal area is also bothersome as it tends to get pulled and aggravated during sex (also the long labia get in the way) and I am VERY self conscious of the way everything looks down there! I went for a labiaplasty consultation but the dr. pointed out the redundant skin in the perineal area (which is not addressed by a labiaplasty). After researching the issue on RealSelf, I realized that I would also need a perineoplasty to fix things. I am scheduled for surgery 07/17/19."- D. / RealSelf / Jul 13, 2019
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.