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 entire process went very smoothly and I ended up getting the results I wanted - I had a wonderful experience with Dr. Marosan and his amazing team! He was able to answer all my questions thoroughly before my surgery and eased all my worries. The operation went smoothly and I was comfortable the entire time. In regards to the results of the procedure, I couldn’t be happier. Overall the entire process went very smoothly and I ended up getting the results I wanted. I definitely recommend going to Dr. Marosan if you’re considering a labiaplasty!"- B. / RealSelf / Dec 06, 2021
"Labiaplasty and Thermiva - At 47 years old, I'd dealt with the discomfort of oversized labia for far too long. I met with Dr. Marosan and his staff and decided to do labiaplasty and then Thermiva. It has been a life-changer for me. Wearing underwear was ALWAYS uncomfortable, but going without was worse. It's amazing how removing a small part of your body makes such a difference. I'm now dressing with ease, and even started running. The entire team here is top-notch. I wholeheartedly recommend them to any woman thinking about labiaplasty."- P. / RealSelf / Mar 10, 2021
"I Booked my Surgery Date with Dr. Marosan - After breastfeeding, my breasts are a little saggy and deflated especially my upper pole. I also got fat pockets around my stomach, abdomen and back. I'm not able to wear clothing that requires a strapless bra and I haven't wear a bikini for years. With a push-up bra, I can easily hide all of these problems but I don't feel confident without my clothing. I have spent years reading reviews, looking at pictures, and doing my research here and finally I made my decision to have a surgery. I want to do a 360 vaser lipo to get rid all of my unwanted fats and transfer them to my breast in order to increase the upper pole fullness. I make a consultation with Dr. Marosan on 12/9. He answered all of my questions, went through the process with me, took pictures of me, and then use myTouchMD to draw the lines on my picture so I'm able to know what kind of results should I expect. I told Dr. Marosan that I'm obsessed with a tiny waist with muscle line and a flat stomach and showed him the picture of the results I was looking for. I arrived at 11.10 and left his office at 12.40 so you know it went really well. Actually before I came to his office, I already knew he is the best, I saw lots of good reviews and beautiful results here. Since I'm already in the area, I also booked a consultation with another doctor in Bellevue as well but there is nothing to compare of. I didn't have a chance to meet another doctor in person but with his assistant, I mean his assistant is nice but maybe because I already decided to go with Dr. Marosan from my deep heart, I didn't feel comfortable, so I only spend 20 minutes there and all I was thinking about was when can I get my quote from Dr. Marosan. I got my quote the next following day and made my deposit immediately to lock my surgery day in January. I just couldn't wait any longer. So doctor Marosan is the only doctor I saw before I made my decision, I just don't think it's necessary to see the other doctors because I believed him and my mind is at ease when I think about under the knife with his hand and his experience. I'll keep updated and hope to help anyone who is looking to do the same procedure as me."- N. / RealSelf / Dec 10, 2020
"Outstanding Experience with Entire Team - I had a great experience with Dr. Marosan and his entire team. Surgery is always difficult and they were with me and my family each step of the way For those concerned about safety protocols, Dr. Marosan has implemented them in a way which is seamless and still allows for human interaction. I would recommend Dr. Marosan's practice for any surgery you may be contemplating."- J. / RealSelf / Dec 08, 2020
"360 Lipo with BBL and Hip Fat Transfer - 42 years old, 5'8, 150lbs, 2 kids. I had a Tummy tuck about 4 years ago, and had some lipo done at the same time. I am fairly fit, and didn't have too much body fat. However, as I have gotten older, I have noticed more back fat, my "curves" have been slowly going away (I used to have an hourglass figure in my youth), and I had love handles I wanted to get rid of. I also had this "shelf" like thing from my Tummy Tuck scar that really annoyed me. I also had the "violin" deformity, or the hip dips that I wanted to fix. So I was really excited to get a BBL/hip aug and the 360 sculpting. I am also planning on getting a labiaplasty and Renuvion with lipo to my legs 2 weeks after my first procedure. I'll do a separate review for the labiaplasty. I went with Dr. Marosan, as I had a friend that went to him that was thrilled with her results. I have to say that I am SO happy that I went with him!! Dr. Marosan is so skilled at what he does. I wish I had done my tummy tuck with him 4 years ago. He is also really down to earth and funny, and I immediately felt comfortable with him. And his assistant, Sarah, and the admin, Marci, are great. I am currently 6 days post-op, so I will post some before pics and a little more info in my next review!"- M. / RealSelf / Nov 23, 2020
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.