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.
"Perfect! No more gynecomastia, love handles or belly fat - Dr. Marosan made my dream come true. No more gynecomastia, no more love handles, no more belly fat. I'm the person I've always wanted to be. Everyday I look at myself in the mirror and thank my lucky stars that I met Dr. Marosan."- B. / RealSelf / Jan 07, 2023
"Couldn't be more pleased - my breasts are so soft and natural - I couldn’t be more pleased with my experience and the results. My breasts are so soft and natural. I highly recommend Dr. Marosan and his staff and will definitely be seeing him for any future procedures."- P. / RealSelf / Jan 03, 2023
"Gynecomastia surgery - 3 months later and I could not be happier with the result! - I previously had gynecomastia surgery and then an additional correction, both procedures were with a different doctor and both procedures did nothing but leave me with scarring. I thought it would be a good idea to try one more time and thank goodness I did! Dr. Marosan explained everything perfectly and made me feel really comfortable moving forward. 3 months later and I could not be happier with the result! I would recommend Dr. Marosan to anybody considering getting work done. 10/10"- R. / RealSelf / Dec 16, 2022
"The surgery went well, but felt rushed after - I would give Dr Marosan a 9/10. I am conflicted between the 4 and the 5 stars, btu given my results I will lean up.The surgery went well, but after the fact things felt a little rushed. 15 minute time slots for appointments where you are taking 6 photos isnt a lot of time to discuss what needs to be done for successful recovery. After my first of these I to looked around online for more information and found what I was hoping for. For the price I was expecting a more personalized experience. All went well though, my results are exactly what I was hoping for and I am glad I did the procedure. It has been 7 or so months and I hardly think about it anymore."- N. / RealSelf / Nov 28, 2022
"Ab Etching Dramatically Increased my Motivation! - In Sep 2021 I had VASER Hi-def lipo, gynecomastia, and abdominal etching work performed by Dr. Marosan. Being former military, I previously tried to just force body discipline by 5am sessions with a personal trainer, random gym apps, CrossFit (twice), but still couldn't get (and maintain) my body the way I wanted. I knew I didn't need the motivation of group support, and if I could just find the right catalyst then I could do this on my own. So I bought a Tonal machine for at home workouts, and went in for the procedure with the objective that the surgery was just the start of my fitness journey (for immediate visual motivation), versus the end (ie no more work needed). I was fortunate to live right down the street from a respected true master of his craft who could do this work on me! Dr. Marosan fully explained what would happen, why he would do certain things, and equally important why he would not do other things that I'd found online (like sculpting a sixpack into the abdominal fat so I'd look like Batman 24/7). Not much to share on the procedure itself, I remember going in and laying on the table, and next thing I know I was getting up and wheeled out to my ride. I did have a few drainage tubes for a week which were a pain to manage for bathroom trips, and the garment/foam isn't the most comfortable, but once the tubes came out and the swelling went down things greatly improved.A year after surgery and I know that seeing the difference in my body has helped me make better dietary choices, and has kept me motivated with my workouts. This was definitely one of the best decisions I've made for myself, as I see the results every single day and know that it's 100% up to me to continue the work to highlight the impact of the sculpting even more. As I put in more work (nutrition & exercise), I now see the impact faster, and the benefit is more pronounced. If you're on the fence, just treat yourself & go in for a consultation, you won't regret it!(my pics are on his website gallery)"- F. / RealSelf / Oct 07, 2022
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.