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.
"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
"Highly Recommend Dr. Marosan, MD - Dr. Marosan, MD came highly recommended and I am completely satisfied with the results of my surgery. I was apprehensive when I was diagnosed with gynecomastia; but Dr. Marosan was the right choice for me. From my initial consultation, surgery, and follow-up appointments have been flawless. Dr. Marosan and his entire staff are polite and professional."- J. / RealSelf / Aug 24, 2020
"Cant Recommend Enough - Im now 6 weeks op and I have a completely different shape! - I had some weight fluctuation in my lifetime and was unhappy with the tire around my stomach and stubborn fat in areas that were hard to exercise away. I thought it’s amazing that you can transfer fat from one area to another so I decided to get a Brazilian butt lift.I was drawn to Dr. Marosan because he has years of experience, is highly educated, knowledgeable and specializes in the procedure. Also in the reviews and in my experience he was very respectful to me as a woman, and I never felt uncomfortable around him. And we all know you can feel vulnerable when your naked in front of a doctor. He meets you for a free consult, which is amazing! We went over what I wanted to change and improve he was able to educate me on how to approach it to get the best results. He really knows the body well, truly an artist and master sculptor!! He took pictures of my body which he was able to bring up on a screen and draw right on it to show me what he was going to do. I felt very confident in him. I went into surgery during the pandemic and due to the complexity of that to keep everyone safe my husband was not able to come with to support me. However, George and his staff made me feel very comfortable and well taken care of. Everyone there is so warm and kindhearted!I went home with a garment, Lipo pads and drainage tubes. Some doctors don’t give you drainage tubes and your just supposed to drain freely onto your bed, and that would’ve ruined my $3,000 mattress. So I’m really thankful my doctor cares enough about post op to give me drainage tubes that were easy to manage. The doctor and his nurse were always very prompt at responding to questions and being available if I had any concerns.Im now 6 weeks op and I have a completely different shape! I have an hourglass figure, hips, fuller butt and flatter stomach! I can’t believe the transformation! This is already doing wonders to my self-confidence...something I’ve lacked for so long. I find myself actually saying something good about myself and seeing myself in a different light now. I’m so happy with the results and I’m so glad I went to the right doctor!"- S. / RealSelf / Aug 17, 2020
"Dr. Marosan Did a Great Job! [Tummy Tuck/Liposuction/Muscle Repair] - After researching dozens of plastic surgeons in the greater Seattle area for tummy tuck/liposuction, I went with Dr. Marosan because I could tell he was very experienced and does a lot of abdominoplasty and he was the one surgeon who places his incisions super low, right above the pubic area, and his incisions stay there (low) instead of eventually pulling up during recovery. For some reason (probably because it's easier), many other surgeons results showed incisions that were placed much higher than they needed to be. Just check out his before and after pictures and compare them with other surgeons: his after pictures show the whole incision area so you get a very good idea of where your incision will end up. [So many other surgeons after pictures are of women in underwear, so you have no idea where the incision was placed, or if you do get to see the whole area, you'll see how high the cut was]. I am now 10 weeks post surgery and am very happy with my results- he did a great job with the incision, the liposuction of my entire torso, and also the muscle plication (sewing them back together since I've had three pregnancies that separated my ab muscles). He also does a lot of follow up visits and takes pictures of your progress and gives you access to them, so you can really see your transformation.I'm so happy I went with Dr. Marosan- he (and his entire staff!) is wonderful and I highly recommend him/his practice!"- P. / RealSelf / Aug 05, 2020
"Great Doctor — the end results are fantastic. - I had a lower facelift and chin lift about 7 weeks ago after choosing Dr. Marosan for the procedure and I couldn't be happier. He took the time to thoroughly explain what was involved and didn't pressure me to book the surgery. After the surgery, he was very patient with the inevitable questions that I had and was careful to make sure that he saw me regularly while I was healing. (at the age of 67, it took a little longer for my swelling to go down) The end results are fantastic. I have a much smoother jawline without the "pulled" look that one sees in some face lifts and the saggy chin is history. His staff was great also. I would definitely recommend this doctor."- D. / RealSelf / Jul 10, 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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- Procedure Recovery Location
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.