Several years ago a survey performed by the American Society of Plastic & Reconstructive Surgeons (ASPS ) suggested that the most common complication after cheek or malar augmentation was patient dissatisfaction.
The survey recorded that about 30% of patients were disappointed with the result of  surgery. Other studies have not confirmed this. In fact it has been suggested that patient satisfaction is high when based on the fact that it is unusual for patients to permanently remove the implant after it has been inserted.
There are two main reasons why patients are unhappy with the result. The first is because the implant choosen for surgery was not appropriate and the second was because of problems with placement or position.
It is sometimes difficult to assess before surgery exactly what it is that the patient wants. However it is important to try and know whether the requested correction is for the upper outer part of the cheek or the lower part (submalar). Different implants are available for each of these problems.
Opinions vary about positioning of the implant and whether it is better placed below the skin or below the periosteum (the fibrous layer over the bone). In either case careful positioning of the implant is needed. This may be difficult and the patient must understand before surgery that repositioning is sometimes needed.
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 FAQs about Cheek Implants
Facial sculpturing or reshaping
liposuction of the face
Chin Implant (Genioplasty)
Treatment of the prominent nasolabial fold
facelift or rhytidectomy
body sculpturing, contouring or reshaping
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