Plastic surgery restores form and function through reconstructive procedures, cosmetic enhancements, and body contouring.
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The consultation is the foundational step of the cheek augmentation journey. It begins with a detailed physical examination, during which the surgeon assesses the patient’s facial structure, skin quality, and degree of volume loss. The surgeon palpates the underlying bone to understand the skeletal support.
During this assessment, the surgeon evaluates facial symmetry and the relationships among the cheeks, eyes, and jawline. This holistic view ensures that any augmentation will enhance the overall harmony of the face rather than creating an isolated, unbalanced feature.
Modern clinics often utilize 3D imaging technology to simulate potential results. Photographs of the patient are taken from multiple angles and processed to create a digital model. The surgeon can then manipulate this model to show the patient how different implant sizes or shapes, or filler volumes, might look.
This visualization tool is critical for communication. It helps align the patient’s expectations with the surgeon’s aesthetic vision. It allows for a collaborative discussion about the desired degree of projection and definition.
A thorough medical history is taken to ensure safety. The surgeon reviews any history of facial trauma, previous surgeries, or dental issues. Sinus problems are also relevant, as cheek implants sit close to the maxillary sinus.
The surgeon checks for bleeding disorders, autoimmune conditions, or impairments in healing. A complete list of current medications and supplements is reviewed to identify any that might increase bleeding risk or interfere with anesthesia.
Based on the assessment, the surgeon and patient decide on the best method: implants, fat, or fillers. The surgeon explains the pros and cons of each, including longevity, downtime, risks, and cost.
For implants, the specific size and shape (malar shell, submalar, or combined) are selected. Sizers may be held against the cheek to give a rough idea of the projection. For fat grafting, the donor site is selected.
To ensure the best healing, patients are advised to optimize their health before the procedure. This includes maintaining a healthy diet high in protein and vitamins. Hydration is emphasized.
Patients are instructed to stop smoking or using nicotine products for at least 4 to 6 weeks before and after surgery. Nicotine constricts blood vessels and can lead to poor healing, infection, or implant extrusion.
Patients receive specific instructions regarding medications. Blood thinners, aspirin, ibuprofen, and certain herbal supplements like fish oil and Vitamin E must be stopped 2 weeks before surgery to minimize bruising and bleeding.
If the patient is prone to cold sores, an antiviral medication may be prescribed to prevent an outbreak triggered by the stress of the procedure. Antibiotics may also be prescribed to be started just before surgery.
Since cheek implants are often placed through incisions inside the mouth, oral health is paramount. Patients may be asked to see their dentist for a cleaning and check-up before surgery. Active gum disease or tooth infections can spread bacteria to the implant, leading to serious complications.
The surgeon assesses the patient’s psychological readiness for a change in appearance. Patients must have realistic expectations and are seeking surgery for themselves, not to please others.
The recovery period can involve swelling and temporary distortion of facial features. Preparing the patient mentally for this downtime is crucial to prevent postoperative anxiety or depression.
A final visit is typically scheduled a week or two before surgery. Consent forms are signed, risks are reviewed one last time, and preoperative photos are taken. This is the time for any last-minute questions.
The surgeon marks the face while the patient is standing to verify the exact location of the augmentation. These markings serve as the roadmap during the surgery when the patient is lying down, and gravity shifts the tissues.
Patients are advised on practical preparations. This includes arranging for a ride home after surgery, as they cannot drive after anesthesia. They should also arrange for someone to stay with them for the first 24 hours.
Preparation of the recovery space at home is discussed. This includes having extra pillows to keep the head elevated, ice packs ready, and soft foods available if intraoral incisions are planned.
Standard preoperative blood work is ordered to check for anemia, infection, and clotting ability. For older patients or those with medical conditions, an EKG or medical clearance from a primary care doctor may be required.
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Yes, many vitamins, specifically Vitamin E, and supplements like fish oil, ginkgo biloba, and ginseng, act as blood thinners. You should stop these at least 2 weeks before surgery to reduce bruising and bleeding risks.
If you are having general anesthesia or IV sedation, you must not eat or drink anything after midnight the night before surgery. If you are having fillers with local numbing, a light meal is usually fine.
You don’t have to guess. Your surgeon will use your photos, 3D imaging, and measurements to recommend the size that balances your features. It is a collaborative decision based on your aesthetic goals.
Cheek augmentation is almost always an outpatient procedure. You will go home the same day. Hospital stays are only for very complex reconstructive cases or if combined with other major surgeries.
If you develop a fever, cough, or significant illness right before surgery, you must notify your surgeon. The surgery may need to be rescheduled for your safety, especially if general anesthesia is planned.
