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Cheek Implants

Many patients seek a change to the shape or volume of their upper cheek area (“cheekbone”, also known as the zygoma or malar eminence), alone or in combination with other aesthetic enhancements such as blepharoplasty (eyelid lift) or rhytidectomy (facelift or neck lift). In most cases, the desired procedure is cheek augmentation (enlargement).

Cheek implants may be placed via an incision inside the mouth, between the gums and the upper lip and cheek, or via a lower eyelid incision. This choice is made based on the size of the implant and whether other surgical procedures are being performed concurrently; when no surgery is being performed on the lower eyelid, a trans-oral (by mouth) approach is selected to avoid external incisions. Modern cheek implants come in many sizes and shapes and can vary in design to include only the upper cheek (malar implants) or the upper and middle cheek (combined malar-submalar implants). Another variety of implant sits directly on the lower orbital rim (eye socket), and provides volume enhancement in the region of the lower eyelid.Indications for implant placement in this area are rare.

Selection of the proper type and size of cheek implant requires a detailed conversation with your surgeon, including analysis of patient photographs or computer-enhanced imaging, and examination of implant types and sizers. Dr. Ransom always dedicates a significant amount of time to this pre-operative discussion, as he believes it is crucial to a successful aesthetic outcome.

Cheek or malar implant surgery can be performed under light sedation and may accompany other cosmetic or reconstructive procedures. Cheek implants can be an excellent complement to blepharoplasty (eyelid lift) or facelift (rhytidectomy) and neck lift surgery. With subtle increases in the projection of the malar region or changes in the shape and contour of the cheeks, significant improvements in the harmony between facial areas can be achieved. Dr. Ransom and his patients select from the most up-to-date implant designs to provide a modern aesthetic augmentation, avoiding extreme changes or unnatural shapes. He uses only biocompatible Silastic (silicone-based) implants, which have the lowest rate of complications of all the available materials.

Who is a candidate?
Anyone who desires increased projection or fullness in the upper cheek area may be a candidate for cheek implants. Cheek implants may be placed as a stand-alone procedure, or combined with other aesthetic or reconstructive surgeries. In some cases, cheek implants may be used to camouflage defects from previously healed trauma, including fractures of the maxilla (upper jaw bone) and zygoma. The key to any facial implant surgery is identifying the most appropriate size and shape of the implant – to achieve the greatest aesthetic enhancement, while still looking natural. Dr. Ransom will work closely with you throughout this process.

Frequently Asked Questions

Q: I like the shape of my face, but not the flat and hollow appearance of my under-eye area and cheeks. Will cheek implants change the shape of my face?
A: Dr. Ransom works closely with all of his patients to select the best implant type, size, and shape to meet their aesthetic goals. Most implants will not change the shape of the face – rather, they provide projection (a rounder, fuller, or more youthful contour) to the upper cheek area. In some cases, an implant may be selected to compensate for a bony deficiency in this area of the face. Depending on the exact implant selected, the patient’s profile and/or frontal appearance may be altered. The degree of change, however, is dependent on the implant specifications – and Dr. Ransom makes sure that you understand which implant that you will have placed. More information about facial implants is available during your consultation.

Q: What happens to the implant over time?
A: Silicone-based implants are biologically inert – meaning they basically don’t cause any significant tissue changes and do not integrate with your body. Rather, the implants become fixed in place by a thin fibrous capsule, formed by your body after the implant is inserted. None of the implant material escapes into your body or bloodstream. This material is the safest and best option available.

Q: If I decide later that I no longer want the cheek implants, can they be removed?
A: Yes, cheek implants can be removed. This is an uncommon but straightforward procedure that often can be performed with local anesthetic and conscious sedation. Cheek implants can also be modified or replaced, if a different shape or size is desired at a later date – though it is best to avoid multiple surgeries if at all possible. Please see the procedure page for cheek implant revision for more information. Dr. Ransom can discuss the details of implant placement or removal, as well as different shapes, sizes, thicknesses, and contours during your consultation.

Q: I am interested in cheek implants, but also want to address my lower face and neck. Can I have cheek implants and a facelift?

A: Yes. Facial implants, including cheek and chin implants, can be placed at the same time as a facelift, neck lift, and other surgeries. In fact, adding volume and projection to the face while also lifting the facial tissues is a common choice and can enhance the result of the lift. When a combination procedure is selected, Dr. Ransom will work with you to identify the best implant size and shape for your face. The implant(s) are then placed at the beginning of the surgery, and the facelift is performed afterward, to ensure that the facial contours are addressed efficiently. Dr. Ransom will work with you to achieve a refreshed look and natural-appearing rejuvenation of the cheeks, jawline, and neck.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

5.0

Based on 19 reviews

Christina G.
I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!
Tk I.
I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!
Joey B.
I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.
Edward T.
Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.
Lisa C.
Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.
Cheryl H.
Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.
Jill P.
I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.
Arielle C.
Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.