I am a woman in my late fifties interested in cheek augmentation. I understand that the procedure is done either with an implant or with the patient’s own fat cells. Is either method superior to the other, and how would you determine which is best for me?
The procedure can certainly be performed with either method and asking different specialists will yield different answers. We feel that patients in their 50’s likely want to replace what has been lost and not to alter what was present in youth. Therefore, we usually recommend a fat transfer as this is replacing what has been lost. (Bone is lost to some extent, but not nearly as much as fat). The problem with implants in an older patient is that the soft tissue covering of the implant has been decreased and therefore the implant can take on a harsh appearance. If someone has a significant bony deficiency and soft tissue deficiency, an implant can be placed first and then softened with fat in the future.
Posted by Dr. Buckingham