Cheek Enhancement Surgery

The cheekbones and lower cheeks contribute significantly to the balance and harmony of the face. The cheeks are often underestimated in the role they play in the overall facial esthetic. Rounded cheekbones, for example, are signs of youthfulness and beauty, while the lower cheeks’ definition creates balance and confers elegance to the face.

Depending on the patient’s anatomy and esthetic goals, removing fat pads or using implants for cheek augmentation at our Montreal, Quebec, practice can create the balanced, more youthful facial contours that patients desire.

Cheek Augmentation With Implants

Woman rubbing face

Cheek augmentation creates a more youthful appearance.

Flat, underdeveloped cheekbones lack volume and can create a fatigued, sad, or even aged appearance. They can also create an imbalance where the lower face and jaw appear fuller and more prominent due to the lack of volume and highlight in the cheekbone region.

Implants enhance the cheekbones’ volume and are an excellent option to restore balance with the jaw, giving the entire face more esthetic harmony. Cheek augmentation is effective when performed as a standalone procedure, but it also can be combined with procedures such as rhinoplasty, chin implant, or facelift to enhance the final result.

Technique

Dr. Samaha inserts implants through small, internal incisions and places them over the cheekbones

Dr. Samaha inserts implants through small, internal incisions and places them over the cheekbones.

Dr. Samaha makes small incisions on the inside of the mouth and inserts the implants through them, placing the implants over the cheekbones. Because he makes incisions inside the mouth, there are no visible scars. Dr. Samaha meticulously places the implants with precision to ensure a natural look. Then, he uses sutures to secure the implants, and he closes the small incisions with dissolving sutures.

Implant Material

The implant materials used by Dr. Samaha create a natural appearance and have an excellent safety record. Cheek implants are permanent and do not need to be removed or replaced. Like any other surgery he performs, Dr. Samaha tailors the procedure to the anatomy and goals of each patient. The various available implant shapes and sizes enable him to create the right volume, contour, and shape to produce the result best suited for the patient’s face.

The Day of Surgery

At our Montreal clinic, Dr. Samaha places patients under sedation anesthesia (also called “twilight anesthesia”) at the beginning of the procedure. He then uses a local anesthetic to numb the cheeks completely. After performing the surgery, Dr. Samaha places small dressings on each cheekbone to help secure the implants and minimize swelling. Patients typically can return home about an hour after the surgery.

Following Surgery

Dr. Samaha recommends rinsing the mouth with saltwater to help keep the small incisions near the gums clean. Swelling in the cheek area decreases gradually during the ensuing few days. He removes the dressing and sutures approximately one week after the surgery.

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Call our friendly staff now for expert help.

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Frequently Asked Questions

What are the restrictions after surgery?

Avoiding strenuous physical activity and vigorous exercise is the main restriction. Patients should also avoid acidic foods and liquids, as the small incisions inside the mouth feel like small sores. Cold compresses applied gently to the cheeks can be soothing and help minimize swelling.

How long is the recovery?

Most patients take about 7 to 10 days to recover. Patients are usually comfortable returning to work after the removal of the dressing at the one-week postoperative appointment.

What about bruising?

Bruising is rare after cheek implant procedures. Swelling in the first few days is normal and expected, and it is mostly resolved at 7-10 days.

Are there other options for filling the cheekbones?

Yes. Dr. Samaha uses dermal fillers to add volume to the cheekbones with great results. However, while the result is equally natural and pleasing, the result is not permanent. For some patients, this is not a concern and fillers can be an excellent option.

Dr. Mark Samaha

Meet Dr. Mark Samaha

A double board-certified otolaryngologist whose practice focuses exclusively on facial plastic surgery, Dr. Samaha is highly qualified in facial aesthetics. Learn more about our physician and how he's carefully refined his skills to sculpt your beautiful face.

Meet Dr. Samaha Doctor credentials

Buccal Fat Removal (Removal of Fat from the Cheeks)

The fat that is normally located in the lower cheeks can sometimes be enlarged or displaced down near the jaw. In these cases, patients may feel self-conscious about the “bottom-heavy” appearance of their faces, which can create a “cheeky” look or a heavy or sad expression.

Some of these patients are good candidates for buccal fat removal (also known as removal of Bischat’s fad pad) here in Montreal. During this procedure, Dr. Samaha makes small incisions inside the mouth near the cheeks and removes a portion of the enlarged or droopy fat. Removing excess fat can greatly enhance the cheeks’ definition and reduce the heaviness of the lower face for certain patients.

Three women smiling

Maximum Results, Minimum Recovery

Dr. Samaha is constantly striving to perfect his surgical techniques to provide the best possible results for his patients. In addition, since the start of his surgical practice, he has also taken a keen interest in developing techniques and methods to minimize swelling and bruising after surgery for his patients and therefore shorten their recovery. This has culminated in his Maximum Results Minimum Recovery system.

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Technique

Dr. Samaha removes buccal fat pads after making small incisions inside the mouth.

Dr. Samaha removes buccal fat through a small incision made inside the mouth in the cheek area. Because he makes incisions inside the mouth, there are no visible scars. Dr. Samaha carefully removes the correct amount of fat to ensure natural-looking results, and he uses dissolving sutures to close the small incisions.

The Day of Surgery

Patients are placed under sedation anesthesia (also called “twilight anesthesia”) by Dr. Samaha at the beginning of the procedure. This results in patients being asleep in a dream-like state without the use of a general anesthetic. In certain cases, patients can request that only a local anesthetic be used for the surgery. In all buccal fat removal procedures, Dr. Samaha completely numbs the cheeks with a local anesthetic injected through the mouth, similar to the experience at a dentist’s office. He then performs the procedure. No dressing is necessary, and patients can leave the clinic to return home within an hour of the surgery.

Following Surgery

Patients rinse their mouths with saltwater to keep the small incisions inside the mouth clean. Swelling decreases gradually during the first few days after the procedure. It takes about 7 to 10 days for the sutures to completely dissolve and fall out. We schedule a follow-up appointment with all patients approximately a week after the surgery.

Frequently Asked Questions

What are the restrictions after surgery?

The main restriction is avoiding strenuous physical activity and vigorous exercise. Avoiding acidic foods and liquids is also recommended because the small incisions inside the cheeks feel like small sores. Gently applying cold compresses can soothe any discomfort and help reduce swelling.

How long is the recovery?

Patients are usually comfortable returning to work after the one-week post-op follow-up appointment. The recovery takes about 7 to 10 days.

What about bruising?

Bruising is rare after a buccal fat removal procedure. Swelling is normal and expected during the first few days, and it resolves on its own after about 7 to 10 days.

Are there other options for reducing the volume of the cheeks?

Not exactly. However, using dermal fillers to enhance volume in the cheekbone and jawline areas can help create a better balance for patients who may have fullness in the cheek region.

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