Cheek Implants in Las Vegas

A malar implant sits over the cheekbone itself and adds projection and width at the highest point of the cheek — the answer when the bone is flat or low. A submalar implant fills the hollow beneath the cheekbone, where soft tissue has thinned with age, weight loss or low body fat. They treat opposite complaints, and putting a malar implant on a submalar problem makes the hollow read deeper. A combined shape covers both zones.

Usually no. Cheek implants are most often placed through an incision inside the mouth, above the gumline, which leaves nothing visible on the face. A lower-eyelid approach is used where the anatomy suits it or where eyelid surgery is being done at the same time; that incision sits in the lash line or behind the eyelid. Which route your operation uses is part of the plan you are given before you agree to it.

They are permanent in the sense that they do not dissolve or need topping up, unlike a filler. They are also not irreversible: an implant can be removed or exchanged in a further operation, through the same incision. In a 2025 systematic review of 117 studies, implant displacement was reported in 0.59 percent of cases and bone resorption in 0.68 percent.[2]

It depends on whether the shortage is bone or soft tissue. If the cheekbone itself is flat, fat will sit on the contour it is given rather than create an edge, and an implant is the better fit. If hollowing is diffuse across the mid-cheek, temple and under-eye at once, grafted fat blends across all of it. The two are often combined; Dr. Troell has published on combining permanent midface options in The American Journal of Cosmetic Surgery.[1] The long comparison is in our midface volume guide.

Altered sensation over the cheek and upper lip is common in the early weeks and usually settles. Lasting numbness is the complication to ask about: nerve injury was the most frequent problem in a review of 117 studies and 4,273 patients, at 2.1 percent.[2] The nerve involved leaves the skull just below the eye socket — on average 8.61 mm below the infraorbital rim in men and 8.25 mm in women — and a published safe zone of dissection beneath it has been mapped on CT.[3]

Most cheeks are well served by a stock implant shaped and trimmed during surgery to the bone in front of the surgeon. A patient-specific implant designed from your own CT scan is worth considering where the bone deficit is unusual or asymmetric; the 2025 review found patient-specific designs showed promise in reducing complications, while stopping short of calling any material or approach the winner.[2] See custom facial implants for how a patient-specific design is made.

Worth asking before you pay a deposit anywhere, because “in-office surgery” can mean very different things. At Troell Cosmetic Surgery there are two pathways and you are told which one your procedure uses: procedures under general anesthesia are performed at an AAAASF-accredited surgical facility, and awake procedures are performed in the office under local anesthesia with IV sedation, continuously monitored throughout, with same-day discharge. Dr. Troell is ACLS-certified, is a Diplomate of the American Board of Sleep Medicine, and holds hospital privileges at Summerlin Hospital Medical Center should a complication ever need hospital care. For context on what you are being monitored against, infection was reported in 1.0 percent of cases across 117 published studies of facial implants.[2] What you should leave a consultation knowing is which pathway your procedure uses, where that building is, and who is in the room.

Most patients are back to sedentary work within one to two weeks, with a soft diet early if the incision is intraoral. Strenuous exercise and contact activity wait on instruction. Midface swelling is slow: the contour worth judging is the one at three to six months, not at three weeks.

Frequently, and there is published support for the combination: a series of 48 patients who had submalar implants placed with a facelift by one surgeon reported 95.7 percent satisfaction, with 2.1 percent transient infraorbital numbness and no infection, migration or extrusion.[4] Two of the practice’s own gallery cases were implants placed with a facelift and one with upper eyelid surgery. Whether combining is right for you is decided at the examination.

They are quoted at consultation for the operation your examination calls for. Malar, submalar or combined; stock or patient-specific; one side or two at different sizes; whether anything is combined with it; and the anesthesia and facility time that follows all move the figure. This is a cash-pay practice and financing options are available.