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Cheek Implant Surgery in Harley Street, London

High prominent cheekbones and a well-defined jawline are coveted facial features and characteristics of beauty. Some people are born with these naturally high cheekbones—characteristics often seen in model portraits.


Cheek Implants

Dr Julian De Silva - Harley Street, London

High prominent cheekbones and a well-defined jawline are coveted facial features and characteristics of beauty. Some people are born with these naturally high cheekbones—characteristics often seen in model portraits.

With facial ageing, the cheeks become flatter as a consequence of volume loss in the face and reduced facial fat. There are several ways in which volume to the cheeks can be restored, including both non-surgical and surgical treatments.

Cheek augmentation surgery can improve facial contour and balance out facial features. The use of silicone implants to the cheeks gives an enhanced cheekbone appearance. The surgical insertion of these implants is a common procedure that can be done on their own or in conjunction with other treatments such as a facelift or chin augmentation.

Although non-surgical treatments avoid surgery, the use of temporary fillers to the cheeks that require constant replenishment is not ideal from a long-term perspective.

According to Dr De Silva, there is artistry in determining the suitability of silicone cheek implants over alternatives, such as fat augmentation, for a persons’ face. Both procedures are different options that correct subtle differences in the face.

Silicone cheek implants are good at correcting skeletal deficiency, which can be seen with various facial parameters such as a negative vector (in-turning angle between the eyelid and cheek).

The use of autogenous fat transfer is good at correcting soft tissue volume loss, particularly in patients with facial ageing. This technique involves harvesting fat from around the navel, processing the fat to concentrate the cells, and re-injecting very small amounts into focal areas in the cheek.

Approximately 50% of the fat injected survives over a 5-year period. However, fat absorption does vary between individuals. A cheek implant is usually made of medical-grade silicone, does not absorb and will last forever. There is a small risk of the implant becoming infected, or moving—in which case it is relatively easy to remove.

Why Choose Dr De Silva in Harley Street, London ?

Dr De Silva is a widely credited and celebrated facial plastic surgeon who specialises in the eyes, nose, face and neck areas only, and is known for natural results.

“My focus has and always will be to be the very best at what I do, to continually innovate to provide World Class leadership to all my team, all my patients and all my associates. My mission is to help every patient be the very best version of themself with World-Class services, life-long follow up with complimentary facial aesthetic procedures.”

In a world of increasing complexity and misinformation, his passion has been focused on providing sincere advice, low risk and fast recovery procedures.

    As Featured in Logos for Harley Street Clinic - Dr Julian De Silva

    Only the Face

    By focusing entirely on only facelift & facial cosmetic surgery procedures, Dr De Silva is able to provide the expertise that can only come with specialisation: facelift and neck lift, blepharoplasty, rhinoplasty and chin implants.

    Natural Looking Results

    Dr De Silva is a believer in the importance of artistry behind cosmetic results and focuses his skills at delivering natural looking results.

    Fast Recovery

    Dr De Silva has pioneered the advances in technology to speed up recovery with a combination regenerative medicine techniques, Oxygen and LED Therapy.

    World Class Expertise

    Dr De Silva also teaches other surgeons internationally and has contributed to the development of advanced surgical techniques, laser technology and stitch-less tissue adhesives.

    Chin Implant Technique And Procedure

    What are the surgical techniques for the insertion of a cheek implant?

    • The surgical technique to insert a cheek implant involves making a small, hidden incision inside the upper lip (intra-oral). A pocket is created for the implant underneath the soft tissues of the cheek (hidden from view). The implant is customised and sculpted as needed, inserted into the cheek pocket, and fixed with stitches.
    • There are several different types of implants, chosen based on the persons face and natural requirements. The implants can be inserted onto the cheekbone (Malar Implant), below the cheekbone (Sub-Malar Implant), or a combination of the two (Combined Malar-Sub-Malar Implant).
    • There are often asymmetries between the two sides of the face. Dr De Silva utilises specific implant sizers to chose the best size for the right and left cheeks to give a natural augmentation. Dr De Silva may shape the cheek implant to a person’s unique anatomy as every person’s cheekbones are different and require a different 3-D enhancement to give the best result.
    • Natural variations in the zygomatic arch, infra-orbital bones and position of the eyelid relative to the cheek mean that optimal proportions differ in all faces. There is a degree of artistry in all individuals’ faces that each surgeon interprets and adds to, much like each chef adds their own individuality to every dish they create.

    Are there alternatives to a cheek implant?

    An alternative to cheek implants is the use of non-surgical volume enhancement with fillers (e.g. hydroxyapatite, hyaluronic acid fillers). In some patients, these are a good option in the first instance as they are temporary.

    Although these can be use effectively to give volume they are both temporary and when used in excess can create a ‘fake’ puffy appearance. Other volume augmentation, including fat, is less predictable and less effective for replacing bone deficiency.

    Dr De Silva recommends silicone cheek implants to some patients in preference to other forms of cheek augmentation as they are longer-lasting, safe and effective. A high-grade silicone cheek implant should last a lifetime, as rarely do they move or become infected, and are easily removable.

    Cheek Implant Overview

    How long is the recovery from cheek implants?

    The results of the surgery are immediate, although local swelling can make the cheeks look too large for the first two weeks.

    The swelling and local bruising takes about 2-weeks to mostly resolve, and the great majority of patients return to work after one week. Occasionally the swelling can persist for longer such as 6-weeks, and medications are used to speed up the resolution of the swelling.

    The movement of the upper lip can be suppressed for the first couple of weeks after surgery, but this spontaneously resolves. Dr De Silva uses a small 1cm hidden incision inside the mouth and dissolvable stitches that naturally fall out in the first few weeks.

    Patients are advised to take a soft food diet for the first couple of days, and to avoid strenuous activity 3 weeks after the cheek implants. Most patient have minimal, if any, pain which responds well to oral analgesia.

      Will I have bruising after Cheek Implants?

      The surgery to insert cheek implants requires placing the implant over your own cheekbone, which enables the implant to be placed in a natural position mimicking the natural bone.

      Dr De Silva specialises only in facial surgery and uses minimally invasive techniques to insert the cheek implant, and where necessary a 3D camera to evaluate optimal positioning. As a consequence, most patients have minimal bruising after cheek implant insertion.

      Patients who have undergone previous surgery will have scar tissue which poses a greater risk of bruising and swelling owing to a change in the natural anatomy of the cheek.


        Contact Details
        Call: 020 8748 2860
        Email: info@drjuliandesilva.co.uk

        23 Harley Street
        London, W1G 9QN, UK

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        Dr Julian De Silva
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        5 Star Ratings for Dr Julian De Silva

        Renowned expert in Facelift/Facial Cosmetic and Plastic Surgery. Signature techniques in Blepharoplasty, Rhinoplasty and Facelift surgery. Expert in revision surgery and in natural looking results

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