WPATH

Adhering to WPATH Standards of Care

0207 487 0910

54 Wimpole St, Marylebone, London W1G 8YJ

Cheek Enhancement / Augmentation London

A Cheek Augmentation operation is carried out to reshape the middle part of the face to achieve a more aesthetically balanced facial appearance or restore a more youthful, feminine look. Cheek Augmentation can be achieved by the use of Cheek Implants, Fat Grafting or Dermal Filler injections.

Cheek implants are inserted through the mouth into the cheek under the facial muscles and periosteum overlying the cheek bones. The appropriate size implant will be advised to provide a natural aesthetically balanced result. Cheek Implant Surgery is commonly combined with Jaw, Chin Shaping Surgery and Brow Contouring Surgery to give a full Facial Feminization, FFS.

The cheeks should highlight the middle face acting as the pedestal for the eyes. Full cheeks portray a feminine face. Aesthetically balanced cheek enhancement should be almost undetectable as the cheeks should be in harmony with the rest of the face. This result can improve self-confidence and boost self-esteem, allowing you to feel confident in your female gender.

We support and endorse the Guidelines for the Standards of Care for transgender, trans-individuals set out by the World Professional Association for Transgender Health (WPATH).

Summary of Cheek Augmentation

Procedure
1 hour
Downtime
Mild pain / discomfort is expected for 3 – 5 days
No strenuous exercise / activity for 6 weeks
Back To Work
10-14 days
Lasting Effects Of Treatment
Permanent but does not stop ageing process
Anaesthetic
General
Your Procedure
  • Does Cheek Augmentation Surgery, Cheek Implants require a general anaesthetic or hospitalisation?
    Cheek Augmentation surgery is performed under general anaesthetic, commonly as a day-case or overnight procedure, depending on your individual needs.
  • How long is the Cheek Implants procedure?
    Cheek Augmentation Surgery normally takes approximately 1 hour to perform depending on the complexity of the surgery.
  • What about the scars following Cheek Augmentation Surgery?
    The incisions are placed in the upper gum of the cheeks and are therefore hidden inside the mouth. These incisions heal well in 5 – 7 days.
  • Will a special garment be required after Cheek Augmentation Surgery, Cheek Implants?
    In the majority of Cheek Augmentation Surgery, a facial support garment is not required. A cold Hilo-Therapy mask will be worn for 4 hours post-op, while you are recovering in hospital. This may be recommended to use at home for 1 week post-op.
Cheek Augmentation FAQ’S
  • Am I the ideal patient for Cheek Augmentation Surgery, Cheek Implants?
    If you would like to improve your face to achieve an aesthetically pleasing more feminine, youthful appearance of the mid face then Cheek Augmentation surgery is right for you. Cheek Augmentation Surgery can also correct deformities resulting from an injury or with which you were born or developed in adulthood. You should be realistic as to what can be achieved by Cheek Augmentation Surgery and understand the risks and side effects of this surgery.
  • Can Cheek Augmentation Surgery, Cheek Implants be performed at the same time as other procedures?
    Yes, Cheek Augmentation with Implants, is commonly performed together with other facial feminisation surgery such as Browlift, Hairline Lowering, Chin Augmentation or reduction, as well as Breast Surgery / Augmentation or Liposuction. What is appropriate and safe for you to combine will depend on your current and past medical health, your goals and the individual procedures.
  • What reassurance do I have with Cheek Augmentation Surgery, Cheek Implants?
    At LTS, we understand that your decision to have Cheek Augmentation Surgery can be a daunting and anxious time for you. Our aim is to fully understand your concerns and desires, and assess your face accurately, before agreeing on a treatment plan which is in your best interest. If for any reason you are unsuitable for Cheek Augmentation Surgery, you will be advised against this form of surgery. We will provide you with all the information you need and support before, during and after your surgery.
  • How long is the recovery time after Cheek Implants?
    Mild pain / discomfort is expected for 3 – 5 days. Patients can go back to their normal daily activities after 10-14 days, but must avoid strenuous exercise / activity for 6 weeks post-op, including any contact sports.
  • What about the results following Cheek Implants?
    The results are first and foremost natural. The goals of Cheek Augmentation surgery are to restore an aesthetically pleasing and feminine facial shape, which remains in balance with your facial features. Remember it can take 6 weeks or more for the final result to be achieved.
  • What are the risks of Cheek Augmentation Surgery?
    Common to all surgical procedures there are always risks associated with surgery. However, complications are uncommon. Bruising can occur and may take 2 weeks to resolve, while major bleeding is rare. Infection is infrequent (less than 0.5%) and will require a course of appropriate antibiotics. Displacement of the implants can occur in the first 6 weeks post-operatively. This is prevented by avoiding pressure on the cheeks – sleeping, massaging the face or excessive movement. Some altered sensation around the cheeks is expected and will commonly return to normal between 6 to 12 weeks after surgery. Numbness of the cheeks can be expected for up to 4-6 weeks after surgery.
  • How long do the results last?
    The results of Cheek Augmentation surgery are permanent but it is important to note that as you age your cheeks will change. For example, the tissues around the cheek will continue to be affected by the aging changes and gravity.
  • Is there an alternative to a Cheek Augmentation Surgery, Cheek Implants?
    Yes, if Cheek Augmentation Surgery is not appropriate or not desired, non-surgical cheek shaping using an injectable product such as Belotero Volume or Teoxaine HA can provide good improvement in the shape and symmetry of the face in a simple local anaesthetic treatment. This will require repeated treatments to maintain the desired result. Alternatively, fat grafting can be performed to enhance the cheeks with a long lasting result using your our tissue.
  • What is the cost of Cheek Augmentation?
    The cost for Cheek Augmentation Surgery will vary depending on your individual case, and includes your pre-operative and post-operative care. You will be provided with a detailed quotation following your Consultation.
Cheek Augmentation Operative Summary
  • Before Your Surgery
    Size – Important to discuss your aims carefully. Surgery should achieve an aesthetically balanced chin, mid-face and upper face. 3D simulation images may be helpful in identifying your desired outcome.

    Implant types – ePTFE-Coated implants that allow tissue ingrowth and give a natural feel.

    Smoking – Essential to stop at least 2 weeks before surgery and for a minimum of 6 weeks after surgery.

    Drugs – Avoid aspirin/ibuprofen type analgesics for 2 weeks before and after your surgery.

  • Your Cheek Augmentation, Cheek Implant Surgery
    Anaesthetic – Carried out under General Anaesthetic with local anaesthetic administered inside the mouth while you’re under GA.

    Scars – Inside the mouth.

    Sutures – Dissolving in 2-3 weeks.

  • After Your Surgery
    Dressings – No dressing required. A cold Hilo-Therapy mask will be worn for 4 hours after surgery. In some cases we advise that Hilo-Therapy be used at home to aid healing and reduce swelling.

    Exercise – Avoid vigorous exercise for 6 weeks, including contact sports.

    Diet – Soft diet for 7 days, use an antibacterial mouth rinse after every meal.

    Swelling – Moderate expected for 3-6 weeks, final result may take 3-6 months.

  • Potential Problems/Risks
    Pain – Moderate discomfort expected, take regular painkillers for 3-5 days. Avoid Aspirin/Ibuprofen.

    Bruising – Occasional, may last for 2 weeks.

    Wound – Occasionally, mild infection. Appropriate antibiotics will be provided if necessary. Rarely, serious infection requiring removal of the implant. Risk <1% Rarely, haematoma (blood collection) that may require drainage.

    Sensation – Some diminished sensation may occur over the cheeks. Return to normal may take up to 6 weeks.

    Displacement – Implant displacement is very uncommon. Avoid pressure on cheeks, sleeping on front and side for first 6 weeks.

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London Bridge Plastic Surgery & Aesthetic Clinic

54 Wimpole Street, London W1G 8YJ.
2 minutes walk from Harley Street.