Cheek Implants Vs. Fillers - Factors of Patient Convenience, Results, Predictability, and Longevity
Vložit
- čas přidán 15. 06. 2024
- More on cheek implants: prasadcosmeticsurgery.com/fac...
For more on cheek fillers/Structural Volumizing, please go to: prasadcosmeticsurgery.com/y-l...
For more about Dr. Prasad’s background training, please visit: prasadcosmeticsurgery.com/dr-...
New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. talks about the differences between cheek implants and fat grafting when it comes to cheek volume enhancement, and how cheek fillers with a new technique called Structural Volumizing outperforms both modalities in terms of convenience for patients, recovery time, and precision and customization of results:
0:20 - Introduction
0:52 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as a facial rejuvenation specialist
1:28 - The key aspects in effective cheek volume enhancement
1:52 - How new techniques such as the Y Lift and Structural Volumizing have impacted Dr. Prasad’s approach
2:28 - How cheek implant surgery is done
3:00 - The issues that can arise after cheek implant surgery
3:54 - How facial volume will continue to change as we age
4:35 - Why fat grafting cannot achieve the appearance of defined cheekbones
5:04 - Dr. Prasad talks about his preferred tool for volume correction
5:27 - Concerns patients have about undergoing filler treatment for volume correction
5:48 - The disadvantage of placing fillers just below the skin’s surface
6:18 - Why the Structural Volumizing technique is a more effective way to place fillers in the face
7:13 - The advantage of using blunt cannulas to inject the filler
7:23 - How filler is much better in terms of customization and flexibility
7:44 - How the results of Structural Volumizing can last up to 2 years
8:08 - Other areas of the face where Structural Volumizing can be applied
8:45 - How quickly Structural Volumizing is performed, and ease of recovery afterwards
9:20 - Conclusion
CONNECT WITH US!
Facebook ▸▸▸ DrAmiyaPrasad
Twitter ▸▸▸ @AmiyaPrasadMD
Tumblr ▸▸▸ dramiyaprasad.tumblr.com
Pinterest ▸▸▸ www.pinterest.com/amiyaprasadmd
Prasad Cosmetic Surgery ▸▸▸ www.prasadcosmeticsurgery.com
Eyelifts ▸▸▸ www.eyelifts.com
Puffy Eyes ▸▸▸ www.puffyeyes.com
Dr. P ... Have no idea how you find the time as I am sure you're very busy, but thank you for so many informative videos! It's a great public service and appreciate your thoughtful, honest, balanced view of services and their possibilities.
Thank you so much for kind words, Catherine O! I make these videos so people are better informed, and make better decisions about cosmetic procedures. Thank you for watching!
Thank you so much for this video it was really helpful and helped me to make a decision !!
So glad the video helped you, JinNoctis! I make these videos so people are better informed about cosmetic procedures, so they can make better decisions about their own treatment.
I wish that I could get fillers done with you. Your knowledge is immaculate.
Thank you so much for your kind words, Vay Novak! Very much appreciated! Please let us know if you are in the area, and would like us to help you.
Thank you so much Dr Amiya to makin sach a informative vedios you are doing really great work while spreading the amazing knowledge.. thank you very much sir 🙏
I'm happy you like the videos, Rehbar Naqvi! I make them so people make better, more informed decisions about medical cosmetic procedures.
Omg god really is a gift inventing plastic surgeons god we love you ❤️❤️❤️❤️
Thank you so much for your kind words, Tiffany! And thank you for watching!
Dear DR Prashad, many thanks, is Silhouette Instalift or Sculptor similar to structural volumising? And are there clinics in Europe , especially UK that perform structural volumusing?
Hi Cathrine Katsigianni,
Silhouette Instalift is a suture suspension procedure, which is a type of minimally invasive surgery, so it's not the same. I couldn't find any details about the Sculptor procedure, so I can't comment about it. Structural Volumizing is also known as the Y Lift, and there is a growing network of Y Lift doctors that you can research, but I'm not sure if it has reached Europe yet. I hope this clarifies things for you.
Hello doctor, I have negative orbital vector and I want to ask you how much projection(mm) can fillers give under the eye area or should I go straight for infraorbital rim implants? Thank you
Hi stef tsi,
Projection of filler depends on the type of filler and where you place it. Orbital rim implants are not permanent as the volume and dimensions of your face change with age. I would need to perform a physical exam to determine the best treatment for you. I hope this helps you.
I’ve been told that getting filler every two years makes your face saggy because it’s like a balloon that’s constantly blown and deflated. But as you mentioned, what worries me about face implants is how they will look with age when one loses more bone structure. A doctor said the implants become part of the bone structure, but I don’t know!
Hi janereaction,
Fillers do not stretch your face, and I did make a couple of videos about why they don't. Facial implants do not become part of your bone structure as that it implies the bone grows around them, but bone mass actually diminishes around the implants with age. These are the videos I made about filler not stretching the skin:
czcams.com/video/hx540qDFbrs/video.html
czcams.com/video/2IIIz5zjMZw/video.html
@@AmiyaPrasadMD ohhh, I see! It’s your technique. I wish you were in L.A.! I guess if I’m ever in NY I might pay a visit.
Any time, @@janereaction4799!
I'm going to get submalar Voluma placed and I was wondering from Your experience is there such a thing as too much cc's placed during the first session? Not just in terms of esthetics (thicker hyaluronic filler draws more water I assume) but in terms of safety as well?
Hi GlacialImpala,
It's not about the quantity of filler, but the technique of placement. For example, if a moderate amount of Voluma is placed in the dermal or soft tissue level, it may look like too much because it can't be supported by soft tissue. However, when we place Voluma at the stronger bone level and in between the muscle, we can add more filler than what was used in the soft tissue level, but it won't appear excessive, rather more defined and structured. I hope this clarifies things for you.
O.k. I watched. So..if u have implants in the cheeks along with your lower face and neck lift u don't go thru the mouth to place them ? Would it cost less doing 2 in one than 2 separate operations?
Hi Shiloh Dawn,
Cheek implants can be placed through the mouth. It would cost less to the facelift and neck lift with the cheek implants in one surgery as you are paying for anesthesia, support staff, and operating room time only once instead of twice. I hope this clarifies things for you.
Doctor first of all i just want to thank you for spreading all this valuable information. I wanted to ask you about bellafill. I got bellafill on my cheekbones and I love the results as I now have high cheekbones. Will Bellafill sag with the skin over time or will it stay in place since it is injected at the bone level? Thanks in advance
Hi T-mac0192,
Filler placed at the bone level, and held in place by the muscle layer should not descend or sag if placed in an optimal way. As I'm not certain about how your doctor placed the filler, you can consult with your performing doctor about it. I hope this helps you.
@@AmiyaPrasadMD Thank you so much for taking the time to respond! Bellafill is commonly injected at the bone level for cheeks correct? Im not quite sure where my injector injected it but i will definitely ask
Hi@@tmc14121,
Injecting filler at the bone level is actually not commonly performed, as it does require knowledge of facial surgery, even if it's a non-surgical procedure. Most filler treatments are placed at a more superficial level near the skin, such as in the dermal level, or fat and soft tissue level, which are not as strong, so there is a possibility of filler migrating, or looking more "doughy" in appearance. You can refer to these videos about it:
czcams.com/video/Brb4uTzzG88/video.html
czcams.com/video/kpkIuOXkloI/video.html
What do you think about Bellafill? I'd rather pay more up-front , but concerned you can't get the structural filler look like with Voluma.
Hi Tiffany Kosa,
I don't administer Bellafil because I generally don't advise permanent or semi-permanent fillers, as they are prone to complications because the stay in the body for so long, and are costly and difficult to remove. Hyaluronic acid fillers are much safer to use as the body metabolizes them safely, hyaluronic acid is naturally found in the body, and they can be dissolved if needed. I hope this clarifies things for you.
What are the chances of cheek bone implants migrating or descending? Thank you for your video; it was informative!
Hi Schlesinger's Anatomy and Physiology II Class,
Cheek implants aren't going to descend as they are anchored to the bone. However, as explained in the video, cheek implants eventually won't fit as facial dimensions change due to age-related volume loss. I hope this clarifies things for you.
Hello Dr Prasad, thank you for the video . Very informative. Just wondering if cheek implants surgery can be done under only iv sedation (no general and local anesthesia)? Also, what do you think of fillers and their very rare risk of blindness? I freaked out when I recently learned this. Thank you
Hi MissNaahla09,
I perform check implant surgery with local anesthesia with LITE IV sedation, and I don't use general anesthesia. The risk of blindness from fillers is minimized and avoided by the skill of the doctor, so if you have a skilled doctor perform the treatment, the risks are low. I hope this clarifies things for you.
Amiya Prasad, M.D. Thank you Dr. Prasad. I know you are a very busy doctor and I appreciate your help. But instead of fillers, would you recommend Selphyl prp for little bit of volume boost and jawline tightening ? Or is it a waste of money ? Thank you
Hi@@MissNaahla09,
Platelet-rich fibrin matrix, which is what you are referring to, can help with skin quality, but it won't add significant volume, nor tighten the skin. Filler can help with volume, and perhaps a laser treatment may be suitable for some tightening. A physical exam will determine what approach is best for you. I hope this clarifies things for you.
Amiya Prasad, M.D. oh it makes sense now. I wish you were here in Canada lol. I find American doctors have more understanding of facial balance and features. Anyways Thank you:)
Hi@@MissNaahla09,
While we do get patients from all over the world in our offices every day, Canadians are very common because they don't have to travel far, some don't even need a plane ticket to New York :)
I’m thinking of getting jaw implants, however I’ve heard that over time it will degrade the jaw bone. I’ve also seen that the degradation it causes will make little change over a period of years. Is this true ?
Hi Dolphins will take over,
There is no evidence that jaw implants cause jawbone loss, as the jawbone already loses volume over time in people who never had a jaw implant. I hope this clarifies things for you.
Hi doc prasad may i ask should i go to oculoplastic surgeon for a bleph? Or does the cosmetic surgeon will do?
Hi Musiko,
Your results are based on the doctor's expertise, aesthetic style, as well as their technique. For lower bleph, I recommend doctors who know the transconjunctival method to avoid common complications from the more common transcutaneous approach with an external incision on the eyelid skin, with some surgeons performing unnecessary skin removal to treat wrinkles. You can refer to these videos about it:
czcams.com/video/wT9mSBvAlno/video.html
czcams.com/video/VI4Z0rDO5C8/video.html
czcams.com/video/46Kp6ayfyzg/video.html
I was wondering
What does it feel like to have cheek implants(do they feel like your normal cheekbones or does it feel like a foreign material inside your cheeks)
Hi Noah Risek,
It depends on the person, and how the procedure was done, but cheek implants can feel like a foreign material at first, but you can get used to it with time. Cheek implants can become more uncomfortable as the face loses volume due to aging, so they no longer fit. I hope this helps you.
WOW I’m so glad I watched this video I think I almost made a terrible mistake! I’m glad I watched this… 🙏🏻🙏🏻🙏🏻
I'm glad you found the video helpful, @rachaeldemetros
Hello Dr.
I am thinking of placing gonial angle implants. Do you see any long term problems? Will my bone degrade overtime? Is it safe?
Hi sonu sunny,
It is best to ask a maxillofacial surgeon who places these types of implants. I hope this helps you.
Hi Doc,
I have a very recessed maxilla, can it be fixed by fillers?
Thank you.
Hi,
It is possible to improve the appearance of recessed maxilla with filler. A physical examination is needed to determine what can best help your case. I hope this clarifies things for you.
You look so young Dr. 👌👏💕
Thank you for the compliment, kira elli !
Thanks for this video! Your advice makes sense to me. But what do you think about the long term safety of facial fillers? Lately, we are hearing that they hang around for longer than it was thought and can cause scarring.
Hi Julia K,
I still think that hyaluronic acid fillers are the safest to use, in my experience. If hyaluronic acid fillers persist longer than expected, it doesn't mean they will always cause scarring. I hope this clarifies things for you.
@@AmiyaPrasadMD Thank you for clarifying!
You're welcome,@@juliak2591!
Dr i have few questions to ask.. is hyaluronic tablet is good and safe to have ? If yes which one is best that you can recommend? Any side effects of the tablets? Dose tablets treat collagen and elastin ?
Hi Rehbar Naqvi,
Hyaluronic acid should be applied directly to the areas being treated by a professional. If you consume hyaluronic acid in a pill, they will be digested, and may not be usable hyaluronic acid after they are digested. However, the body does synthesize hyaluronic acid from all the food we eat. I hope this clarifies things for you.
@@AmiyaPrasadMD thank you so much sir.. sir how can I contact you ?
Hi@@rehbarsayed8328,
Consultations are by appointment only, but they can be done through Skype or Facetime, and they do involve a consultation fee. The consultation fee can be deducted from the cost of treatment. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, Garden City, Long Island at (516) 742-4636, or Vienna, Virginia at (703) 356-1446. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
@@AmiyaPrasadMD OK thank you so much
You're welcome, @@rehbarsayed8328!
I'm just wondering how you look like a pimply high school student minus the pimples. You have beautiful skin. So can we please have your skin care regiment ?
Thank you for your kind words, Betty Levin! The appearance of the skin is a reflection of how healthy the body is, so what's good for your body is good for your skin. There's really no secret to it, but I can discuss my personal regimen in consultation, if you'd like. I hope this helps you.
How old do you have to be to get injections?
Hi Taylor Cheppa,
I do not recommend fillers for young people, unless they have a special case of a genetic lack of volume. You can refer to these videos about it:
czcams.com/video/UvlfnzPLYVU/video.html
czcams.com/video/qFHfYXtVMuw/video.html
czcams.com/video/pWFgiLNGjsc/video.html
czcams.com/video/yrehOBRVuuQ/video.html
Hi Dr Prasad, i notice that everybody is talking about cheek fillers and the filling is always done in the area under the tear trough known as the upper cheeks. I understand there is the lower cheeks as well. How about the area which is more at the side of the face behind the buccal region? I have no idea what that area is called. Can filler be injected in there for patients who have unevenness for both left and right side? I tried looking it up and it's the region at the back of the buccal fat, somewhere above the platysma mandibula area. I do hope my explanation is clear. Must be the most difficult comment you have ever received? :P
Oh wow I happened to see a video a moment ago and the lady actually pointed to the area I was asking you about @6:16 to 6:20 in the video (I have attached it here)... she did say Sculptra can be used there to add volume. Do you know the name of that region? She did not say. I am surprised that no name has ever been given to that area of a face? Thank you.
czcams.com/video/gU6GEzyypsk/video.html
Hi,
That is the buccal area. Hyaluronic acid filler in this area is more predictable, as results can be seen immediately. Sculptra is less predictable as it takes time for volume to be created by the body, so results are not as precise, and may take several treatments for results to show significantly. I hope this clarifies things for you.
@@AmiyaPrasadMD Thank you Dr, so it is called the buccal area...cool. Good to know that fillers can be used there as well..So far I have not heard of any injector or doctor talk about that area for filling. In fact more to remove the buccal fats to make a smaller lower face. I presume it is not possible to do filler at bone level there since there is not bone there unlike the cheeks? :)
Would putting more than 1 ML of fillers stretch the skin?
Hi Jenny Quezada,
Cosmetic fillers don't stretch the skin. You can refer to this video about it - czcams.com/video/hx540qDFbrs/video.html
I heard that cheek implants can help hollow under eyes. I don't know what to do I'm 16 and i have hollow under eyes with sunken eyebags that cause me so much distress i desperately want to get rid of them what would you recommend
Hi Karla,
I don't recommend any medical cosmetic treatment at your age because your face is still growing and maturing, so you still have many facial changes ahead. I suggest you be patient as these issues can resolve on their own as your face matures. If you still have these issues when facial maturity is more stable in your early 20s, then treatment can be considered. I hope this helps you.
how about cheekbones implants that are permanent and smallest and small maintenance with fillers. Would that work the best ?
Hi zibtihaj,
Cheek implants are long-term, but they are not permanent as the bone volume where the implants are placed diminishes with age, so they will need to be removed and/or replaced when you get older. Using smaller implants and filler for maintenance will not prevent bone from diminishing where the implant is secured. I hope this clarifies things for you
@@AmiyaPrasadMD so best way is to have fillers in the cheekbone area periodically, so every-time I have them they would be customized to the new bone loss that possibly took place due to advancing age. is that it ?
Hi@@zibtihaj3213,
Yes, there is an art to surgery or filler placement, so it best done by a doctor you trust, and whose aesthetic style matches your own. As someone who can place filler at the bone level instead of the soft tissue level, I can get more cheek projection without the results looking soft or doughy, so I advise you look for a doctor who can also place filler at the bone level. I hope this clarifies things for you.
@@AmiyaPrasadMD great thx
You're welcome,@@zibtihaj3213!
Yay cheek techniques
How often would a cheek implant need replacement?
Hi @marti8053,
It does depend on the age when the implant was placed, and when the edges of the implant start to become visible through the skin. You can refer to this video about it - czcams.com/video/tzjKV3Jr2Ts/video.html
Hi doctor. I'm a 28 years old male with significant loss of volume in the cheeks and midface. I had 1.5ml of volume to each cheek and it looks the same. I did 3 fat injections that didn't last. Honestly, I'm depressed as I'm a young male with loss of volume and flat cheeks makes me look old. Do you think that in certain cases where the volume loss is very significant that cheek implants is reasonable?Thank you.
Hi EL10,
Sorry to hear about your problem. I would have to examine your face for genetic volume deficiency, or a cause of premature volume loss before recommending specific procedures like cheek implants, especially since you are still quite young. I hope this helps you.
@@AmiyaPrasadMD Thank you for replying... Do you think cheek implant will look good if there is no soft tissue in cheeks? I'm afraid it will protrude through the skin. Do you accept patients from abroad for this kind of procedure? Thank you!
Hi@@E10l,
While I do regularly treat patients from out of state, and from around the world, I do suggest you book an online consultation instead of traveling for your initial consultation. The approach that I would recommend can be based on your online consultation. I hope this clarifies things for you.
@@AmiyaPrasadMD Thank you! I will book an online consultation. Sorry for asking but is the waiting for the consultation long? Thank you🙏🏻
Hi@@E10l,
Our patient coordinator can let you know about the current schedule.
What about Bellafill?
Hi Omega Destroyer,
Bellafil is supposedly permanent, and uses polymethyl methacrylate (PMMA) microspheres, which remain in the body. I don't use Bellafil in my practice because it does not meet my standards of safety and reversibility like hyaluronic acid fillers so. I hope this clarifies things for you.
Thank you. I thought I wanted cheek implants to improve my under-eyes. But I may consider fillers. Do you know anyone qualified in Chicago that I could meet?
Hi TheCoolOwen,
Although I do know colleagues around Chicago, we all have different aesthetic styles and practice focuses. When it comes to cosmetic fillers and facial implants, experience and style are important things to consider. Filler placement at the bone level is something most doctors don't do, so you can look for doctors who perform the Y Lift. However, even doctors trained in this technique do have different styles which show in their results, so it's important to look at before and after pictures to find a doctor's style that resonates with you. I hope this helps you.
I looking in to getting a cheek bone. I had a accident last year. My right cheek bone is cracked.
Hi Jeannie Gospel music and Deleon,
Sorry to hear that. Cheekbone reconstruction would be needed before having a cosmetic procedure like an implant or filler, so you do need to see facial reconstructive surgeon first. While I have done cheekbone reconstructive surgery in the past, it has been awhile since I've performed it as my practice is focused on cosmetic surgery, and cosmetic procedures. I hope this helps you.
What treatment is good for a 39 yrs old?
Hi Musiko,
I hope you understand that I would have to examine your face before recommending specific treatments for you. However, due to a higher degree of customization, patient comfort, and patient convenience, I do lean towards hyaluronic acid fillers over facial implants for treating age-related facial volume loss. I hope this helps you.
@@AmiyaPrasadMD but they said filler is not really good and many side effects
Hi@@musiko1039,
When it comes to cosmetic fillers, the material used matters a lot. Hyaluronic acid naturally occurs in the body, so hyaluronic acid fillers are safe to use. Older filler materials like bovine collagen can cause allergic reactions, and permanent and semi-permanent fillers like polyacrylamide can cause serious complications because it can be recognized by the body as a foreign material, resulting in a foreign body reaction. I hope this clarifies things for you.
Cost of cheek surgery plz?
Hi Prithi Sen,
We have no set cost for any treatment as extent of treatment differs with each patient. I hope this clarifies things for you.
It would be beneficial to know the average range as it might be wasted money better let towards a deep plane facelift
@@christopheclugston Sure, deep plane facelift is amazing and anyone over 40 can benefit from it, but it's meant to redistribute the tissues, not make up new volume altogether. So it wouldn't necessarily create enough cheek volume.
I want to meet you sir
Hi Suhel Patel,
Consultations can be arranged by appointment, and do require a consultation fee. Formal consultations can be arranged through Skype. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
@@AmiyaPrasadMD How much does it cost?
Hi Suhel Patel,
You can fill out a contact form on the sites listed above to request for costs like consultation fee and price range for a procedure. I hope to hear from you soon.
@@AmiyaPrasadMD ok thank you sir
You're welcome, Suhel Patel!
Haha . At 6:53 the patent looks like Jennifer Lopez how she WOULD look at her age if broke . 🤣🤣🤣
Yes but then you hear fillers migrate and change your face over time
Hi Jordy S,
Placement technique, and depth of placement can prevent filler migration. You can refer to this video about it - czcams.com/video/Brb4uTzzG88/video.html
Have you done cheek implants on your face? You have baby cheeks.
Thanks for the compliment, tatiana Smirnova! Much appreciated :)
Stop smacking after every damn sentence!
Thank you for the suggestion, @BiancaBlanca
He said NOTHING about implants 😂
Hi enriquew88,
If you watch the video, I do describe how cheek implant surgery:
2:28 - How cheek implant surgery is done
3:00 - The issues that can arise after cheek implant surgery