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Submalar scar tissue

Dr. Naderi answers your questions about all facial plastic surgery procedures, from facelift, rhinoplasty (nose job), to eyelid surgery (blepharoplasty), and dermal fillers.

Submalar scar tissue

Postby WhatProblem » Sun Dec 26, 2010 7:53 am

Hi Dr. Shervin Naderi,

Bit of an odd enquiry, sorry if I go on but I like to give as much information as possible:

I made a bad decision about 2 years ago and got submalar implants (silicone, medium). Now these are considered to have a low satisfaction rate, even more in males I'd guess.

http://www.implantech.com/store/index.p ... tId=9&pre=

Anyway, I had them removed under local anaesthetic last July, the surgeon admitted he'd never had to do it - but got them out easy enough as they weren't screwed in or anything.

It's now almost 6 months on and there's still a combination of what I think is swelling/scar tissue/the pocket (where the implant was, especially next to the nose - at the right of the 'head' of the implant).

I think a flat mid-face or 'harder' area is better in men and saw a pic of me before cheek implants and my eyes look much more prominent.

I have had jaw and chin augmentation though, so that might be a contributing factor.

Anyway, my enquiry is: is there anything than can be done to help 'undo' the trauma from the submalars - be it steroid injections, some fluid draining or something? I know 6 months is still quite early, so it might dissipate over time, but if there's something I could do to flatten what is now a bit 'shaped' - I'd look into it.

It's not so much the shape to the left of the implant (the side of the face) as that just looks like high cheek bones, it's more the midfacial area that looks like it now has volume.

Much appreciated,

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Joined: Sun Dec 26, 2010 7:06 am

Re: Submalar scar tissue

Postby Dr_Naderi » Sat Jan 29, 2011 9:49 am


Once you do any surgery, you cannot go back to the starting point. Your body creates scar tissue and the nature of the tissue and its flexibility can change, etc.

With any implant, there often is a capsule of scar tissue that forms and that itself leaves some residual fullness. Most patients dont mind that because they wanted some fullness to begin with otherwise they would not have gotten an implant.

See your doctor and see what he can do. Massage, time, and possibly steroid injections can help but leaving well enough alone is sometimes the best plan.



[Online replies to questions are NOT a substitute for actual consultation & exam & should not be considered "medical advice."]
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Location: Herndon Virginia & Chevy Chase Maryland

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