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cheek implant placement; swelling may persist longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication (infection, malposition, nerve numbness, asymmetry, hematoma) within first year; serious ones uncommon."},"contraindications":["Active infection in the face, mouth or sinuses","Pregnancy","Uncontrolled systemic disease or bleeding disorder","Untreated body dysmorphic disorder","Active smoking or nicotine use (relative; impairs healing)","Prior facial implant complications or significant bone abnormality (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typically day-case surgery with discharge the same day; occasionally one night of observation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":3,"max":6,"unit":"weeks","qualifier":"Return to strenuous exercise and contact activities, guided by 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Short flights may be cleared earlier."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Early check of swelling, intraoral wound and implant position before flying home."}},{"purpose":"assessment","requirement":"conditional","after":{"min":28,"max":42,"unit":"days","qualifier":"Healing and implant position review; often remote after travel home."}},{"purpose":"result_review","requirement":"conditional","after":{"min":90,"max":180,"unit":"days","qualifier":"Final contour assessment once swelling has resolved; often remote."}}],"indications":["Flat or underdeveloped midface or malar region","Cheek volume loss or asymmetry","Facial contour deficiency after trauma","Congenital midface or malar deficiency"],"main_risks":["Swelling and bruising","Infection","Implant malposition or shift","Asymmetry","Numbness or injury to the infraorbital or facial nerves","Hematoma or seroma","Visible or palpable implant, or unnatural contour","Implant extrusion or need for removal/revision","Anesthesia-related risks"],"pain":"Moderate pain, pressure and tightness for the first several days, usually controlled with oral analgesics; swelling and tenderness settle over 1-2 weeks.","preparation":["Consultation with facial assessment, photographs and implant size planning","Medical history review and routine preoperative tests","Review of current medicines and supplements with the surgeon","Stop smoking and nicotine as advised","Fasting before general anesthesia","Arrange transport and help at home after surgery"],"recovery_timeline":[{"phase":"Days 0-3","description":"Peak swelling, tightness and bruising; soft diet, head elevated; oral hygiene with antiseptic rinses.","restrictions":["Soft diet","Avoid wide mouth opening and smiling forcefully","Sleep with head elevated"]},{"phase":"Days 4-14","description":"Swelling and bruising gradually subside; intraoral incisions heal; most return to light work.","restrictions":["No strenuous activity","Avoid pressure on the cheeks"]},{"phase":"Weeks 3-6","description":"Most visible swelling resolved; gradual return to exercise as cleared by the surgeon.","restrictions":["Avoid contact sports and facial trauma until cleared"]},{"phase":"Months 2-3","description":"Residual swelling resolves and final contour is evident.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated surgery; no formal rehabilitation program usually needed."},"result_longevity":"Implants are intended to be long-lasting, but they are not guaranteed to be lifelong and may need revision or removal in some patients.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Repositioning, exchange or removal of implant surgery within several years, mainly for malposition, infection or dissatisfaction."},"scars":"Typically no visible external scar with the intraoral (upper gum-line) approach; an external incision (e.g. lower eyelid) is used less commonly and leaves a fine scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical session for both cheeks."},"stages":[{"code":"implant_placement","label":"Cheek implant placement under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One surgical treatment session; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with improved cheek contour","value":90,"unit":"percent of patients satisfied","horizon":"6 months after surgery","population":"Adults with flat or deficient midface receiving intraoral malar implants","evidence_status":"limited"},"techniques":[{"name":"Intraoral (upper gum-line) approach with silicone or porous polyethylene implants","suits_whom":"Most patients wanting malar augmentation without external scars.","recovery":"Swelling for 1-2 weeks; return to desk work in about 1-2 weeks."},{"name":"Subpalpebral (lower eyelid) approach","suits_whom":"Patients undergoing concurrent lower eyelid surgery.","recovery":"Similar recovery; small risk of eyelid retraction or ectropion."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Bilateral cheek implant placement via intraoral approach, as a standalone procedure."},"initial_assessment_documents":["Front, oblique and side face photos","Smiling and neutral expression facial photos","Previous facial surgery or filler history","List of blood thinners","Facial or cheek CT scan (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 5-10 days for early wound check and initial swelling. Later reviews can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that you can address all your questions directly with the surgeon","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/cheek-augmentation/safety","host":"plasticsurgery.org","quote":"It's important that you address all your questions directly with your plastic surgeon.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the risks are fully discussed before you give consent","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/cheek-augmentation/safety","host":"plasticsurgery.org","quote":"These risks and others will be fully discussed prior to your consent.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that the surgeon gives an evaluation and reviews your full medical history before treatment","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"Consult with your plastic surgeon for an evaluation and discuss your full medical history to determine the most appropriate treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask whether the surgeon has hospital privileges to perform this procedure","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"Do you have hospital privileges to perform this procedure?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask how many procedures of this type the surgeon has performed","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"How many procedures of this type have you performed?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The consultation does not include the surgeon or staff explaining the risks in detail","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/cheek-augmentation/safety","host":"plasticsurgery.org","quote":"Your plastic surgeon and/or staff will explain in detail the risks associated with surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The offer is marketed as a vacation trip","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"Cosmetic surgery trips are marketed as vacations.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Shifting of the implant","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/cheek-implants","host":"my.clevelandclinic.org","quote":"Shifting of the implant (migration), which can cause lumpiness or an asymmetrical look.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Shortness of breath","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/cheek-implants","host":"my.clevelandclinic.org","quote":"Shortness of breath (dyspnea)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Irregular or abnormal heartbeat","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/cheek-implants","host":"my.clevelandclinic.org","quote":"Irregular or abnormal heartbeat (arrhythmia)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs to know which surgical technique was used","document":"operation notes or treatment report","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"Local doctors may not know what surgical techniques the physician used in the initial operation, making treatment difficult or nearly impossible.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer cheek volume without an implant","name":"Fat grafting","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/cheek-augmentation/safety","host":"plasticsurgery.org","quote":"Surgical options for enhancing the cheeks are fat grafting or cheek implants.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer a nonsurgical option for cheek volume","name":"Dermal filler","source":{"url":"https://www.plasticsurgery.org/news/blog/how-can-plastic-surgery-rejuvenate-your-cheeks","host":"plasticsurgery.org","quote":"Nonsurgical facial augmentation can be performed by using either autologous fat (patient's own fat) or a dermal filler.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"intraoral-approach","name":"Intraoral (upper gum-line) approach with silicone or porous polyethylene implants","how_it_works":{"text":"Implants are placed through an incision inside the mouth","source":{"url":"https://www.plasticsurgery.org/news/blog/how-can-plastic-surgery-rejuvenate-your-cheeks","host":"plasticsurgery.org","quote":"I make an incision inside the mouth, in the region where the upper teeth meet the inner cheek.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"subpalpebral-approach","name":"Subpalpebral (lower eyelid) approach","how_it_works":{"text":"The surgeon makes an incision under the eyelid","source":{"url":"https://my.clevelandclinic.org/health/procedures/cheek-implants","host":"my.clevelandclinic.org","quote":"Make a cut (incision) inside your mouth or under your eyelid.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=thailand/city=phuket/procedure=implantacia-sek/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53942},"manualSeo":[],"updatedAt":"2026-11-13T22:40:09.428Z","activeCountries":["TH","TR","UA"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}