Why is revision cheek augmentation more difficult than first-time cheek augmentation?
Many reasons. First, after any cosmetic surgery, scar formation creates a thick, tough layer that is more difficult to work with than original tissue. Second, the original location of (anatomical) landmarks have been altered. Third, the overall skill level required to perform a successful revision plastic surgery is greater. Revision cheek implant surgery can take a little longer because of corrections that need to be made as a result of the initial surgery. It is best to provide a patient with a realistic picture of exactly what can be accomplished prior to undergoing another cheek augmentation surgery. Revision cosmetic surgery has humbled even the most experienced board certified facial plastic surgeon and at the same time has been the most rewarding.