Q: Dr. Eppley, I had porex cheek implants implanted then removed a year later. It has been about 8 months since the removal and I look ok and do not have any sagging, however, I do have excess scar tissue that is built up on the bone of the cheek. It is not that bad (meaning hard to see without feeling the face) but it is quite lumpy in some spots (especially on the one side) and I would like it reduced if possible. I heard steroid injections work well, but not sure. Your opinions? I am a 27 year old male. No other plastic surgery or intention for future surgery. Thanks!
A: What you are referring to as scar tissue is the residual capsule left after removal of the cheek implants. In most cases, much of that capsular scar tissue will resorb over time but it may well over a year for maximal absorption. While steroids are commonly used for scar issues, most of that is done at the more superficial skin level where control of placement of the steroids can be visually done. While steroids could be injected deep into your cheeks, I would not do it because you have no assurance as to exactly where it is being placed. Indiscriminate use of steroids can be associated with fat tissue loss and tissue thinning. Given that your scar problem is not visible, I would not risk potentially creating another problem that may turn out to be just as bothersome or worse than what you have now. You are better off to live with what you have, no matter how it eventually turns out.
Dr. Barry Eppley