Are 4 vials of Perlane too much for cheek augmentation?

I'm 37, and over the last month have had 3 vials of Perlane in my cheeks, to correct flatness caused partly by aging, and partly due to the natural shape of my face (long and thin).

I loved the results, and it's still better than before, but now the swelling's gone down. I think I'd like a bit more. I'm worried that I'm metabolizing it away really quickly though, and it will just be a waste. Is 4 vials a bit overkill? What do you think? Or could this be quite normal?

3 answers to “Are 4 vials of Perlane too much for...”

A: Fillers for volume restoration of the face

Ronald Shelton, MD
By Ronald Shelton, MD - Manhattan Dermatologic surgeon

This can be very normal. Some people just have a narrow sunken cheek structure and they may need more than 4 syringes of Perlane, Radiesse, Evolence to improve the appearance. Sculptra is a volumizer as well, and works by stimulating your body to make more collagen. It is done differently than the above... more

A: Perlane for cheek augmentation

Stella Desyatnikova, MD
By Stella Desyatnikova, MD - Seattle Facial Plastic Surgeon

Perlane is a great product for cheek augmentation and midface volume correction and lift. Depending on your anatomy, 3 to 4 vials of Perlane could be the volume you need for full correction. It usually lasts very well in the cheeks, and the more you have in there, the longer it lasts. For most patients, with... more

A: Whatever Looks Best

Arnold R. Oppenheim, MD
By Arnold R. Oppenheim, MD - Virginia Beach Dermatologist

   This would depend on the judgment of you and your physician. There is not problem with placing four vials of Perlane. It is done quite commonly. One of the advantages of hyaluronic acid fillers is that, aside from some post-op swelling, what you see is what you get. If your cheeks need four... more

Post your question
Email to friend
Permalink

Perlane before & after photos

Before and after Restylane Perlane
View all 37 photos

Perlane doctor answers

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.