Hollow cheeks in a 55-year old

Brent Moelleken, MD answers: Best procedure for gaunt cheeks?

I am 55, and have always been on the tall, thin side. I am healthy and into sports. My issue is that I have high cheekbones but the middle of my face all the way down to my chin is deflated (think Abe Lincoln!) I would love to get some fullness back.

Brent Moelleken, MD
11 months ago

There are many ways to augment cheek volume (and reduce hollowness).

On a temporary basis, hyaluronic acid fillers such as Juvederm or Restylane or similar products work well. At deep levels in the face, Sculptra also works well, although we don't use Sculptra in our practice because of lumpiness concerns.

Cheeklifts help the area below the eye and can adjust up cheek center mass. Cheekl implants, when cleverly placed, can also achieve very nice results in the malar and submalar regions.

In a patient with existing hollowness, if a facelift is performed, it is vital not to remove any volume from the face, as occurs with SMAS operations or deep plane operations. Rather, the deep tissues can be restructured, retaining and redistributing all the volume.

If you are interested in your very best result, for most patients at 55 this will come from a volume adjusting facelift plus material added to your cheeks. For this we prefer LiveFill, nontraumatized tissue from the patient's own tissues.

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