Gaunt Face Solution?

Do you recommend perlane or restylane for a more natural look in the cheeks to fix gaunt features?

Asked 33 months ago by Sofa Duwop

Tags:

gaunt

Radiesse, Sculptra and Artefill do good for gaunt faces

Perlane and restylane won't last very long. I tend to use Radiesse ($630/syringe) which lasts about 1 year or Artefill ($1200/syringe) which lasts 4-5 years. I don't have experience with Sculptra but others say it works well but tends to get alittle bumpy. Fat injections last 6 months to a year or more but gets lumpy when they start to go away and run about $2500 per session.

Doctor's Website

David Hansen, MD

Beverly Hills Dermatologic Surgeon

Fillers for gaunt cheeks

Sculptra and Radiesse are possible fillers or filling deep areas, and in fact are FDA approved for deep filling in patients with HIV lipoatrophy. We don't use them because of its reactivity, but it is a very accepted way of filling deep areas. fat injection is also a possibility, but those of you who have read my previous posts on the subject know my concerns about variability and lumpiness and the reasons these occur. Restylane, Perlane and Juvederm (I prefer J-derm Ultra Plus) are thicker... more

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Solutions for a gaunt face

Restylane is an excellent injectable, which we prefer over Perlane for placement in the nasolabial fold. Gaunt features are typically addressed through surgical procedures such as cheek augmentation and/or fat grafting.

William Portuese, MD

Seattle Facial Plastic Surgeon

Best filler for gaunt face

There are a few products that would work to fill a "gaunt face." Radiesse, which is a calcium based filler would work, however, the results only last 9-12 months. Sculptra, which is a collagen stimulant is a great solution. It does, however, take multiple treatments but can last up to 2-3 years. Each one has it's benefits and in order to determine the best one for you it would be best to schedule a consultation with a cosmetic dermatologist.

Nissan Pilest, MD

Irvine Dermatologic Surgeon

Sculptra is a better choice for restoring facial volume

Dermal fillers like Restylane or Juvederm can be used to volumize one's face but Sculptra provides a much longer result. It does take a couple treatments to reach full effect but it is a very natural process and patient's love the results. Thanks for the question!

Steven E. Rasmussen, MD

Austin Dermatologist

Volumizing gaunt cheeks with fillers

Hyaluronic acids such as Restylane or Juvederm Ultra are not designed for volumizing any significant fat loss. Perlane, a thicker form of Restylane or Juverderm Ultra Plus can be used. Radiesse is a good filler for this purpose. Sculptra is a "seed" rather than an immediate filler. It stimulates your own body's collagen formation. Several sessions are required, several weeks apart. Gaunt cheeks can be volumized with fat injections if there is enough fat that we can find on... more

Ronald Shelton, MD

Manhattan Dermatologist

Fillers for gaunt face

Although many fillers can be used, particularly thin faces seem to get the best, most natural restoration with Sculptra. The results are gradual in onset, require 2 to 3 sessions several months apart, but will last 2 to 3 years.

Stephen Mandy, MD

Miami Dermatologist

Correcting the gaunt midface

There are several options for improving the midface with fillers. You can use restylane, juvederm, or perlane but it typically requires larger amounts of those fillers and hyaluronic acid fillers in the midface below the skin typically does not last very long. Other options include radiesse which has been purported to last about 14 months or so but that is variable as well. My personal preference is sculptra which takes multiple treatments but can last three years or more. There is another... more

Scott Trimas, MD

Jacksonville Facial Plastic Surgeon

Radiesse for a gaunt face

I routinely use Radiesse to volumize the face and improve an aged, gaunt appearance. I think in this case, Radiesse would most likely give a better filling result than either Restylane or Perlane and will most likely last longer. Good luck!

Jason R. Lupton, MD

San Diego Dermatologist

Gaunt cheeks

For gaunt cheeks, I prefer Sculptra or even Radiesse. Fat grafting can be helpful as well. Sculptra was designed specifically for this reason. It requires multiple treatments, but usually does the trick.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Gaunt Face

There are several different filler products available for correction of volume deficiencies in the face. My personal preference for revolumizing the face is Sculptra. Of course, the ultimate choice depends on your goals and your appearance. Consultation with a board certified plastic surgeon, dermatologist or facial plastic surgeon will help to determine which filler is best for you. Don't choose a physician that ONLY uses one filler product. Your doctor should have experience with and... more

Kenneth R. Francis, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Best fillers for a gaunt face

A photograph would have been extremely useful. Various fillers are best used in certain areas of the face. Also the reason of the gaunt face (HIV vs. massive weight loss) would have been helpful in recommending a better filler. There is NO PERFECT FILLER. Each filler has its strong points and weak points. When it comes to covering larger areas (such as the areas under the bony cheeks) fat grafting and Sculptra have been very useful. On the other, if you wanted to emphasize the peri pyriform... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Juvederm is best for gaunt cheeks.

Hi. 1) As you can see, there are different opinions, and how do you know which are the most informed opinions ? It's hard. We have tried different fillers, and my opinion is that Juvederm ofers the best trade off. It feels soft, lasts at least 9 months, and is very forgiving (low risk of lumps, even with imperfect technique). 2) The artistic eye and technical skill of the injector are MUCH more important than which individual filler is used. 3) Upper face fullness gives you the glow... more

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Gaunt Face Treatment

Some excellent answers have already been posted, but one of the simplest ways to improve your look is to gain some weight. Depending on your age, and exact problem, some people with a gaunt face also have loose neck skin and if you are a candidate for a neck/face lift the underlying tissues can be folded over to fill in areas of the face at the time of a surgical procedure. As a temporizing option, a variety of off the shelf fillers will help in the short term. However, to look your best we... more

Darrick E. Antell, MD

Manhattan Plastic Surgeon

ASAPS ASPS

NO, other fillers or your own fat to fill face

Depending upon the volume to be filled, some off the shelf filler like Radiesse may work. But if larger volumes are required, then I would recommend micro fat grafting harvested with the Body Jet machine

Barry E. DiBernardo, MD

Montclair Plastic Surgeon

ASAPS ASPS

I actually like Sculptra best for this

Always remember: it is not the filler, it is the FILLER that makes the most difference in results. But that said, I like Sculptra best for the gaunt, drawn face that looks tired and unhealthy. You certainly can get great results with Juvederm, Restylane, Perlane and Radiesse as well. Talk to your doctor about each's relative advantage and disadvantage. There are differences among the products that may make one better for you over the others, but in general good technique and experience of... more

Mary Lupo, MD

New Orleans Dermatologist

Injectable Fillers work well for facial Lipoatrophy

If you're looking for added volume in your cheeks, Injectable Filler treatments work well to restore lost volume, and improve a gaunt appearance. Fat-transfer is another option, but that carries higher expense, and more downtime. I hope this is helpful for you.

Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

Solution to gaunt face

It is difficult to answer your question without a photo. In general I would recommend Sculptra or autologous fat.. The productions that you mentioned are designed for fine lines and wrinkles rather than correction fat deficiency. Sculptra was originally designed to treat fat atropthy seen in the cheeks with HIV, but has also found to be of use in other causes of "gaunt facies".