I have not encountered a situation where a turbinectomy...

I have not encountered a situation where a turbinectomy has changed the relative volume of the cheeks. This is probably more due to being slender and perhaps to some early signs of facial aging which can include volume loss.

A well qualified plastic surgeon can evaluate you and discuss possible treatments. I have found that Radiesse works especially well in volume restoration and augmentation of the cheeks. This is especially true in younger patients who have good skin. I personally would not recommend Sculptra or fat injections which are other alternatives to Radiesse.

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Katie,

This is a good question.  I doubt that the turbinectomy has any direct effect on the appearance of your face, but there are a couple of things that may be going on.  The first is the relationship between your nose and the rest of your face. 

There are natural proportions that represent aesthetic ideals, for example the width of your mouth as compared to the width of the base of your nose.  If these change after surgery, you may notice aspects of your face that were not as obvious before.  This, in combination with being thin already, probably is contributing to what you are now noticing.

Without examining you directly, it's difficult to know what the best options are for you.  But if we need to increase the volume in your cheeks, I prefer Radiesse to Sculptra.  It's very straightfoward to use and will give you results that last at least a year or more.  I think this is the best non-surgical option in this area.  Other surgical options include fat transfer, which also works well, but requires an operative procedure.

Bottom line is that the best way to know exactly what is going on is to sit down with a Plastic Surgeon, have them listen to your concerns, so that they can lay out your options for you and put together a plan that works.

Dr. Salemy

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