Fillers will work but must be injected deep

Hisham Seify, PhD, MD answers: What is recommended to get rid of cheek dents?

I have dents in my cheeks.  I am in my late 30s and it seems pretty early to have blepharoplasty or a cheek lift.

However, I want to minimize or ideally get rid of them because they look awful and make me feel bad.

A facial plastic surgeon friend told me that he didn't recommend fillers since the cheek pads are hard to augment.

 


Hisham Seify, MD, PhD
10 months ago

I would highly recommend fillers for this specific problem. The cause of these dents is a mild descent of midface tissues around the deep bands attaching the dermis to the bone (Osteocutaneous ligaments). The droopy tissues pull on these deep bands causing these dents.

Since it is mild I would not recommend a full cheek lift but filling.

The choice of filler and technique is a very important issue. This is not similar to injection of nasolabial fold or tear trough. Injection must be done deep as these bands are not superficial. Micro fat technique is my procedure of choice but other fillers could work as well.

I hope that helps, you can view similar cases injected with fat on the practice webpage.

 

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