Trying to add volume to facial cheek area. I'm 54 years old. What's your advice?
Options for Adding Volume to Cheek Area?
Doctor Answers (9)
Adding volume to the cheeks
Most of our patients prefer autologous nontraumatized grafts to the cheeks. In our practice we term this LiveFill(R). It is a principal very similar to fat injection except that the grafts are fully viable when they are placed rather than being aspirated and injected, diminishing the number of live cells.
This technique has completely supplanted cheek implants in our practice for patients wanting cheek augmentation.
Temporary options include hyaluronic acid fillers such as Juvederm or Restylane.
Adding volume to the cheeks
The patient can increase cheek volume with fillers, such as Radiesse, or implants. If there is relaxation of the cheeks secondary to the aging process, a cheek lift can increase volume and definition in the cheek prominence.
Facial cheek implants are best way to add volume to cheeks
The best option for facial augmentation in the cheek area is cheek implants. There are malar and submalar implants, and they come in four different sizes. These are placed through the intraoral route above the teeth in the gingival sulcus and are placed underneath the periosteum of the maxilla and give a nice augmentation to the malar or submalar area depending upon the patient’s anatomical needs. Cheek implants are typically placed under general anesthesia and is performed in about one hour as an outpatient procedure. Dermal fillers are very temporary and just do not work very well in this area.
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The simplest way to enhance the cheek area is with fillers such as Radiesse, Hydrelle, Juvederm or Silicone. Cheek implants is also a good way to enhance the cheek area permanently.
Hope this helps.
Facial volume loss
If your problem is truly just volume loss, then a "filler" (fat, Radiesse, cheek implants, etc) is the best course. If you also have skin laxity, fillers will help but you may also need some form of skin tightening, whether through surgery or laser (such as Fraxel re:Pair). Many of my patients do both for maximum effect.
Juvederm or Radiesse good for cheek volume.
1) Radiesse injected deeply mimics cheek bone implants and augments the skeleton.
2) Juvederm under the skin fills the soft tissue cheek volume.
3) More permanent solutions are fat transfer (fat injections) or mid facelift.
4) Everything depends on your anatomy.
Options for adding volume in cheeks
I agree with the previous expert posters. The choices are Fat, Restylane, Juvederm, Perlane, Radiesse, ArteFill just to name a few. Go see 3 expert filling surgeons to chose. Regards.
Options for Adding Volume to the Cheeks
I agree with Dr. Placik. If fat takes, it would prove to be the cheapest, most natural and long lasting filler out there. The problem is that in fat grafting we cannot predict the amount of surviving fat. As a result, we rely on OTHER fillers either hyaluronic acid fillers (Restylane, Perlane, Juvederm) or Other fillers (Radiesse and others) which are costly, temporary but predictable augmenters.
You may want to try fat and see how you do before going with the other fillers.
Dr. P. Aldea
Fillers to enlarge the cheek area
There are many different fillers available for fillers. The most readily available filler is your own fat. This tends to involve a minor surgical procedure but has the potential to be the best long term solution. Other fillers include Perlane, Resytlane, Radiesse, as well as many other fillers depending on your particular condiiton as well as surgeon preference or experience. Discuss options with a qualified injector.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.