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Deep Upper Cheek Dents - Fillers or Facelift?

asked 1 year ago by 5917anon in Washington, DC
Latest answer by Benjamin Barankin, MD
Question viewed 2,597 times
Tags: age 35-44, male, comparison, dents

I am 42 y/o. I have deep dents in my upper cheeks. Best way to deal with the dents: (a) dermal fillers (and what brand), (b) mini-facelift (what type) or (c) other? Thanks

15 answers to Deep Upper Cheek Dents - Fillers or Facelift?

Fixing deep upper cheek indentations

To fill out the indentations you show & describe, I would first try a hyaluronic acid filler such as restylane, perlane or juvederm because they are safe and easily reversible. You likely would be quite pleased with this. Eventually, you may also consider a longer lasting filler like radiesse, although there is no antidote to it so make sure an experienced specialist like a dermatologist is injecting you. Surgery is not ideal for a volume loss/indentation issue; surgery would be more... more

Benjamin Barankin, MD
Toronto Dermatologic Surgeon

Deep upper cheek dents

A facelift is not designed to fill out cheek dents, especially close to the nose. The goal of a facelift is to tighten jowls at the jawline and sagging tissues in the neck. Cheek implants are a better option to fill out any depressions or weakness in the cheek area itself.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Cheek Dents

The dents are secondary to sagging of the cheeks. I will not make a specific recommendation because I cannot see your entire cheek in the picture you submitted, but I will provide a couple alternatives. Fillers such as Radiesse and Juvederm or fat augmentation of the "dent" will camouflage the undesirable cheek contour. If there is excessive fullness of the lower cheek and a deep groove between the nose and the corner of the mouth, I would suggest a cheek lift which will... more

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Malar Mounds treated with a Cheek Lift or Mid-face Lift not Fillers: See a Cosmetic Plastic Surgeon for Surgery

Malar mounds are indicative of midface or cheek aging where the lower border of your eyelid muscle is revealed as the cheek pad falls off of it. This may be secondary to lengthening of the structures that hold these structures in place. It is interesting to read the responses to your question where most responders want to fill this area! The reason being this is a nebulous and confusing region for most practitioners including plastic surgeons and facial plastic surgeons who have... more

Andrew P. Trussler, MD
Dallas Plastic Surgeon

Try fillers before surgery for your cheek "dents"

Agree with the comments of my colleagues. Restylane, Perlane, Juvederm should do nicely here but must be injected carefully. Radiesse is another option that works well for cheek augmentation. However, it needs to be placed more deeply than HA fillers and would likely have less effect on your problem area.

Stephen Weber, MD
Lone Tree Facial Plastic Surgeon

Fillers or Surgical Lift For Correction of Mid-Cheek Groves

Temporary fillers are an excellent first choice to fill in creases due to the early signs of facial aging. The photo you have provided shows mid-Cheek groves which develop with mid face decent. Fillers are a non-surgical means of softening these creases with minimal down time. Juvederm or Restylane work equally well. The results should last about a year. The procedure can be done in the office with topical anesthesia. Some bruising may occur. Another alternative is a mid face or a... more

Andrew Lyos, MD
Houston Plastic Surgeon

Your upper cheek grooves may benefit from Injectable Fillers.

I reviewed the photo you posted. You have upper cheek grooves that are fairly common. These respond well to Injectable Fillers. My personal preference is Silikon-1000 for permanent results.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Treatment options for malar bags

Your photograph shows prominence of something we call malar bags. This is a triangular fat pad the can become prominent when we age. The dents you see are the depressions in the tissue around the prominent fat pad, which develops as the midface descends due to aging.. There basically two options to treat these bags. One is surgery, which involves a lower eyelift (blepharoplasty)and midface lift with resuspension of the fat pad. It is a lot to go through to fix a relatively minor... more

Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon

Cheek Dents

A full face picture would be best to give you specific advice. However, from what I can see, fillers would likely be your best option. Popular fillers would include Radiesse, Juvederm and Sculptra. In consultation with your plastic surgeon, you be able to choose which filler you would like to try. I agree with everyone that you should avoid permanent fillers such as silicone. Good luck.

David Shafer, MD
New York Plastic Surgeon

Juvederm and other fillers treat cheeks safely and easily

Surgical correction of your "cheek dents' is less predictable and safe than treating with fillers. This is a pretty comfortable area to treat and the results are long lasting, up to a year. I feel that treatment with fillers is more predictable that fat transfer. My favorite is Juvederm but Restylane and Perlane are also good.

Daryl K. Hoffman, MD
Los Gatos Plastic Surgeon

Deep Upper Cheek Dents - Fillers or Facelift

First try a filler or regenerater like Selphyl, than if not happy try fat grafts. Than if still unhappy try SURGERY last! Seek opinions from doctors in your area.

Darryl J. Blinski, MD
Miami Plastic Surgeon

The groove is call a midcheek groove.

A miniface lift will not address these grooves. However fillers are unquestionably the best approach. Restylane and Perlane treatment can achieve improvement that can last well over a year. Treatment is very comfortable to have with almost no down time. It is possible to bruise and avoiding medications that can increase bruising such as aspirin and nonsteroidal antiinflammatory medication like advil will reduce the risk of bruising. Look for a physician with a... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Restylane, Juvederm, Radiesse or fat injections for cheeks

From the picture it appears that what you have is what we call a "malar groove" which responds very well to injectable fillers in someone your age. Any of the popular fillers would work well. If you want a longer lasting and possibly permanent result then fat transfer also works well.

Richard Baxter, MD
Seattle Plastic Surgeon

Fillers are the best option

As Dr.Rand stated your best option is the fillers. They are reversible,affordable and dependable. The other option is lower eye lift,but I would not suggest at this time. Filler last up to 18 months (6-9 months for the lips) for the under the eye.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Fillers are for dents

From the tiny photo, it looks like you need fillers to improve those indented areas. Restylane and Perlane are my eersonal favorites. Avoid permanent fillers! Also, a minifacelift will do nothing for you.