Deep Wrinkle on Cheek That Doesnt Go Away with Fillers, What Other Options Do I Have? (photo)

These depressions in the face can be difficult to treat and I find they are particularly annoying to patients who only have them on one side of the face, so it really stands out. Fillers often don’t work because the problem is a connection that has formed between the surface layer of the skin and the deeper tissues. This connection leaves no place for the filler to rest when it is injected. It is forced to either side of the connection making the... more

In some situations, Juvederm does tend to migrate to other areas, as you have already experienced. Restylane is also made of hyaluronic acid, but it is more viscous and tends to stay at the injection site.One of the problem with this area is the tendency for edema to occur. The area above the line is more spacious and the skin is tagged less to deeper tissue. Also the skin is thinner. So there is a higher tendency for dermal fillers to migrate into the area and for edema to occur... more

Thank you for the picture, this is very helpful. These lines can often be difficult to treat. I have found that using Restylane in a more superficial pattern can often fill in the valley that is creating the line appearance. Juvederm has slightly more fluidity then Restylane and may not fill the area as well. Make sure you go to a a board certified physician who has experience with fillers in this area.