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

asked 3 months ago by Zynox B
Latest answer by William Franckle, MD
Question viewed 191 times
Tags: cheeks, lines, deep, options

twice I have gotten Juvederm injected to fill that line that you see on my cheek and to no improvement whatsover. Once with a dermatologist and the other time with a plastic surgeon. I am 23 yrs old so i dont know if its just genetic or aging, but I desperately need to get rid of it. Basically what happens is when the filler is being injected, for some reason the filler fills AROUND the line and not the line itself. My dermatologist thinks its scarred tissue that may need to be cut off. HELP!!!

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

+2

Fillers may not be best for deep wrinkles on the cheek

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
William Franckle, MD

Voorhees Plastic Surgeon
+1

Restylane and Radiesse as Additional Filler Option For Wrinkle on Cheek

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
Sanusi Umar, MD

Redondo Beach Dermatologic Surgeon
+1

Filler for lines

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.
Monica Halem, MD

New York Dermatologic Surgeon

vesta.cumc.columbia.edu

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