Best procedure for gaunt cheeks?

Gaunt cheeks are usually caused by genetics and very thin people where buccal fat pad atrophy has occurred. Depending upon the exact location of the buccal fat atrophy, one can consider Silastic cheek implants. Other injectables can also be performed in the area, as well as fat injections into the deep... more

There are many ways to augment cheek volume (and reduce hollowness). On a temporary basis, hyaluronic acid fillers such as Juvederm or Restylane or similar products work well.  At deep levels in the face, Sculptra also works well, although we don't use Sculptra in our practice because of lumpiness... more

Structural fat grafting can also be utilized in patients undergoing a midface lift, if additional enhancement of the lateral aspect of the cheekbones is desired. The midface lift and structural fat grafting, alone or in combination, allow me to restore or create youthful cheek and lower lid contours, without... more

Poly-L-lactic acid, available cosmetically under the name Sculptra, is best for treating overall facial wasting that occurs with age due to loss of fat and other supporting tissue. Poly-L-lactic acid is made of the same materials as dissolvable sutures. It's an interesting product because while Poly-L-lactic... more

There are several options for augmenting your cheeks: Micro-Fat grafting - Long lasting, more expensive* Mid-Face Lift - Long lasting, more expensive Cheek Implants - Long lasting, more expensive Restylane, Juvederm or Perlane - Lasts about 12 months, less expensive, better for augmentation of the cheek,... more

Fat grafting is an option, but smart lipo will kill fat cells, and therefore not an option for harvesting viable fat. Sculptra is another option.  It is approved for use in AIDS patients who develop hollow cheeks as a result of treatment or the disease.  This is expensive, may require several... more

First, there are several facial fillers that can be used. Sculptra is one which can rquire multiple treatments and supposedly offer a 1-2 year improvment in appearance.  Radiesse and hyaluronic acid fillers ( juvederm and restylane) can also improve some hollowing as well. Autologous fat injections may... more

There are different options including 1) Juvaderm or Restylane ,these fillers are safe and effective but they will last only 6-9 months 2) Sculptra is another option that last longer but it is not permanent and requires multiple injections. 3) Fat grafting the is the best and natural way to give the fullness.... more

Sculptra is FDA-approved for facial lipoatrophy in HIV disease, but there is no reason why it cannot be used for people who need filler for the cheeks.  Another filler that works well in the cheeks is Radiesse. FAMI or Fat Grafting Autoinjections has the potential to be a longer-term solution in which fat... more

In my hands the best filler for the midface is fat grafting. There are different names for this procedure, it is  very technical  that requires knowldge of the anatomy. This is not a simple injection. Sculptra is FDA aaproved for HIV related lipo-atrophy. It would be an option if you do not want to... more