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Can Juvederm Add Volume to Sunken Cheeks?

Can Juvederm be used to add volume to the sides of the face that have flattened out due to aging?

Doctor Answers (28)

Absolutely

+5

Greetings,

Juvederm can definitely be used as a filler in the cheeks. This is an off label use but can be safely done. For severe cheek hallowing, you may want to consider Sculptra (another off label use), fat transfer from the abdomen, or possible cheek implants. All of these are fairly easy procedures which can produce longer lasting results than Juvederm. Good luck with your search.


Dallas Facial Plastic Surgeon
4.0 out of 5 stars 12 reviews

Turning back the clock

+3

The aging process causes loss of volume in the face. Adding volume with fillers is an excellent way to turn back the clock and delay the need for more extensive surgical procedures.

Juvederm is a filler made of Hyaluronic Acid. There are a number of products containing the same material. these include:

Rastylane, Perlane, Elevess, Prevelle, Hylaform, Juvederm, and Captique

The differences in the products are subtle despite claims made by the manufacturer. The newest products are Elevess and Prevelle. These 2 contain a numbing medicine that decrease the discomfort associated with the procedure.

All the products mentioned above last about 6 months and are avaiable off the shelf with no preparation.

Other types of fillers include Radiesse and Sculptra. These are also available off the shelf with no preparation.

Radiesse is a hydroxyapatite product (similar to the material found in bone) and lasts about 8-9 months

Sculptra is a poly-L-lactic acid product (similar to suture material used in surgery) and lasts about 2 years.

All of these products can be used to effectively add volume to the face. However, as mentioned, all of the products listed above are temporary fillers.

The only FDA approved permanent filler that is available off the shelf is Artefill. This product can add volume permanently to the face with excellent results.

Last but not least is fat injections. Fat injections can also permanently add volume to the face. Although this is a surgical procedure, with proper technique excellent results can be achieved.

A. Peter Salas, MD
Manhattan Plastic Surgeon
3.0 out of 5 stars 1 review

Juvederm is great to fill sunken in cheeks

+2

Full cheeks give a healthy and beautiful appearance. Juvederm works great for this purpose. In Germany we also have Voluma from Allergan which is strongly stabilized hyaluronic acid that lasts up to 2 years. 

Robert Kasten, MD
Mainz Dermatologic Surgeon

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A large volume filler would be a better option

+2
Absolutely, but it doesn’t last long and you would need so much that it probably is not cost efficient. Better volume enhancers for the cheek would be your own fat (fat injections) or Sculptra which is used off-label (approved by the FDA for other uses). If the volume you need to improve in your cheeks is not very much, Perlane or Juvederm Ultra Plus, which are both the same chemical makeup of Restylane and Juvederm, might last longer and fill better. Sometimes, both Perlane deeper and Restylane or Juvederm, are placed in the deep and mid levels of the compartment below the skin, respectively. This layered technique works quite well, but again, expense could be an issue depending on the number of syringes you would need to create a satisfactory result.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

Juvederm can be used to fill the cheeks

+2

Yes, a cosmetic surgeon can use Juvederm or Restylane (HA- hyaluronic acid) to add volume to the cheeks. My current favorite filler for these purposes is Radiesse. I gently place this filler from the inside of the mouth (much like a dentist would work).

Radiesse has the added benefit that it lasts longer than Juvederm. This is because unlike Juvederm, Radiesse has little calcium deposits within the jelly-like material that is injected. These deposits stimulate collagen growth. It is for this reason you may see the filler last double the other fillers (HA).

Sculptra (PLLA) can also work beautifully to fill large areas like the cheeks. While Sculptra can last the longest of the fillers, the benfits are delayed, as most patients need a series of injections to obtain the results they desire.

All of the fillers are used off-label for the cheeks. Lastly, surgically you can enhance your cheeks; your own body fat can be transferred to your cheeks, or there are terrific cheek implants that can be placed by your cosmetic surgeon.

Mark Berkowitz, MD
Sterling Heights Oculoplastic Surgeon
5.0 out of 5 stars 17 reviews

VOLUMA injectable filler can help

+1
The solution to restoring your youthfulness is to carefully replace lost volume first in the cheeks, then the temples and chin if necessary. The jawline may also be recontoured. VOLUMA is a Juvederm product that is formulated to be highly viscous and has a far smoother consistency to create an even finish to your facial contour.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 51 reviews

Juvederm add volume?

+1
Technically Juvederm can do that, but in the USA, Voluma was recently approved which will likely last longer and produce a more dramatic effect that Juvederm.  They are both made by Allergan, but Voluma is slightly stiffer and holds it form more than Juvederm Ultra or UltraPlus.

Roxanne Sylora, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 4 reviews

Sure...but there are many solutions and this one might not be the best...

+1

if there's only a small amount of loss, then adding a juvederm product might work well but remember the amount in a syringe isn't very much and the cost may become prohibitive if you use a sufficient quantity for more significant hollowing...voluma...another product in the juvederm line is rumored to be getting ready for a launch sometime in late 2013...this will provide another option...but you might also want to consider sculptra...probably the best choice...stimulates your own collagen to replace the lost volume...takes awhile to become effective but usually lasts well in excess of two years...and then there's radiesse...fills now but may not last longer than the hyaluronic acid products...

Ken Landow, MD
Las Vegas Dermatologist
5.0 out of 5 stars 7 reviews

Radiesse for Sunken Cheeks

+1

I would recommend using Radiesse instead.  Radiesse will last much longer than Juvederm, up to 18 months, and will stimulate regeneration of collagen as it is slowly resorbed.  This product is placed deeply along the bone of the cheeks and provides an excellent, natural and long lasting improvement in facial volume for patients who have flattened or sunken cheeks.

Best Regards,

Jacque P. LeBeau, MD

Jacque P. LeBeau, MD
Pensacola Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Juvederm Voluma is great for adding fullness to sunken cheeks.

+1

In my experience, I find that Juvederm Voluma does a great job of plumping up sunken cheeks, and the effect is easily maintained for even upto 18 months, with some correction still persisting for longer, too! I combine it with Juvederm Ultra Plus to give a layered correction.

Renita Lourdhurajan, MD, DNB
India Dermatologist
4.5 out of 5 stars 2 reviews

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