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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?

Asked 40 months ago by Aldebarana in San Diego, CA, USA

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Can Juvederm add volume to hollow cheeks?

There are a number of soft tissue fillers that I prefer for filling out hollow or flat cheeks. Juvederm and Restylane are too thin, IMHO for this and I prefer to use Perlane or Radiesse.

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Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

Absolutely

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.

D.J. Verret, MD

Dallas Facial Plastic Surgeon

Juvederm is great to fill sunken in cheeks

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

I Prefer fat Grafting for Permanent Augmentation to the Cheeks

My Raleigh, North Carolina Plastic Surgery Practice I use Fat Grafting to treat sunken cheeks. There are a number of 'soft tissue fillers' are available for temporarily improving facial areas that have lost volume or have developed deep lines and creases. Probably the most popular fillers currently are hyaluronic acid products like Restylane, Perlane or Juvederm which can be used to plump up thin lips and to fill out nasolabial folds (lines that run from beside the nostrils to the... more

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Michael Law, MD

Raleigh-Durham Plastic Surgeon

ASAPS ASPS

A large volume filler would be a better option

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... more

Ronald Shelton, MD

Manhattan Dermatologist

Turning back the clock

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... more

A. Peter Salas, MD

Manhattan Plastic Surgeon

Juvederm can be used to fill the cheeks

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... more

Mark Berkowitz, MD

Sterling Heights Oculoplastic Surgeon

Can Juvederm add volume to sunken cheeks?

Absolutley. Juvederm is wonderful at adding volume to cheeks. In my opinion, it is the absolute best way to acheive great results in cheek enhancement.

Robert Heck, MD

Columbus Plastic Surgeon

ASPS

Juvederm cheek augmentation

Absolutely. This is one of the most common uses in my practice, but it is important to take account of the balance of the entire face to achieve a good result. Fill and rejuvenation must be artfully distributed between the upper mid and lower thirds of the face. All the best, Rian A. Maercks M.D.

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Rian Maercks, MD

Miami Plastic Surgeon

Fill the hollow!

Yes, Juvederm is a great use for cheek filler, but must be redone every 4-6 months. For a longer lasting product, Juvederm Ultra Plus lasts 9-10 months. Radiesse lasts 10-12 months, Sculptra lasts approximately 2 years. You can also discuss whether cheek implants may be a permanent surgical option for you.

Yael Halaas, MD

Manhattan Facial Plastic Surgeon

Juvederm is great for adding volume back to the face

One of the other "new" ways to use Juvederm is to add volume to the sides of the face that have flattened out due to agian. We lose more volume from our faces every five to ten years and fillers are the perfect way to improve that look.

Peter Goldman, MD

Los Angeles Dermatologic Surgeon

Juvederm for Sunken Cheeks

Hi, I think we are really lucky since currently there are a lot of different options for facial volume restoration which is one of the hottest fields in cosmetic surgery. Juvederm is a nice option for volume restoration since it is soft and feels very natural. The downside is that you need to use a lot of it if your cheeks are really sunken. A better option may be to use a layering approach such as Radiesse, a longer lasting bulk filler deeper or Sculptra and to... more

Grace Liu, MD

Newport Beach Dermatologic Surgeon

Radiesse great for cheek volume

I prefer Radiesse because it involves deep placement that pumps up the cheeks without causing bumps. I prefer this to Juvederm, which I use for lips and more superficial wrinkles. I add a little anesthetic to the Radiesse prior to injection to deliver pain relief right where it is needed. Patients love it.

Daniel J. Ladd Jr., DO

Austin Dermatologist

Juvederm and Cheeks

Juvederm can be used in cheeks as well as a host of other applications. Beware that Juvederm comes in a smaller syringe than Radiesse so that more Juvederm will be needed in a per syringe basis. Overall, Juvederm is an excellent filler for use in the cheek area.

Anil R. Shah, MD

Chicago Facial Plastic Surgeon

Juvederm is one of many tools to fill cheaks

Juvederm, along with Restylane, is the best way to fill creases on the face. It also works well to round out your cheeks but in conjunction with other fillers. I think a combination of Radiesse in the deeper tissues with Juvederm more superficial works best. You may also consider using sub-malar implants as a more cost effective and permanent way to fill your aging cheeks.

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Louis W. Apostolakis, MD

Austin Facial Plastic Surgeon

Juvederm and Radiesse and Plump Cheeks

Juvederm Plus and Radiesse both are excellent fillers for plumping flattened cheeks. I personally prefer Radiesse however as it lasts longer and comes in larger syringes which allows me to create the appearance of a mid face lift when using larger amounts. Both fillers give immediate results and it is really quite amazing how it can transform a face, taking years off of it. Like lips, cheek augmentation with fillers is a real art so make sure you go to someone who... more

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Lorrie Klein, MD

Laguna Niguel Dermatologic Surgeon

Cheek volume loss. What filler?

All fillers can be used to add volume to the cheek. The HA fillers are wonderful to give volume. You will see the results immediately. The issue with Perlane, Restylane, and Juvederm is these fillers last 6-9 months, and you will likely require multiple syringes, making maintenance of this more costly. For large volume needs (in general hollow cheeks would fall into this) I would recommend sculptra. It is better for large volumes and lasts for 2 years... more

Lauren Greenberg, MD

Palo Alto Plastic Surgeon

ASPS

Juvederm vs. Radiesse for filling loss of volume in cheeks

Juvederm can be used to fill in the loss of volume or hollowness of the cheeks, but my experience that Radiesse results in better results that are more consistent and last longer. In addition, a cheek implant or fat injection (minimally invasive) can result in permanent long term improvement in the loss of projection and volume of the cheeks.

Ankit Desai, MD

Jacksonville Plastic Surgeon

ASPS

Restoring volume to the aging face

All good feedback from panel members. In our practice, using Perlane or Juvaderm Ultra Plus are good products for volumizing the hollows of the cheeks to create a smoother topography. Choosing the correct filler is necessary so be certain your injector explains the differences. See the below link for detailed information on shaping the face with fillers with before and after photos of cheek augmentation.

Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

Juvederm Ultra Plus great for sunken cheeks.

Hi. This is our favorite use for Juvederm. With good technique, it fills out hollow cheeks smoothly and without lumps. We have seen results last 9 months.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Juvederm is very soft and natural and has wonderful duration in cheeks

Juvederm is one of my favorite fillers for enhancing those sunken cheeks that give you a gaunt, tired appearance. The results feel natural and, more importantly, look natural. The result typically lasts over 9 months as the result gradually goes away. For best results, add a little more at 7-9 months to keep from returning to baseline. Learn more at www.drmarylupo.com.

Mary Lupo, MD

New Orleans Dermatologist

I prefer Radiesse or Perlane for cheek augmentation

I agree with all the other responses. I would just add that my choice is Radiesse or Perlane in this area, but Juvederm is fine as well. There are 2 camps with Sculptra: Docs who use it and ones who don't. I'm in the camp of not using Sculptra, but that doesn't mean it shouldn't be used. Steve Weiner, MD Facial Plastic Surgeon Destin, Florida