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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 (35)

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 13 reviews

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

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 32 reviews

Turning back the clock

+2

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 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

+1
There is a new Juvederm product called volume which is specifically designed to fill large hollows scubas the ones you are describing.

Gary Lawton, MD, FACS
San Antonio Plastic Surgeon
5.0 out of 5 stars 23 reviews

Juvederm Voluma to add cheek volume

+1
The cheeks are often one of the first areas to show aging as the soft tissue atrophies and we develop hollow deformities along with a narrowing of the midface. There are several options for improving this issue including a recently approved material called Juvederm Voluma. When injected by a trained experienced physician to correct cheek soft tissue atrophy long lasting results, 1-2 years, can be achieved. Your face will have a more youthful appearance by enhancing the lateral cheek regions to provide a wider midface and less skin laxity. Ask your plastic surgeon if they have been trained with this material or if they know someone who has expertise.

Andrew Goldberg, MD
Fairfax Plastic Surgeon
4.5 out of 5 stars 5 reviews

Lift up those cheeks!

+1
I would recommend Juvederm Voluma to add volume to sunken cheeks, as opposed to another hyaluronic acid filler. Voluma's chemical makeup makes it the best HA filler to really lift your cheeks. You will see it immediately and likely say "wow" when you look in the mirror. Another option would be Sculptra which would take longer to see similar results.

With aging, volume is lost in the mid face which make the cheeks appear flat and produces nasolabial folds. This can make you appear tired and older than you feel. Voluma injected into the appropriate areas of the cheeks will immediately take years off and make you look refreshed. It's almost painless, takes 10-30 minutes and has minimal downtime (few pinpoint bruises if any). It typically improves the nasolabial folds and tear troughs at the same time.

Carin Litani, MD
Wellesley Dermatologic Surgeon

Juvederm Voluma to add Volume to Sunken Cheeks

+1
One of my favorite places to inject is into sunken cheeks.  The volume lift created looks amazing and immediately rejuvenates the face.  I prefer either Voluma or Sculptra to this area.  If you need an immediate lift then Voluma would be my first choice.  If you want a gradual increase for sunken cheeks that will last two years but requires a series of injections then Sculptra would be the best option.  For the best cosmetic results please consult a board certified dermatologist with a great deal of experience with facial fillers.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 34 reviews

Juvederm To Add Volume to Sunken Cheeks

+1
Juvederm Voluma is an excellent option to add volume to the cheeks and provide a nonsurgical mid face lift.


Juvederm Voluma is a FDA-approved injectable gel to instantly add volume to your cheek area to correct age-related volume loss in adults over the age of 21. It can provide you contour and a subtle lift for up to two years with optimal treatment.


Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.