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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 38

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.


Dallas Facial Plastic Surgeon
4.0 out of 5 stars 13 reviews

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
5.0 out of 5 stars 35 reviews

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

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 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 Dermatologic Surgeon
5.0 out of 5 stars 33 reviews

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 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

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 21 reviews

Fillers might be your answer, but just in case... consult a surgeon!

It’s not unusual for patients to lose facial volume in the area of their cheeks with facial aging. A variety of strategies have been utilized to address this problem; including cheekbone implants, facelifts and dermal fillers.
The approach utilized for this problem is dependent upon the anatomic findings and aesthetic goals of the patient. When dermal fillers are utilized, a wide variety of options exist.
Although Juvederm can be utilized to augment the cheeks, there are probably better options. Juvederm can create attractive shapely cheeks, but this approach isn’t cost effective because Juvederm has a relatively short duration.
For this reason, both Radiesse and Voluma represent better options. Radiesse is a synthetic filler with hydroxyapatite particles. Voluma is a long acting hyaluronic acid filler which is relatively new. These agents may last up to 18 months and are associated with high satisfaction rates.
If you’re considering cheek augmentation it’s important that you consult a board certified plastic surgeon. This surgeon should be able to perform a comprehensive evaluation and choose the option that’s best for you.

Juvederm Voluma

Absolutely-


Juvederm as well as other injectable fillers can provide volume to the face correcting the signs of aging.
Jucederm Voluma is specifically formulated to address this issue and lasts up two years.

Mark Hamilton, MD
Indianapolis Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

Juvederm or Juvederm Voluma is great for flat or hollow cheeks.

Aldebarana, great question. Yes, Juvederm and Voluma can be used on the sides of the face for flattening due to aging. One of the most common but overlooked signs of aging is actually a flattening of the cheek volume that causes a hollow look under the eyes as well as an increase in the fold and shadow of the nasolabial (melolabial) fold. If these fillers are placed well, it can brighten and lift the entire face.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
5.0 out of 5 stars 42 reviews

Voluma

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

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.