I am starting o have a problem with hollowness underneath my cheeks and would like to fill them out again. I have used Radiesse and it is great..problem is..it only lasts 4 months on me and it is very expensive to maintain. I suppose I am unfortunate as fillers disolve quickly on me.Is there something better? Or is a lower check implant the best solution for me? HELP!!!
Best Solution for Hollowness Underneath Cheek / Submalar Area - Filler, Fat Transfer?
Doctor Answers (5)
Silikon-1000 may be used by experienced physicians for natural-looking permanent facial volume replacement. Video attached.
In my practice, hollowness in your cheeks or sub-malar area may be treated with Silikon-1000, an off-label filler, for permanent results. In general, several treatments are necessary to obtain complete correction, and you will see a gradual, permanent improvement after each treatment. Procedures are performed with topical anesthetic, and there is typically no downtime.
I hope this is helpful for you.
Regards from NJ:
Web reference: http://ericmjoseph.com/index.cfm/PageID/4247
Submalar filling can be achieved in many ways
In general, if the volume loss is truly submalar, submalar implants are a permanent, yet reversible option, and are my preference in patients willing to accept the cost, risk, and recovery of surgery.
In many patients, we will use filler instead, as cost, risk, and recovery are less. I generally avoid Radiesse, as 30% or so of the product is a carrier gel that is absorbed over the first few months. I find many patients feel that their immediate result "doesn't last" when that initial carrier gel resorption occurs. I much prefer Juvederm Ultra plus, as this emotional "let down" does not occur.
I generally reserve fat transfer for patients in whom I'm already doing other surgery, as it is neither as fast and recovery-free as fillers, nor as predictable and permanent as implants.
More details would be helpful but if your cheeks have sunken a non-invasive treatment is obviously fillers, but I prefer the hyaluronic acids like Perlane. If your cheeks have "dropped" you may be a better candidate for a facelift. Like I said more details and an exam are importantt.
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In such cases my first choice is free fat transer, second is sculptra, third is other dermal fillers and fourth is a submalar implant. This is based on cost, ease of the procedure, risk of complications, reliability of the result, longevity of the procedure etc. Without photos or a face to face examination one cannot say what would be best in your situation.
Cheek implants for long term results
A malar or submalar implant, properly chosen and placed, should give results lasting a lifetime. Some surgeons have lasting tresults with fat transfer.
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.
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