Cheek Augmentation: Q&A
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Sunken Cheeks: Long-lasting Dermal Fillers Available?
Having used both restylane and perlane, with passable results, I am now searching for something longer lasting. A filler that lasts longer than 6 months ? I lack ''fullness'' in the face, especially around the nasal folds, I would describe it as ''sunken'. Should I consider a sculptured effect and have the Dr. '' fill out'' the sunken look, by filling out the cheek area to ''lift'' the folds ? Sadly, fat implants are not an option here. It's so confusing, and even though you do the research, you are still left wondering which product ! I have also had 2 sessions with fraxel laser, which, truthfully did not do what I expected. I am slim petite frame and face, and coming up to the big 50 I just feel I look gaunt. Hope this gives you clear picture. Its not easy to describe oneself, and of course I have to temper my expectations ! Miracle cure, I live in hope. Thank you for your time.
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14 Doctor Answers |
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Hong Kong
in Hong Kong
+3
Fat Grafting Can be Ideal for Sunken 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...
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+3
There are filler options that last longer
Mid-cheek atrophy can make you look gaunt and tired. Patients often feel that their face looks sunken and that the cheeks appears to sag.
I have found very good longevity with Juvederm Ultra Plus to correct this problem. It must be injected under the muscle and angled so the cheek is raised immediately upon injection. Patients typically have results that last 9-12 months.
I also have used Radiesse and found similar longevity and, in fact, it can last more than a year in some patients...
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+2
Sculptra for Sunken Cheeks
You sound like a perfect Sculptra candidate.
Fillers do go away in months and if you need considerable "plumping" the cost of repeating temporary fillers can get very high.
Sculptra was originally approved in the US for treating lipo atrophy in patients with HIV over 5 years ago. Lipo atrophy (or fat wasting) is not a problem only for those with immune deficiency, but also for some with high metabolism, from weight loss, or just genetics predisposition.
Sculptra is injected in...
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+2
Consider fillers a "trial" - you may want malar implants
If you were happy with the results of injectables and used them to achieve full cheeks, it might be wise to consider malar implants. Cheek implants augment the bone structure of your midface and both add volume and strength to your malar region. For patients who are unsure about malar implants, I offer temporary fillers, but once you have had a filler and liked the result, it is much more cost effective to switch to implants.
Dr.B
+2
Alternate Options - Cheek Implant ot Fat Injections
Hello in Hong Kong,
Execellent answers to your questions from Dr. Lupo.
As a Surgeon I did want discuss two other options that you may find helpful.
You mentioned that fat implants are "not an option here". Is that for medical reasons or lack of experienced provider? For discussions sake, fat injections are a safe and effective way to restore volume to the face. Like some of the fillers multiple injections may be required to get the desired effect but the end results are...
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+1
Long lasting facial filler
Yes you do have options other than Restylane/Perlane fat injections.
Sculptra an injectable similar to absorbable suture material is an excellent option for augmentation of the cheeks, infra orbital hollows, temples and marionette lines. Besides lasting two years two to three treatments will improve the look and feel of the overlying skin.
Artefil another good injectable also relies on your collagen stimulation to augment these areas safely and for many years. Cheers
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+1
Crosslinked Hyaluronis acid and fat grafting are the best fillers available.
Any crosslinked hyaluronic acid product if applied in larger quantity throughout the face to balance features should last over a year. I tell me patients with confidence that a year from the day of injection they will still look better than the day of injection. Of course the best filler available if handled appropriately is your own fat and should yield results that are just as permanent as anything can be on a living creature
All the best,
Rian A....
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+1
Try plasma
Fat is normally the absolutely best solution.
Fraxel laser is a good solution........but for a completely different problem.
In patients with absolutely no fat to spare (which, I have to admit, is very rare) we have made good experience with cohesive plasma grafting, which is an advanced form of platelet rich plasma treatment.
The purified plasma is brought into a cohesive consistence and injected in the multilple plane technique. For patients with no fat a good option., if you...
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Long-lasting Filler for Cheek Augmentation
We use liquid injectable silicone, a permanent filler, for most of our filler work in our practice. It is safe, effective and permanent. It is an off-label use as Silikon 1000 is approved on-label for retinal-related conditions. When injected by an experienced injector with the microdroplet, serial puncture technique in a conservative fashion, silicone is an ideal filler and yields very natural-appearing results. I recommend you consult with a board-certified dermatologist or...
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Fillers for sunken cheeks
Fillers are wonderful choices for contouring the sunken cheeks. The major longer acting fillers on the market are Radiesse and Scultpra. Semipermanent and permanent filers would be Artefill and silicone, although permanent fillers if you have an untoward reaction could cause permanent disfigurement. Surgical solutions would include fat transfer, cheek implants and Alloderm placement.
+1
Cheek Augmentation, Cheek Enhancement, Cheek Fillers, Sunken Cheeks
I think sculptra works best to fill in sunken or depressed areas of the face. This could be combined with shaping fillers like Radiesse or Perlane if a contoured Cheek is also required. Radiesse lasts about 1 year. Cheek Implants would be a permanent solution if you are a candidate.
+1
Radiesse and Artefill are long lasting fillers
Radiesse is a great long lasting filler, especially for the cheek and chin. It provides structure and support and can lift sunken cheeks. it lasts for about 12 -14 months, although we suggest patients come in at 6 months and overlap their treatments, since about half of the fillers will be gone by this time.
Artefill is even longer lasting, great than five years. Because the Artefill is mixed with collagen, it may take 2 or 3 injections to get the final permanent...
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Fat injections or silicone implants can give you the volume you desire in the cheek
Sunken cheeks is a natural aging process. When you age you lose fat in your cheeks and this can lead to your tissues descending, wrinkles developing, folds developing, lower eyelid fat protruding, eyelid bags, etc. Dermal fillers like restylane, juvederm, radiesse, perlane, are temporary and last from 6 months to a year or more. Of these fillers radiesse is a bone product made up of calcium hydroxyapatite while the others are made up of hyuloronic acid. There are more permanent...
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Combining fillers with surgery for sunken cheeks
There are many options to improve your problem. First, I will say that no one thing is perfect; and second, I would not overdo the fillers or the surgery. However, combining a little surgery with some filler whether it is autologous like fat grafting or absorbable like Sculptra, Radiesse, or any of the hyaluronics will probably go along way for you. A facelift or variation may lift soft tissue and redistribute it so that your sunken cheeks do not look so depressed, and this can be...
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