Volume Loss Under Eyes and Cheeks. Have Tried Fat Transfer, Restylane, Radiesse With No Results. Other Options? (photo)

I have a dent in the middle of my cheeks and volume loss under my eyes. I am a white 30 year old male 5'5 and 135 lb. I have tried fat transfer four times with very minimal results. I am a little discouraged and I am not sure if I should try fat transfer again or proceed with other options. I have also tried Restylane and Radiesse but I do not see volume being added. Any suggestions or other options available?

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11 Doctor Answers | Asked by Nicholas1981

Doctor Answers (11)
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Other options for adding volume to mid face

After having had as many procedures as you have to restore additional volume to the mid face region, you must be discouraged. I would suggest trying Sculptra which stimulates your body to produce collagen thereby adding volume to mid face. If you decide to go this route, see a physician who has used Sculptra for a few years. The favorable results can last for two or more years. There is little to no down time with this procedure. Good luck.

Photos that include you eyes in the picture would be helpful

First point to make: Despite another recommendation made on this forum, you ABSOLUTELY SHOULD NOT HAVE LOWER EYELID BLEPHAROPLASTY. You have prominent eyes, and a slightly weak orbital rim/midface, which will put you at significant risk of lower eyelid retraction. I agree that your degree of volume deficiency is not severe. If fat grafting and fillers have not worked for you, then augmenting the underlying bone [rim/cheek implant] would give you a good result. You should be... more

A.J. Amadi, MD

14 reviews

Seattle Oculoplastic Surgeon

seattleface.com

Augmentation Of Volume Loss Of Cheeks And Eyes

After having tried every injectable filler approach, it may be time to consider another alternative. While there is nothing wrong with another attempt at fat grafting, why would further efforts work when other attempts have not? The other option is actual bone augmentation using implants. These may have to be custom made to fit your unique volume loss needs.

Volume Loss Under Eyes and Cheeks. Have Tried Fat Transfer, Restylane, Radiesse With No Results.

After reviewing the limited posted photos I would fly to see Dr Syd Coleman in NYC. The father of modern fat grafting. He can evaluate your issues and determine if additional "correct" fat grafting technique could help. Regards.

Volume loss/ Hollowness of Under-Eye and Cheeks

If fat grafting, Radiesse and Restylane did not deliver results, I understand your frustration. Personally, I would have recommend fat transfer or Restylane. I do not think that blepharoplasty or facial implants play a great role for your very particular situation. Be careful with pursuing other and more aggressive surgical options. At the end, minimal or no improvement are still preferable to post-surgical complications.

Midfacial Volume Loss

Fat transfer is very technique and operator dependent. In the facial aesthetic community, there are "fat lovers" and those who have not bought in. I am in the latter category. Fat has inherent flaws as a procedure in the requirement for a donor site, lack of predictability in viability of fat cells, calcifications, maintenance of the "fat gaining" properties of the donor area, etc. For these reasons, I feel Sculptra is a more logical and predictable way... more

When Fillers and Fat Transfer don't work consider an implant.

Fillers such as Radiesse, Restylane, Jeuvederm, Perlane, Sculptra usually require a few or more staged injections for more permanent results - but you are right none are permanent. Not sure why you did not do better with the fat transfer procedures. Although there is variable take some always survives in my experience with long lasting to permanent improvement. The procedure however is technique specific, so maybe that is an answer. For a more permanent solution, consider a cheek or... more

Vampire Facelift® for Volume Loss Under Eyes & Cheeks

Being that you haven't had any success with Restylane or Radiesse, I might recommend a non-surgical procedure I perform for my patients at my Manhattan and Garden City, New York offices called the Vampire Facelift®. The Vampire Facelift® is a unique approach to helping you look younger using the natural growth factors in your own blood with a filler such as Restylane or Juvederm performed in a special way. After drawing your own blood, it is processed so the platelets... more

Hollowness

Without a proper evaluation, it is difficult to say what would best suit you. Fillers or fat may be helpful in certain situations. Good luck.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Restoration of cheek volume

I do not see you as a surgical candidate. While the anatomy of your face isn't your ideal, I do not see a deformity from the posted photos and am unsure that what you are seeking is necessary or appropriate. Someone will always take your money but I would encourage you to seek satisfaction in your life outside of additional procedures at this time.

Stop!!! You have too much volume in the wrong place! Find the right plastic surgeon, not the right filler!

Stop! The problem is placement! You have too much filler too low in the face! See a Plastic and Reconstructive surgeon that can treat your issues with either a hyaluronic acid filler or your own fat. You would also probably benefit from a lower lid blepharoplasty with canthal support. Avoid any permanent or semipermanent fillers! Remember the surgeon you choose is much more important than the product! All the best, Rian... more