Cheek Augmentation Q&A

55%

WORTH IT RATING

20 Reviews

Ask a Question

View Before and Afters

Average Cheek Augmentation Cost: $3,608

Learn about Cheek Augmentation

312 people and 285 doctors are talking about Cheek Augmentation

Get Free Email Updates

What is Recommended to Get Rid of Cheek Dents?

asked 3 years ago by katie kay in Seattle
Latest answer by Francis R. Palmer, III, MD
Question viewed 11,583 times
Tags: female, dents

I have dents in my cheeks. I am in my late 30s and it seems pretty early to have blepharoplasty or a cheek lift. However, I want to minimize or ideally get rid of them because they look awful and make me feel bad. A facial plastic surgeon friend told me that he didn't recommend fillers since the cheek pads are hard to augment.

17 answers to What is Recommended to Get Rid of Cheek Dents?

Cheek dents

Midway in the cheek, there is a set of ligaments effectively forming a barrier to downward flow of fluid. It is the reason patients form black eyes if their eye is injured, and the reason the bruising often stops exactly at a semicircular line on the cheek. This anatomic boundary is difficult to defeat. For younger patients such as yourself, hyaluronic acid fillers (Juvederm, Restylane) work very well. For patients with a more pronounced problem, we can perform a superficial cheeklift... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

www.drbrent.com

What's recommenede for cheek dents?

From your photos, the cheek dents would not be reduced, or effected by eyelid surgery. A cheek lift would lift all the cheek area and most likely raise the entire cheek fat pad, including the dents, upward. Your best bet, IMHO, is to place a filler like Perlane in the dent to smoothen it out. Sculptra could also be usde for a result that could last for about 2 years. If the cheeks were flat, which they do not appear to be, a cheek implant would permanently... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Several options to correct cheek dents

There are several good options to correct depressions in your cheek. To get a great result, your surgeon should first evaluate what the causes of the dents are. If these are normal dimples, they may be filled with a dermal fillers such as Restylane or Juvederm. If these dents are from scarring or disease such as chickenpox or acne, you may be best served either with a dermal filler or by releasing the deeper fibers that are pulling the skin down.

B. Pat Pazmino, MD
Miami Plastic Surgeon

Cheek Dents? Solution

First, I highly commend you on the photographs. It is difficult to document these in traditional photographic lighting. I concur with the other comments here. Use of fillers, and I would recommend hyaluronic products (perlane, restylane, juvederm, etc) as my first choice. However, I have used Radiesse for this purpose with excellent results as well. The one advantage to the hyaluronic products is that if you do not like the results, they can be "reversed" with the off-label use of... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

All you need are fillers

You don't need a lower blepharoplasty. You have some specific volume deficits that are a family trait showing up early in you. Well done Restylane by an experienced plastic surgeon will help you avoid surgery for years and will give you a rejuvenated look that eyelid surgery in your case isn't as capable of doing.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

You will need lower blephoplasty and cheek lift

Looks like you have fat pockets under your eyes and you have two options 1)filler to camafloge the dent 2) lower blepoplasty ( you will need check lift with this and if you get only fat pocket removal you will have the same issue down the road) The cheek lift with lower eyelift is some thing that not all plastic surgeons offer.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Fillers will work but must be injected deep

I would highly recommend fillers for this specific problem. The cause of these dents is a mild descent of midface tissues around the deep bands attaching the dermis to the bone (Osteocutaneous ligaments). The droopy tissues pull on these deep bands causing these dents. Since it is mild I would not recommend a full cheek lift but filling. The choice of filler and technique is a very important issue. This is not similar to injection of nasolabial fold or tear trough. Injection must be done... more

Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon

www.drseify.com

Radiesse is an Excellent Treatment for Cheek Dents

The unique viscosity and elasticity of Radiesse allow it to be molded to minimize irregularities in contour. Radiesse will stimulate collagen production which then will have a nice, long lasting lifting effect for these dents. Radiesse is comprised of calcium-based microspheres suspended in a water-based gel. The gel carrier causes immediate correction and is gradually absorbed. The calcium particles act as a scaffold for new collagen formation around the microspheres. This fixes the... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Fillers for cheek dents

Fillers such as Restylane or Perlane help with filling in the dents of the cheeks. The filler works well in adding volume to the deficits of the cheeks. Make sure you go to an experienced injector that is familiar with this area that you are concerned with.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon

Juvederm or Restylane good for cheek dents.

Hi. From your picture, I would say the little dents in your cheeks can be easily corrected by injecting a little Restylane or Juvederm just under the skin. The result should last at least nine months.

George J. Beraka, MD
Manhattan Plastic Surgeon

Radiesse or Sculptra better option for cheek depressions or 'dents'

The conservative approach for cheek depressions or 'dents' is dermal fillers. Radiesse (made of fine calcium granules) is the best short-term solution. Sculptra may be the best long-term solution as it may last 2 to 2 and 1/2 years though it may require 2-3 injections.

William Ting, MD
Bay Area Dermatologic Surgeon

Dermal Fillers for Cheek Dents

We're wondering if your plastic surgeon friend suggested surgery because he/she is not experienced with dermal fillers in the cheek. The problem area you show in the photograph is easily corrected using the volume created by products such as Restylane, Perlane and Juvederm. Regardless of the type of product used, technique is far more important to achieving the desired result. There are many filler products that will provide an excellent solution for you if you are not ready for surgery... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

Cheek dent correction

Fillers may be a good option for you in order to correct the dents you are noticing. A long-lasting filler such as Radiesse or Artefill can result in long-term to permanent correction to these dents. Another possible long-term option may be fat injections, as well as cheek implants if the dents are pronounced. If the dents are mostly superficial though you may be better off sticking with the fillers mentioned above. I recommend that you search for a Board Certified Plastic Surgeon in your... more

Scott W. Mosser, MD
San Francisco Plastic Surgeon

Fillers, the YoungLift, Fat Injections, Cheek Implants are options

Fillers, the YoungLift, Fat Injections, Cheek Implants are options for those areas. Having experience in augmenting areas such as this is important. Fillers are temporary (Restylane, Juvederm, Perlane, cosmoderm) but can be a way to fill in those dents and a good way to assess whether volume can help. Fat injections are a long term possibility to augment that area. If the fat survives after 6 months it is likely to last for years. I refined an amazing volumizing procedure called... more

Philip Young, MD
Bellevue Facial Plastic Surgeon

Restylane for cheek dents

Hi Katie, I have had a number of patients with a similar problem. Usually it gets much improved with a hyaluronic acid filler, such as Restylane and Perlane. It has to be put at different depth levels, and works really well. If it is too superficial, it looks a little off, and if it is too deep, it might not take care of the problem. Cheek pads are actually pretty easy to augment, and it is one of the most rewarding procedures for my patients. It makes them look great, and frequently... more

Stella Desyatnikova, MD
Seattle Facial Plastic Surgeon

Depends on the filler

I have had good success augmenting areas such as those on your face with certain fillers, but agree that others are not as good in this area. I would first find a plastic surgeon or dermatologist you are comfortable with and who has had success in this area, then review which filler might achieve your goals here. I would not think that surgery is your only option with the many options available now.

Armando Soto, MD
Orlando Plastic Surgeon

Cheek pad depression

The depressions in your cheek can be filled with injectables like Juvederm or Radiesse. I would seek out a plastic surgeon or dermatologist to offer you some guidance.