Cheek fillers are an injectable treatment that uses FDA-approved dermal fillers to sculpt and define to the upper arch of the cheekbone, or to add subtle volume to the midface.
Unlike cheek implants, a plastic surgery procedure that offers permanent results, cheek fillers are a temporary, minimally invasive option for cheek augmentation and contouring.
The most commonly used facial fillers are hyaluronic acid-based. This substance is naturally found in our bodies, and itâs a powerful humectant: a single hyaluronic acid (HA) molecule can attract and hold up to 1,000 times its weight in water.
JuvĂ©derm and Restylane are the most popular hyaluronic acid fillers, though a growing number of providers offer Revanceâs RHA Collection. Each brand has a range of formulas that vary in viscosity, with the thickest and densestâRestylane Lyft, RHA 4, and JuvĂ©derm Volumaâtypically used to define the cheekbones, chin, or jawline.
Other types of dermal fillers used in the midface include:Â
If youâre concerned about a synthetic substance in your face, you do have other options. âNatural fillers have become increasingly popular,â according to Dr. Mark Berkowitz, a board-certified oculoplastic surgeon in Sterling Heights, Michigan. âYour own blood can be used to form a filler with EZ gel and Cellenis Derma PRP,â notes Dr. Berkowitz. âBody fat transfers can also be utilized to enhance the cheeks.â Fat transfer involves harvesting excess fat from other body areas via liposuction, refining it, and injecting it into the face. This procedure is more expensive than temporary dermal fillers, but the results are much more long-lasting. Just be aware that fat adds volume, but it lacks the density to create the kind of cheekbone definition that fillers like JuvĂ©derm Voluma or Restylane Lyft can achieve.
RealSelf Tip: It takes an artistic eye to create natural-looking, aesthetically pleasing cheek filler results. Some injectors take a one-size-fits-all approach, while the most talented ones customize their approach for each patientâs anatomy and aesthetic goals. Those who get a more bespoke cheek filler treatment tend to be happier with their results, so never discount the importance of carefully selecting your providerânot just booking with the one who offers the lowest price. âSometimes picking the lowest price costs you more in the long run,â Dr. Berkowitz cautions.
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Related: Cheek Implants Are Trending. Hereâs When to Get Them Instead of Filler.
Your cheek filler cost will depend on the credentials of your injector, their practice location, the type of filler they use, and how many syringes they use to achieve your desired result.
Asking for a total cost estimate during your consultation can help you avoid a surprise when you get your bill.
Most providers offer payment plans or accept third-party financing options, such as CareCredit.
The cheek filler photos in our gallery have been shared by the provider who performed the procedure, with the patient's consent.
Cheek fillers can do several things. Depending on the patientâs aesthetic goals, they can:
Fillers also stimulate natural collagen production. Once injected, they can rev up your fibroblasts, your bodyâs collagen-making cells, meaning that less filler may be needed to achieve similar results in the future.Â
While no nonsurgical treatment can deliver the same transformation as a facelift, many providers say cheek fillers can provide a subtle lift. Dr. Berkowitz says that this lifting effect can improve jowling for many patients.Â
Related: Can Cheek Fillers Really Lift the Face? Experts Weigh In on What to Expect
Hereâs what to expect during your cheek filler appointment:
RealSelf Tip: For more complete facial rejuvenation, your provider may recommend complementary treatments, like Botox, a PDO thread lift, or chin filler. You may even find that they offer a small discount on any additional treatments performed at the same time.
Getting cheek fillers can be uncomfortable, but it isnât painful for most people, especially compared to injections in more sensitive areas like the lips.
Many providers apply a topical numbing cream to the injection sites about 30 minutes prior to treatment, which can dramatically reduce the sensation of the injection. âPro-Nox (nitrous oxide) is utilized in many offices to take the edge off,â notes Dr. Berkowitz.Â
Most filler formulasâincluding the entire line of JuvĂ©derm, Restylane, and RHA Collection fillersâalso contain the pain-relieving local anesthetic lidocaine. That built-in anesthetic, paired with the numbing cream, means youâll likely just feel the pressure of the filler as itâs injected under your skin.Â
Afterwards, you may be given a small, light ice pack to help reduce discomfort and minimize swelling.
Most people need little to no recovery time after this treatment, but you may choose to take some social downtime. Some people schedule their appointment on a Friday afternoon, in case they experience bruising or noticeable swelling before having to head back to work the following week.
If youâre alarmed by your appearance immediately after your cheek filler treatment, be patient: the worst of the swelling should resolve within 48 hours, as the cheek filler begins to settle into your natural tissue. Any remaining swelling should resolve within two weeks.
To help reduce your likelihood of bruising and swelling:
Related: Why You Get Swelling After Lip & Cheek Fillersâand How to Reduce It
It takes up to two weeks for cheek fillers to fully settle and swelling to resolve, so you can see your cheeksâ new contour and volume.
So while you'll see an enhancement in your cheek area immediately post-treatment, donât worry if your initial results arenât what you expected: they should improve in the coming days and weeks.
How long your cheek fillers last will depend on which formula is used and how your body metabolizes it.
Cheek fillers are widely considered to be safe in experienced hands, but they're not risk-free.
The safety of dermal fillers during pregnancy or while breastfeeding has not been studied.
Talk with your provider if you have any concerns about the safety of this treatment.
Updated October 9, 2023