Optima Dermatology - Macedonia

Hyaluronic acid fillers such as Juvederm Voluma, Restylane Lyft or Restylane Contour are great options to improve and restore the volume in the cheek area. As we age, we lose volume in our face, our cheek pads flatten and thus, creates heaviness above the nasolabial fold. Restoring volume in the cheek area can create contour and structure and provide a more youthful appearance by restoring the volume that was once there.

If the “dent” you speak of is a crease, line, or wrinkle, I first recommend a neuromodulator, such as Botox or Dysport. We first must treat the cause of the lines which is from repetitive muscle movement of the forehead muscles. The neuromodulator will decrease the muscle movement that contributes to the lines. If the lines are apparent at rest, then it may take some time and multiple treatments of the neuromodulator to soften the lines over time. To speed up the appearance of the lines and wrinkles, collagen stimulating treatments can be done to soften the lines and make them less apparent. I often recommend microneedling to my patients which can be done with or without PRP. Microneedling helps to stimulate collagen and improve the appearance of lines and wrinkles and improve skin’s texture. Chemical peels can also be done to stimulate collagen, increase cellular turnover, thicken the dermis and epidermis, and make the lines less noticeable.

Microneedling, also known as collagen induction therapy, is a wonderful treatment option for treating acne scars. The SkinPen is FDA cleared for the improvement of acne scars by stimulating collagen and elastin. For best results, a series of treatments spaced one month apart is recommended. Microneedling causes tiny micro-injuries in the skin that creates wound healing and the release of growth factors without the use of heat. Platelet-rich plasma (PRP) can also be incorporated into the treatment for added collagen stimulation.

Hyaluronic acid (HA) filler is a treatment option for tear troughs or under eye hollows. The HA filler can add volume and make the hollowness less apparent.