Do Fat Cheeks Causing Depressions Need Surgery?

I am a 21-year-old male. I would like to know whether my case would require surgery or just weight loss. I am not huge, but I do have a couple of extra pounds. I have noticed that the fat in my cheeks is hanging, and almost looks like it's separate from my cheek bone and it creates a slight depression on both of my cheeks. I have made this image to show where the depressions are (picture is not me, just an example). If I lost weight would this go, or would it require surgery? Thank you.

Doctor Answers 1

MAnagement of cheek depressions, malar festoons, fallen cheeks

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Without a picture and physical examination it is difficult to guess what the solution or natural history of your condition will portend with weight loss.

As a rough estimate, you may require a midface lift to restore fullness of the cheeks and resuspend the malar or cheek fat pad overlying the malar prominence.

Alternatively, you could undergo a camouflage procedure with fillers, fat injection or cheek implants. Occasionally arcus marginalis release with re-distribution of fat along the infraorbital rim may provide you with an improvement as well.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.