Will Adding Juvederm to my Cheek Hollows Also Help Lift Some Sagging Around my Mouth ?

There is also some sagging around my jawline that is starting to appear. I am 51 years old and have great skin and look young for my age, although the hollowness in my cheek area (i also have very high cheekbones and am fit, some say too thin)bothers me, as does the small sagging that is starting to show on the sides of my mouth. Thank you!

Doctor Answers 21

Fillers and cheek hollows

Cheek hollowing and descent can often be treated with facial filler to give a nice result.  It also may imrpove the small amount of sagging.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Nonsurgical face lift

Juvederm Voluma is an excellent option to restore volume in the cheeks and provide a non surgical mid face lift. Voluma can be combined with Juvederm (which works well around the mouth) to provide a nonsurgical facelift.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.4 out of 5 stars 41 reviews

Juvaderm is not the best filler to support and volumize cheeks

Juvaderm is not the best filler to support and volumize cheeks. This is because Juvaderm is a relatively thin product meant for injection into the dermis of the skin. Other more viscous agents like Radiesse or sollagen stimulators like Sculptra seem to work better.

Edward Lack, MD
Chicago Dermatologist
2.8 out of 5 stars 5 reviews

Juvederm for cheek hollows

In my experience this combination gives good improvement with the non-surgical approach you mentioned. My favorite filler is currently Juvederm which is minimally uncomfortable and can be utilized to give very nice correction to all of the areas you mentioned. That and a good skin care regimen will go a long way toward keeping you looking young.

Deason Dunagan, MD
Huntsville Plastic Surgeon
4.9 out of 5 stars 12 reviews

Juvederm to make you smile again

Though, as you can imagine, it's difficult to know if Juvederm is the perfect solution for you, it is a great option for volumizing the cheeks and smoothing some of the contours in the marionette lines and along the jawline.  Adding Juvederm around the corners of the mouth can add support the that area and keep the lips from turning down and looking like a frown.  Often we add a little Botox to the depressor muscles on the sides of the chin (DAO) to keep them from dragging the corners of the mouth down as well.  The two in combination are great!

Dr. Grant Stevens


Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 145 reviews

Dermal Filler to Re-Volumize & When Surgery May be an Option

As we age, we gradually lose volume from the face as a result of depleting soft tissue, muscle, and bone, which act as support structures under the skin. As this occurs, our skin starts to degenerate, deflate, and descend. Cheeks appear flatter and sunken in (creating a hollowed appearance), undereye troughs deepen, the temples appear sunken in, lines form around the mouth, and jowls become more prominent. In order to re-inflate the envelope (picture re-inflating a beach ball), dermal fillers are injected into these areas of depleted volume, creating a lifted, smoother appearance.

At age 51, surgery may also be an option for you. Depending on your level of skin laxity and your desired level of correction, a facelift may offer a more definitive result. However, although a facelift produces a firmer, less wrinkled, more youthful appearance, it will not solve the issue of volume loss, and you will likely still require dermal fillers to re-establish definition in the cheeks.

Consult with an experienced Cosmetic Dermatologist in your area to help guide you in determining the best treatment options for your concerns. If you are more inclined to explore your surgical alternatives, it is best to consult with an experienced Board Certified Plastic Surgeon.

Frances Jang, MD
Vancouver Dermatologic Surgeon
1.8 out of 5 stars 5 reviews

Juvederm - cheek hollows

Unfortunately placing Juvederm in your cheek hollows is unlikely to help the sagging of your skin around your mouth - your jowels.  If you have deep marionette lines around your mouth, Juvederm in these areas can help.  However, you may need a facelift to get the results you want.  I'd recommend you see an experienced Plastic Surgeon so they can evaluate your individual anatomy and tell you what treatments will give you the results you hope to achieve.

Dr. Cat Begovic M.D.

Catherine Huang-Begovic, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 32 reviews

Soft Tissue Fillers Fill but do not Lift the Face!

Soft Tissue Fillers used today are wonderful for Filling and softening areas like the Nasolabial folds, lips and outer chin hollowed areas.   They do not Lift the cheek or sides of the mouth .  Facelift surgery will lift the cheek but even that cannot reliably do much to the sides of the aging mouth.   This requires lifting , filling and sometimes even a Laser to soften the deep creases as well

Rod J. Rohrich, MD
Dallas Plastic Surgeon
4.9 out of 5 stars 63 reviews

Will Juvederm to my cheeks help lift my mouth wrinkles?

The quick and simple answer here is...probably not.  While Juvederm is extremely effective at replacing lost volume to the cheeks, by placing it here does not guarantee that the tissue around the mouth will be effected. 

Overall, the aging process occurs on many levels and so simply replacing volume does not always do the trick.  Quick often, I will add a skin-tightening procedure such as fractional CO2 laser resurfacing to more comprehensively address the effects of aging.

I hope that helps!

Gregory A. Buford, MD, FACS
Denver Plastic Surgeon
4.9 out of 5 stars 42 reviews

Volumization with fillers can help minimize sagging of the lower face

many people see their jowls form as their cheeks descend and the corners of the lips drop and smile creases deepen as the cheek folds over the crease. This is often related to fat atrophy in the mid cheek, not gravity or age. As there is less support from the loss of the infrastructure of the fatty compartment these new "aged" appearances are noted. Voumization is commonly done with fat injections, Radiesse, Perlane or Juvederm ultra plus.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

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.