Deep dents on my cheeks after hyaluronidase injections - how can these dents be filled? (Photo)

Question

I have been dissolving old filler 2 months ago and now left with dents on my cheeks. I also had Restylane done last month, it didn't help to fill the dents but even caused malar bags. I am looking for a solution to fill dents and hide malar bags

Tim Neavin, MD · Answer

If the area does not fill out again in 3 months I would consider fat transfer.  Do see someone experienced for natural looking results.

Ajaya Kashyap, MD · Answer

Thank-you for your query. The best option for filling the hollows created by dissolving the old fillers  will be to use autologous fat.  I often add PRP and some antioxidants which has  helped in my experience. Please discuss your options with an experienced Board certified plastic surgeon who can help you with all your concerns. All the best!

Eleanor J. Barone, MD · Answer

Your picture appears to show descent of malar fat pads.  Perhaps your dissolving of the filler unmasked the natural aging of your face.  So your choices are to refill the upper cheeks to mask/camouflage the descent, or to consider a facelift or mini lift.   The fillers are a nice temporizing solution, but can easily become an overfilled, chipmunk sort of look. The facelift is of course very invasive. Speak to board certified plastic surgeon about which procedure or combinations of procedures will work best for the look you are seeking.

Darryl J. Blinski, MD · Answer

I recommend series of low volume injections of a combination of Radeisse/Sculptra. Fee per sessions $1,200. Best to virtual consult with...

Mats Hagstrom, MD (license on probation) · Answer

With a history of adding fillers, removing fillers then adding more fillers no one can really make a good assessment. I suggest you go a year without fillers then get a baseline assessment.
Best,
Mats Hagstrom MD

Deep dents on my cheeks after hyaluronidase injections - how can these dents be filled? (Photo)

Answers (5)