I'm 34 & Lost volume on the sides of my face. I want volume added below my cheek toward my ear where it's flat! Any suggestions?

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

There are a variety of options for volumetric enhancement of facial features. Some are temporary, and others permanent.  I'd recommend seeing a surgeon that specializes in plastic surgery of the face so you can discuss the pros and cons of each option. AndrewFacial Plastic Surgeon

Volume loss cheeks etc. is corrected in the young with Voluma. This will raise those areas and lasts 2 years. 

Hi Tanner.  We use several different products in the cheeks to add back volume where it has been lost.  Restylane, Perlane, Radiesse and Sculptra are all products we use in the cheeks.  We prefer to use thick products like Perlane and Radiesse for immediate volume and longer term collagen stimulation with Sculptra (takes 6-9 months for full results, but lasts up to 2 years).We normally only use Restylane when a patient is combining the cheeks with other areas like the lips or tear trough (under the eyes).Hope this helps.  

There are many products that can replace facial volume loss. Fillers, particularly the hyaluronic acid fillers like Juvederm/Perlane/Voluma, work well to replace volume. Since you are young you should get nice volume replacement with less filler. I have found Sculptra to work very well for overall volume replacement and it is effective in treating the "flat" area in front of your ear. Sculptra is a volumizer, not a filler, and works by inducing your skin to produce more of its own collagen. The results are very natural and last over 2 years. You have many options but make sure you consult with a board certified dermatologist or plastic surgeon who is very experienced in these injectables. Best wishes.

There are many ways to treat facial volume loss and deciding on the best treatment depends on how much volume is lost and how long you are willing to wait for treatment to be complete. Budget also plays a part. If you have lost a lot of volume I would recommend Sculptra. See a dermatologist or plastic surgeon that is experienced in fillers

Volume can be added best with fat or with filler products. It really depends upon how much you need and what your goals are.

The treatment I recommend often depends on the amount of volume loss present, whether there is fat loss, bone loss, or both. Fillers can be helpful to revolumize the mid cheek and lower cheek area. Juvederm Voluma is a hyaluronic acid filler that has a firm consistency and has been recently approved for use in the mid cheek area of the face. It helps to lift and add volume. Radiesse is also a thicker product that is made of calcium hydroxylapatite in a gel base, this can also be used in the mid cheek area. If you need volume replacement in multiple areas, particularly in the lower cheeks, Sculptra is another good option. Sculptra is a bio-stimulatory filler that stimulates your own collagen production. Sculptra produces more of a gradual change and you will see results over the course of 2-3 months rather than right away. Ask your doctor which filler is right for you! Good luck! 

if you are deficient in fullness at the sides of your face, there are several fillers that can be used to enhance volume in this area.  Your physician might consider Radiesse and/or Voluma, and even Sculptra if you like the results with one of these fillers for more long-lasting results.

Depending on your facial features and anatomy, you may be a candidate for a variety of methods to provide additional volume to your face including hyaluronic acid fillers such as Juvederm Voluma or other non-hyaluronic acid based products like Radiesse or Sculptra. Alternatively, fat grafting to provide additional volume can also provide a very nice, natural result. I would recommend seeking out a consultation with a qualified board certified provider to discuss treatment options that would best address your concerns. Good luck!