Lack of volume in mid section while in neutral position? (Photo)

Hello,
I can see what you are bothered by with your cheek region when in neutral position. You could try filler to the area to see if it can solve your problem and then if you like it you could have fat grafting performed as this is a permanent solution.
hope this helps!
-Dr. Halka

Hello, this is Dr. Hong from SK Seoul. You are an ideal candidate for facial fat transfer.
This approach will help restore lost volume and create smoother, more natural facial contours. No foreign materials like threads or fillers are required, as we use only your own fat.
The fat survival rate varies from patient to patient, depending on factors like physiology, metabolism, and individual conditions. On average, about 60% of the fat survives, and most patients are pleased with the results after just one treatment, making additional sessions optional.
I hope this explanation helps. Best regards, Dr. Hong & Team

Thank you for your post. It is imperative to have an assessment performed by a clinician trained and skilled specific to cosmetic medicine and surgery. It is good to have a second opinion performed by a health care professional.A general practitioner assessment is important. The reference of mid section may differ to our understanding of the "mid-face". That is why it is important to have a consultation and examination performed by a doctor that you trust. Fat graft to the face has its merits and risks. Some merits include increasing the volume in some fat compartments of the face that may have reduced at the time of your weight loss as well as benefits to the skin. Risks involve asymmetry, bruising, lumpiness or even accumulation of fatty cysts. The fat resorption varies from individual to individual and so do the risks of of any procedure performed by your surgeon. Remember, you have time to think of what treatment is right for you. Looking at your photos, you may consider regaining the lost weight to see if it makes a comfortable difference without any intervention.

Hi Brooko,
Thank you for your question. Cheek filler or fat grafting are both excellent options for adding volume to your face. Filler is reversible and could allow you to see how you like the changes before committing to fat grafting, which would be a more permanent option. Hope this helps!

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.

Hello, and thank you for your question! Cheek filler is a great option for adding volume to your cheeks while in a neutral position! This will also help lift the lower face as well as soften your nasolabial folds. Good luck on your journey!

Fillers are a great tool to add volume to the face. The wonderful thing about fillers is that you can go slowly and build up to the look you are wanting. Begin by visiting with an expert injector near you to discuss your treatment goals.

Fat transfer is a great option for people who desire to have a more youthful appearance. You need to find a plastic surgeon who specializes in fat grafting. The results with a proper technique should be natural and practically permanent. I would also have photos of when you thought you looked your best

Thank you for your question and photographs. What you are describing is flatness or lack of volume in the midface region.

This is a common situation and can be helped significantly by midface filler injection or fat grafting.

I advised my patients to try midface fillers first to see if they like the effect. Typically Restylane lift or Voluma is injected into the midface reason along the zygoma. Typically I utilize 1 cc of this filler on either side. Results are typically gratifying.