Best Filler for Cheek Hollowness?

Question

I have high cheekbones and have noticed that I am becoming more hollow just underneath them and am considering fillers to make them fuller thereby lifting the hollow area.I have already had my fillers in my nasal folds which is okay but need more fullness. Which fillers do you recommend?

Steven J. Pearlman, MD, FACS · Answer

When it comes to restoring volume to the cheeks, there are a number of good fillers. I discuss all choices with patients. They range in longevity, ease of injection and cost. Basically the longer it lasts, the more it costs and injection is slightly more complex.
First choice is hyaluronic acids: Juvederm and Restylane. These last from 6 to 9 months in the cheeks. Next in price and longevity is Perlane and Juvederm Ultra Plus (9 months or more). These are a little thicker, so may feel lumpy (but rarely do). The needle is a little bigger as well so there may be more "black and blue." Next in line is Radiesse, in expense and longevity. The longest lasting filler is Sculptra. Recently FDA approved for cosmetic uses, it takes three treatments but then may last two years or more.
By the way, these also help the naso-labial lines by lifting the cheeks up and out.

Jason Emer, MD · Answer

Thank you for your question. Volume and contouring of the cheeks can be created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. Implants or fat are alternatives. Botox and radiofrequency can help slim and contour the jawline. Liposuction can help slim the face. Ultherapy, J Plasma and rf treatments can provide skin tightening and lift. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Matthew Richardson, MD · Answer

There are many great options for fillers in the cheeks. Products like Voluma and Restylane Lyft can work great in these areas to provide a long-lasting (but still temporary) result. They do a great job at supporting the tissues of the mid-face. 
Sculptra is another product that works well in the cheeks by stimulating your body to produce its own collagen in the area of the injection. Radiesse also works well, but is a calcium-based product that is made of different material than products like the Restylane and Juvederm families of hyaluronic acid fillers. The downside of Radiesse is that it cannot be reversed with hyaluronidase like the hyaluronic acid products can be if needed.
The cheeks are a very forgiving area as many products work well in the cheeks, but some products work better than others. I always recommend that patients seek treatment with a skilled and highly-trained injector for a personal consultation and individualized treatment plan.

Larry S. Nichter, MD, MS, FACS · Answer

As we age, it's more obvious when the fat in the cheeks begin to disappear. Dermal fillers such as Restylane
Lyft orJuvaderm
Voluma can be used to  add fullness to the cheeks and remedy the look of hollowness in the mid-face area. Both of these fillers last at least 12- 18 months!#cheekhollowness  #RestylaneLyft #undereyetreatments

Jed H. Horowitz, MD, FACS · Answer

After 35, it becomes more
evident that the natural fat in cheeks begin to disappear, causing  skin to sag and the face to look hollow. Dermal fillers such as Restylane Lyft or Juvaderm Voluma are  specifically
designed to add fullness to the cheeks and mid-face area, giving a more
natural-looking, youthful appearance.  Results last 12- 18 months or more and are a perfect solution to  chasing lines and simply filling naso-labial folds! #cheekaugmentation  #RestylaneLYFT  #JuvadermVoluma

Ava T. Shamban, MD · Answer

Without a recent photograph it is difficult to say, but several options for treating hollow cheeks include Voluma, Restylane Lyft, and Sculptra. A saggy neck may be treated non-invasively with fractioned ablative laser resurfacing, or with a tissue tightener device using ultrasound or radiofrequency.

Richard Ort, MD · Answer

My favorite filler to restore volume in the cheeks is Restylane Lyft. This is a hyaluronic acid (HA) based filler which has a larger particle size and provides good structure and lift. Other good choices for the cheeks would be Voluma and Radiesse. It is important to remember that the results from filler injection depend mostly on the injector’s technique, not the actual brand of filler. The filler companies would like you to think otherwise but who you select to inject your filler is by far the most important decision.Regards,Dr. Ort

Kaete A. Archer, MD · Answer

Slight hollowness under the cheekbones can give the face a sculpted look but too much hollowness under the cheekbones can leave the face looking gaunt and aged.  My favorite fillers for under the cheekbone are Sculptra and Juvederm.  These fillers are thin enough to easily fan in the subcutaneous fatty tissue of the cheeks.  
Sculptra Aesthetic is great for overall facial volume - especially after weight loss - and is my #1 favorite for directly below a prominent cheekbone.  The treatment is a solution that stimulates your body to make more of your own collagen as the product degrades.  The collagen/volume that your body creates builds over about 3 months for a natural overall increase in volume that is long-lasting.  Sculptra usually requires a series of 2-3 injections, spaced about 4 weeks apart for the full effect.

Edward E. Dickerson, IV, MD · Answer

I have already had my fillers in my nasal folds which is okay but need more fullness. Which fillers do you recommend?

	Some good fillers that your Doctor may use are Restylane and Radiesse depending on which they feel would be best suited for you and the area being treated.

	"Dr.D"

Robert Strimling, MD · Answer

Sculptra, Perlane or Juvederm are my favorite options for cheek hollowness.

	Sculptra requires 3 or more monthly sessions and several months or more to see the final results.  Sculptra may last longer - up to 2-4 years or maybe more.

	While, Perlane and related hyaluronic acid-based fillers are performed in one session, but will probably require 2-3 or more syringes for satisfactory improvement; which lasts 1-2 years or less.   Final (total) costs are similar.  Hyaluronic acid-based fillers are easily reversible if the resultra not satisfactory.

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