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Wrinkles on cheeks are often present at rest and are related to sun damage. Some are caused by smiling. Facial rejuvenation with lasers and filler injections are the more commonly done procedures for this indication, not Botox, which could cause relaxation of important muscles of the mouth.
Botox is not used for the cheeks because 1) you don't want to freeze your cheeks and be unable to smile and move your face, 2) most likely these wrinkles are deep and static and Botox does not work on that. Your would most likely benefit from filler. Sincerely, Martin Jugenburg, MD
Botox is not a great option for cheeks. Dermal fillers with hyaluronic acid like juvederm and restylane would make more sense and be safer and more natural looking.
Wrinkles caused along the cheeks are often due more to volume loss in the face (loss of soft tissue, fat, and even bony support). Loss of this "cushion" causes wrinkles to be exaggerated with muscular movement. In most cases, Botox is not appropriate as treatment of muscle groups in the cheeks with Botox could cause a "stroke-like" appearing face. Fillers and biostimulator agents, such as Juvederm, Restylane, Sculptra, or even fat are more appropriate treatment options. Laser resufacing may be appropriate if wrinkles are due to heavy sun damage.
Thank you for the question. No, Botox is not generally used for the cheek area. Visit your plastic surgeon and discuss options (such as fillers) for the area of concern. Best Wishes!
