I want more defined cheek bones. My face is quite round and does not have much definition. What would you suggest?

At my practice, we often create more prominent, defined cheekbones through the use of fillers such as Radiesse, Restylane Lyft or Voluma. Radiesse is a filler which works by stimulating collagen production in the skin, leading to volume restoration and more defined cheeks when injected properly. Voluma and Restylane Lyft are hyaluronic acid gel fillers that can provide immediate results by adding volume to the cheeks. Botox on the other hand is a neuromodulator, which works by relaxing targeted muscles in order to allow wrinkles to smooth out. I sometimes inject the masseter with neuromodulator, when appropriate, to recontour the face and emphasize the cheekbones. I recommend visiting a board-certified dermatologist in order to have an in-person evaluation and come up with a custom treatment plan.

Thank you for your question.

Botox works by weakening the muscles that cause
wrinkles. Based on your goals, you may want to consider a dermal filler.
Injected dermal filler focus on restoring volume and rejuvenating the look
of your features.
I recommend you book a
consultation with a qualified injector, to ensure you're a good candidate for
this procedure.Take care. 

Botox  is not even an option for this area unless you are putting it in the masseter muscle at the back of your jawline.  Fillers such as Radiesse or Voluma may give you fullness for a year or two and then they will have to be re-done.  Fat is another option as a filler.  Fat is quite fragile and may re-absorb if it doesn't develop a good blood supply in its new location, however, if it survives, it is permanent.  Finally, implants are available for several areas of the face and can be inserted through several inconspicuous incisions.  The risk of implants is that they may shift with time. 

i suggest seeing a filler expert this can be treated easily with more robust fillers or fat to give contour and shape.  Best, Dr. Emer.

Fat grafting can be a wonderful option in many cases.  Fat is liposuctioned from the abdomen or some other donor site.  It is centrifuged to concentrate the fat graft (which is stem cell rich) and then can be injected in the face to add volume.  Having used this technique for over twenty years you can often achieve long lasting, and natural looking, volume enhancement without the use of cheek implants.