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

Question

Would you suggest cheek fillers or Botox in cheeks? And what is the difference between the two?

Sabrina Fabi, MD · Answer

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.

Jerome Edelstein, MD · Answer

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.

Edwin C. Pound, III, MD · Answer

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.

Jason Emer, MD · Answer

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.

David A. Caplin, MD · Answer

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.

Brian S. Biesman, MD · Answer

To achieve the goal you are describing, fillers such as Juvederm Voluma or Restylane Lyft are likely your best options.  Botox relaxes muscles and does not add volume.

Brian K. Reedy, MD · Answer

Great question! First off, Botox addresses the wrinkles one develops over time, whereas fillers "plump up" the areas with a loss of volume. One of the newer fillers on the market is Voluma, which is specifically designed for the cheek area. Seek consultation with a reputable physician to determine if you would be a candidate for this procedure. Good luck!

Young R. Cho, MD, PhD · Answer

Thank you for your question. To be able to answer this question, a consultation would be required. Photographs would also be helpful. In general, however, fillers in the cheek can help to augment the cheek profile. Botox in the masseter regions can thin the lower face and also make your cheeks appear more pronounced. Both are great ways to provide more cheek definition.  Choosing the right procedure, or possibly combining the procedures, does require a consultation and discussion about how both can work to achieve your goals.

Jill C. Fichtel, MD · Answer

Facial contouring can be done with a combination of fillers and Botox together.  We can obtain significant cosmetic improvement using this approach.  Examining the entire facial anatomy is important, even though your area of concern is your cheeks.  Treating the surrounding areas can create contrasts that will enhance the appearance of your cheek bones.  I recommend an in-person consultation with an experienced Dermatologist or Plastic Surgeon for a more detailed treatment plan.

Richard Wellington Swift, MD · Answer

Dear Rosie, Thank you for posting your interesting question. If you want fillers to create high cheek bone definition, I would suggest fillers that are considered high G' fillers that lift the cheeks like Radiesse, Restylane Lyft and Voluma. Radiesse is a calcium based filler and Restylane Lyft and Voluma are considered hyaluronic acids. Botox is not a filler. Botox is a neurotoxin liquid that is usually injected to smooth facial wrinkles and does not provide any filling at all. For example, Botox is injected between the eyebrows to relax the so called 11's that form and make somone look angry. I recommend that you have a consultation with a Board Certified Plastic Surgeon, experienced with fillers, who can listen to your goals, examine you, answer all of your questions and make the appropriate recommendations to give you the high cheek bones and facial definition that you desire. Best wishes, Dr. Richard Swift

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

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