Hi, based upon the attached photos your cheeks are very flat anteriroly (in the front), there is excess fat in front and below the cheeks as well as across the neck. The nasolabial folds and marrionette lines are an indication of sagging facial tissues as well as excess fat. Using a dermal filler to fill up these folds will "add" volume making the face larger, not smaller and more shapely. If you have "jowls" this is saggingfacial tissues and an indication for some form of a facelift, not CheekAugmentation. I have performed many Cheek Augmentations over the past 30years and the notion that Cheek Implants or dermal fillers to the cheeks willlift tissues is an urban myth. Filler to the cheeks or cheek implantswill not lift up the jowls. The underlying SMAS layer, of the face, mustbe dissected, lifted, trimmed and re-sutured. The excess skin is thenremoved and the facelift incisions closed.My most popular facelift is the minimallyinvasive, short incision facelift that has all the benefits of more invasivefacelifts (traditional, mid-face and subperiosteal facelifts) but with theseadded benefits:•very small incisions•minimal tissue dissection = less bruising andswelling = rapid recovery•can be performed in 90 minutes or less, with orwithout general anesthesia•no incisions within the hair = no hair loss•excess fat can be removed•excess skin removed•cheeks, chin and jaw line can be augmented withdermal fillers (I prefer Perlane) or facial implants•most patients fly back home to parts all overthe world in as little as 3 days post-opHope this helps.
