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Posted under Cheek Fillers q&a

Male, 36. What to do about my midface volume loss and descent? (Photos)

mcmohindra
I'm male, 36, over the last 3-4 years, I have experienced midface volume loss and midface descent, with significant undereye hollowing, purple-colored bulges of undereye fat, and slight nasolabial folding (I think I do not have enough facial volume for significant nasolabial folds yet). Different doctors have suggested to me to have 1) a midface lift, 2) filler, 3) undereye implants & possibly cheek implants, 4) blepharoplasty. I recently had filler treatment in Korea, but the doctor didn't seem to know what he was doing; he placed soft filler in my undereyes (the hollows are still there, unchanged), and put soft filler around the nasolabial fold itself, making it more severe by adding volume above it. I thought state of the art is to add volume to the upper midface to lift the nasolabial fold, but maybe they don't do that in Korea. Another doctor recommended hard filler placed directly on infraorbital and zygomatic, to lift the midface and make the undereye hollows go away, which honestly sounds like the better plan to me. Long term, I'd like a definite solution for this. So what would be the best solution short and long term here? Can I just get filler for now? Long term, blepharoplasty, midface lift, implants, a combination of two, or all three?

Answers (1)

From board-certified doctors and trusted medical professionals
Anna Chacon, MD, FAAD profile photo
Dr. Anna Chacon, MD, FAAD
Answered on Aug 5, 2025
Answer
Dr. Anna Chacon, MD, FAAD
Board Certified Plastic Surgeon
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