Cheeks Sagging at 34? (photo)

Rapid or repetitive weight loss and weight gain may contribute to jowl formation (as well as prematurely sagging skin all around). Cigarettes and excessive sun exposure also contribute to accelerated loss of tissue volume in the face, which leads to jowling. For now, I advise you to pursue non-surgical jowl lift under the care of a board certified dermatologist or plastic surgeon. Radiesse looks to be the ideal filler for your needs.

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Hello lin204Cheek implants are available in a range of different shapes and sizes, they are mostly customized to fit a specific facial structure. Fillers such as Juvederm Voluma, Radiesse and RestylaneLyft are great alternatives to cheek implants, also fat transfer or injection can be done.

A 34 some individuals may have modest volume loss in the periorbital area. This is easily treated with fillers.

The drooping of your cheeks is a natural age related change.  At your young age, I would recommend Radiesse filler to the cheeks.  This can help restore the "apple" back to your cheek.  The downside is that it only lasts 1 - 2 years.  Autologous fat transfer is another option, but in my experience can be unpredictable.  I don't think message will be of benefit.