Do Cheeks Stretch or Just Become Saggy?

Actually they diminish in size from loss of volume. How many times have you seen someone at age twenty or so and said, "You'e lost our baby fat?" Well, the good new is that it looks great in the twenties, but the bad news is you continue to lose the fat, and it doesn't look as good in later years. As a youth, your cheek extends to the lower lid superiorly, the nose medially, your upper lip (or close to it) inferiorly and laterally is circular posteriorly. The most beautify cheeks are not necessarily the "high cheek bones" but those that are shaped like a simple disc. As you age, hollows and shaddows appear,which give your age away, e.g., the hollows under the eyes, the tear trough, mid-cheek hollow, etc. 

The question is, how do you restore the volume? Injections of our surgeon's choice can be Juvederm, Sculptra, Artefill, or fat. Fat injections are becoming more common now. A face lift may be in order if you have jowls and a saggy neck, but you still may need volumization with injectables.

Most people think that the face age3s by getting loose and sagging. While there is some skin laxity that develops as we age, the majority of the signs of aging is from loss of volume.  As we age, we lose fat - this cause the face to deflate, and the cheeks or jowls look like they are sagging. If we examine photographs over time, we notice that marks on the skin such as moles and scars, do not change position. This means that there is no drooping or descent of the skin! Rather, it is deflation. The correction may involve surgical repositoning of the deep fat which is done during a facelift, or non-surgical injections fo filler to add volume. Understanding this idea of volume loss, is key to facial rejuvenation.