Cheek filler to define and lift lower face? Or facial tightening treatment?

Thank you for sharing your excellent question.  At 34 there are a number of noninvasive and minimally invasive treatments you can pursue to help tighten and elevate your facial tissues.  I would first be sure that you are on a good skin care regimen that incorporates use of a retinol, lightening cream, sunblock, and chemical peels.  Over time the improvement in your skin thickness and appearance will be noticeable, augmenting the results of any ancillary procedures. Botox and fillers can then be used to help smooth the skin, while lifting tissues that have started to sag.  Fillers also add volume to the face to help accentuate the areas of the face that improve youthfulness - cheeks, lips, temples, jawline, while camouflaging unwanted creases - smile lines and jowls.  Hope this helps.

Hi @MomChi2020. I recommend an in person consultation to discuss your aesthetic goals and the best treatment option tailored to your needs.

Best of luck,

Dr. Nima

I would consider fat transfer and laser combo. This is my favorite procedure for someone in your age group.  Of course you will need a facial analysis to establish your goals and what a surgeon can offer but the results  can be wonderful.Hope this helps,Best of luck,Drc

Dear mcmom2:  At your age, the laxity must be very mild. Whether filler or a tightening procedure would be more appropriate will depend upon the cause(s) of your laxity and your facial contours. Sometimes a little of both is the best approach. Voluma can lift the face significantly with small amounts. RF alike Pellevé can tighten the skin significantly, and the results are not temporary. Ultherapy can lift more and does not cause fat atrophy especially when performed with attention to the ultrasonic images of the facial structures. Starting a good regime of topical cosmeceuticals in your 20's or 30's is critical to a youthful look over the decades and more healthy skin (see below).  Share your concerns with a board-certified dermatologist or plastic surgeon who offers all of these procedures.All the best,   Dr. Clark

Dear mcmom2, 
Juvederm or Voluma is a great lifting and contouring filler. When placed appropriately in the cheeks, you will see some of the “sagging” issues modestly dissipate. Another option is using a tightening device like Ulthera to help with the sagging skin.
Best,
Shamim

Hi and thanks for your question. Filler is a very good option for soft lifting and volume loss treatment. But it depends on amount of volume loss and other factors. Therefore you need an individual assessment by an expert physician before any treatment 

There are several great nonsurgical facial rejuvenation treatments available, including fillers, Botox, Kybella, and various lasers and laser-like devices. Because you are very young, non-surgical options are most likely the best option for you. I prefer Voluma or Radiesse for cheek augmentation to provide a more youthful and round midface. In addition to this, mild jowling can be treated with injection of the prejowl sulcus to camouflage the depression between the jowl and the chin, thereby creating a smooth transition between the two areas. In order to determine the best treatment for you, an in-person exam is necessary