Mid-cheek grooves persists - is this something dermal fillers can target? (Photo)

Question

I had tear trough filler for the first time recently, and it didn't seem to improve the overall look. The area is less dark, but the lower mid face looks much worse. I still have prominent mid-cheek grooves. Is this something dermal fillers can target? My doctor didn't seem to think so. I don't want to argue with her and insult her expertise, so I'd like a second opinion on what can be done about these mid-cheek grooves.

Nelson Lee Novick, MD · Answer

The medial aspect of the mid-cheek is a major support for the under-eye regions. When there is volume deficit in this area, under-eye hollows and tear troughs can form and there is also a concomitant loss of the very desirable, feminine Ogee Curve. Given this, when there are prominent mid-cheek grooves and tear troughs, an appropriate first approach would be the use of a robust HA volumizing filler properly injected, which would result in both a more oval, heart-shaped face and improvement in the mid-face grooves. Should it then still be necessary for further under-eye improvement, a low viscosity, cohesive, malleable HA filler can be used directly in that area. You would be wise to consult with an experienced,  board certified cosmetic dermatologist filler expert.  Hope this helps and best of luck.

Anna Chacon, MD, FAAD · Answer

Dermal fillers can indeed be a viable option for addressing mid-cheek grooves, depending on the specific characteristics of the grooves and the overall facial anatomy. Here’s some information to consider:

Dermal Fillers for Mid-Cheek Grooves:
Fillers such as hyaluronic acid-based products (e.g., Juvederm, Restylane) can effectively target mid-cheek grooves by adding volume and smoothing the transition between the lower eyelid and cheek. This can result in a more even and youthful appearance.

Considerations:
The success of dermal fillers in treating mid-cheek grooves depends on the depth and nature of the grooves. A skilled injector can assess whether fillers would provide the desired improvement.
It's important to work with a practitioner who has experience in mid-face contouring to ensure natural-looking results.

Alternative Treatments:
If dermal fillers are not suitable, other options such as fat grafting or skin tightening treatments might be considered. These can provide additional volume or improve skin elasticity.

Consultation:
Seeking a second opinion from a board-certified dermatologist or plastic surgeon with expertise in facial aesthetics can provide additional insights. They can evaluate your specific needs and recommend an appropriate treatment plan.

Ultimately, a personalized consultation will help determine the best approach for achieving your aesthetic goals.

Eric M. Joseph, MD · Answer

You appear to have a bit of a persistent depression in your right mid facial area. In general mid-facial depressions are not easy to fill with injectable fillers, since these tend to be caused by a ligament that extends from the bone up to the skin. You appear to have a lovely result! I hope this helps. Sincerely, Dr Joseph

Mid-cheek grooves persists - is this something dermal fillers can target? (Photo)

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Mid-cheek grooves persists - is this something dermal fillers can target? (Photo)

Answers (3)

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Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.