Deep Upper Cheek Dents - Fillers or Facelift?

Agree with the comments of my colleagues. Restylane, Perlane, Juvederm should do nicely here but must be injected carefully. Radiesse is another option that works well for cheek augmentation. However, it needs to be placed more deeply than HA fillers and would likely have less effect on your problem area.Stephen Weber MD, FACS

Temporary fillers are an excellent first choice to fill in creases due to the early signs of facial aging. The photo you have provided shows mid-Cheek groves which develop with mid face decent. Fillers are a non-surgical means of softening these creases with minimal down time. Juvederm or Restylane work equally well. The results should last about a year. The procedure can be done in the office with topical anesthesia. Some bruising may occur.

Another alternative is a mid face or a cheek lift. A photo of your entire face would be helpful to determine how much you would benefit from these procedures. If you have jowls or fullness in the lower part of you face, this may be a better long-term option.

I would recommend a consultation with a Board-Certified Plastic surgeon. Best regards, Andrew Lyos MD, FACS