Will Sculptra in my cheeks make them too big? (Photo)

It is normal for the portion of the cheek that is below the eye to be relatively flat when you are not smiling. This flat space allows your cheek to move up when you smile. I think you have a slight heaviness in the portion of the cheek that is just above your nasolabial fold.  This anteromedial part of the cheek tends to get heavier as we age.  We can use injectables to restructure your cheek (and not make your cheeks look swollen or overdone). Consider using voluma to lift the cheek back up. Sculptra is a wonderful way to build up the lateral cheek and that will also raise your cheek up. 

You can definitely use Sculptra to enhance your cheeks.  I would approach under the eyes with caution with Sculptra, and would prefer to use a Hyaluronic acid based filler like Restylane.  If you are unsure about volume in your cheeks, you may consider using a filler like Voluma or Perlane to show you what volume can look like.  

Sculptra continues to be an excellent facial filler and sculpting agent for the midface, cheeks, and cheek-lid junction. Best, Dr. Karamanoukian Los Angeles

Sculptra is great as a foundation to keep the face lifting and healthy looking. I have all my young patients do a vial a year along with skin care, lasers and other immediate fillers to keep a preventative effect and excellent contours.  I suggest going to an expert for this as sculptra results cannot be reversed.  I often use cannulas to prevent bruising and swelling and you should go to someone who uses this technique to avoid complications.  Best, Dr. Emer.

Sculptra is a great cheek filler because it lasts a long time and you get the effect of fullness over several months.  The extra volume can give a modest cheek lift. Most people undergo 2-4 treatments.  Your cheeks will always look fuller when you smile.  Sculptra is not a good under-eye filler- for this area your doctor will suggest other options such as Restylane. You should talk about your concerns in a consultation, especially the fact that you don't want your cheeks to be too large.  See my link below for examples of cheek filler results and how it can simulate a lift.