Cheeks looks long & flat. What are my options?

It is hard to say without any photos, but cheek implants are always an option if your are looking to add some volume and contour. Implants also provide a subtle lifting effect in the cheeks as well. A fat transfer may also be an option depending on what exactly you are looking for and where the volumes loss in your cheeks is located.

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

If you are unhappy with the appearance of your flat and saggy cheeks, there are surgical options that can address this concern. One common procedure is called a cheek lift or midface lift. It involves repositioning and lifting the underlying tissues of the cheeks to restore volume and improve the overall contour.

During a cheek lift, an incision is typically made either inside the mouth or along the hairline, and the surgeon will lift and reposition the sagging tissues to achieve a more youthful and lifted appearance. In some cases, additional techniques such as fat grafting or the use of cheek implants may be combined with a cheek lift to enhance volume and projection.

It's important to consult with a board-certified plastic surgeon who specializes in facial procedures to discuss your specific concerns and goals. They will be able to evaluate your facial anatomy, provide a comprehensive assessment, and recommend the most suitable surgical approach to achieve the desired results.


I hope this helps,
best of luck !