What to Do About Loss of Volume in Cheeks?

The best volumetric augmentation of the cheeks is with a small cheek implant. This will give a very consistent surgical result. You must have a flat cheek profile or submalar area for implantation to be appropriate. I do not recommend fat injections because of the inconsistency of the results.  

There are a lot of options for augmentation of cheek volume. Ultimately the goal is to restore youthfulness and achieve an aesthetically pleasing cheek contour. Essentially as we age the “midface” will sag and the eyes will become more elongated and worn in and appearance of aging to the cheeks and eyes ensues. The tear trough deformity also becomes more apparent.

Simple treatments include standard Restylane or Juvéderm, Perlane and Radiesse injections into the cheeks. These can have quick and easy improvement in volume of the cheeks. The downside is that these injections are not permanent. They last six months to a year. A high percentage of individuals elect to have improvement in this manner. The next option is for permanent augmentation, specifically fat injections can provide excellent improvement to the cheeks. This is a little bit more costly, but tends to be quite permanent and your own fat is utilized.

Facelifting can provide augmentation of the cheeks and restore the youthfulness of the facial problems related to aging face. Finally, cheek implants have been a time tested rejuvenation method for the cheeks.

The best answer for augmentation and restoration of volume in the cheeks depends on the individuals disposition. Simple and easy therapy dictates Restylane, Juvéderm, etc. More permanent but simple options include the less invasive fat injections or Sculptra, however permanent surgical answers then require surgery. I generally feel that simple answers are best first and more rigorous and permanent answers can be tried later. So Radiesse is a easy, simple first option.