Best Option to Fix Hollow Midface Look?

Question

I am a 21 year old male and want to fix the sunken look I have in my midface area. What would be the best procedure to get rid of the hollow lines (wich I call railroad track lines) in my midface? I have read about filler injections but they are only temporary and leave a plump, round shape which I dont want. I would like to have a more narrow/angular look. Could cheek implants work?

Michael Constantin Gartner, DO · Answer

Cheek implants may help, but I think you should consider fillers since at your age it can help smooth away the hollowness.

Babak Azizzadeh, MD · Answer

There are actually many options to correct your hollow midface.  One is Sculptra, which is an injectable filler but can last up to 3 years.  Cheek implants are an option.  I would consult with a surgeon who offers both and he/she can discuss pros and cons of each.

Mark Hamilton, MD · Answer

As our understanding of aging has improved, facial plastic surgeons have come to appreciate how a hollowed mid-face can really give an aged, tired appearance. Options to correct this include both temporary fillers as well as surgical implants.

A variety of fillers can be used to fill the cheek. Options include Juvederm, Radiesse and Sculptra. These fillers can provide correction for anywhere from 9 months to several years depending on the choice of filler, technique and number of sessions.

For those looking for a more permanent solution, surgical implants are a great option. Implants can be placed through small pockets made on the inside of the mouth during a short surgical procedure. These implants are typically made from either solid silicone or GoreTex, both of which have a proven  and safe track record. Discussion of which options are best for you can be done during consultation with your facial plastic surgeon.

Houtan Chaboki, MD · Answer

Sunken cheeks may be due to multiple factors and not necessarily from age alone. First line options typically include office injections, such as Radiesse or Sculptra. These particular injections are "semi permanent" and will require repeat treatments periodically.

	Cheek implants are another great option. Silicone cheek implants are the only permanent method for midfacial enhancement. There isn't a best option, but rather many good options based on your specific goals and facial anatomy. Only after a comprehensive evaluation can a specialist help determine appropriate options for you. Best of luck.

	Dr. Chaboki

Jenifer L. Henderson, MD · Answer

There are actually lots of options to improve the mid face region.  Temporary measures include: Sculptra, HA fillers (Restylane, Juvederm), and Radiesse.  More permanent options are: placing cheek implants (there are a variety of sizes and shapes), fat injections, and a surgical mid face lift.  Sometimes it is nice to start with the temporary fillers first, just to make sure you like the look, before you commit to a more permanent procedure.

Best Option to Fix Hollow Midface Look?

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Answer: Cheek augmentation options

Answer: Cheek augmentation options

Answer: Midface Correction

Answer: Midface Correction

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Everything you need to know about Cheek Augmentation

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Best Option to Fix Hollow Midface Look?

Answers (8)

Answer: Cheek augmentation options

Answer: Cheek augmentation options

Answer: Midface Correction

Answer: Midface Correction

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Recommended reading

Everything you need to know about Cheek Augmentation

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