Gaunt face. Best type of facial injections for fuller cheeks? (Photo)

Question

I lost weight and gained weight back everywhere except for my face. Under my cheek bones are hallow. What procedure is best for fuller cheeks I do not want implants. Sorry about photos I am a bit embarrassed.

Jason Emer, MD · Answer

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Mitchell Chasin, MD · Answer

Thank you for sharing your photos, as that makes it much easier to give an informed opinion.
When my patients experience hollowness from weight loss or aging I recommend treating with dermal fillers or performing a fat transfer. Fat Transfer is somewhat longer-lasting than dermal fillers are, but the recovery time from the initial procedure is more significant, with bruising and swelling that typically lasts about a week. Dermal fillers have almost no downtime, with redness and swelling that often lasts a day or two, but is very minimal.
Judging from your photos, it appears you have global (or all-over) volume loss. This is normal for patients whose weight has fluctuated. If you choose to go the dermal filler route, I recommend you try Sculptra, a dermal filler that was specifically designed to help those with facial wasting, or a gaunt appearance. This filler works to stimulate your body’s natural growth of collagen, creating plump, full skin, and adding back the structure and volume you’ve lost. Afterwards, you may choose to add volume back to specific areas, like the cheeks. However, looking at your photos, Sculptra alone may give you the volume you desire. Sculptra gives a natural, long-lasting result since it supercharges your body’s own growth of collagen.

Praven Chetty, MD · Answer

Dear myaaa:Looking at your photos, a dermal filler like Voluma would nicely replace the lost volume in your sub-malar area.  Please see an expert injector for best results.  Best wishes.

Kamran Khoobehi, MD · Answer

You have lost a lot of fat over different parts and the best filler would be fat grafting. The advantage is that you need more than few cc and fat last longer too.

Darryl J. Blinski, MD · Answer

Nice posted photos. Best to seek only in person opinions. But I might offer sub malar Voluma injections, at least 3 to 4 syringes over a 2 week time span. I might also offer Suture Lift (PDO or Silhouette InstaLift or combo both).

Alain Michon, MD · Answer

Thank you for your question and pictures. Dermal fillers injections are great, non permanent option,  for  contouring, sculpting and volumizing the mid and lower face. I recommend seeing an expert for a proper consultation and treatment plan. All the best, Dr. Michon

Allan Zacher, MD (retired) · Answer

I have used both fat graft (in the form of concentrated stem cell material mixed with PRP from the blood) and also fillers. I think Juvederm XC and Voluma XC work well for this, regular Juvederm is less expensive but Voluma lasts longer. 
Fat graft is an excellent option, it costs about the same as filler (depending on how much volume is needed - actually fat is cheaper per volume if you use a lot) but the longevity is highly variable. 
I hope this helps.

Gaunt face. Best type of facial injections for fuller cheeks? (Photo)

Answers (7)

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