I Hate my Cheeks,, Please Help Me :'( (photo)

Question

I am 24 yrs old my biggest issues is having a hollow,small long face with no cheeks,I look 10 yrs older in my side profile pictures, I always have to smile so people wouldn't notice it. I guess its a good thing to smile all the time but I wish I could have my smiling cheeks even when I am not smiling,it gives me more youthful prettier face and I don't know what or where I can get that fixed is it by midface or fillers like juvederm and restylane?how can I search for the best doctor to do it?

Ali Riza Öreroglu, MD · Answer

Fillers, fat grafting and implants can all be used to help enhance the facial contours and create volume and definition where it is wanted. It will be best to consult a board certified facial plastic surgeon in person and discuss your goals and options after a physical examination.

Misbah Khan MD, FAAD, FACMS · Answer

my best solution for hollow cheeks especially in young healthy patients is to do fat grafting. it lasts longer than fillers, it looks a lot more natural and its your own fat. no matter how skinny, we all have some stores of fat that can be used. not sure where youre located but Im in NYC. Ive treated a lot of patients like your self with great results with fat grafting

Michael A. Persky, MD · Answer

Hi HG,

	Don't hate!!!  Enjoy your youth.  Using a bit of filler will plump up your cheeks.  I would consider Sculptra, Perlane, or Radiesse.  The most important aspect of your treatment is choosing an experience injecting physician with natural artistic vision.  Go for multiple consultations and check out the staff.  If they look good, then likely it will be okay.  If they look like genetic mutants, then move on to the next office.  Good luck and be well.

	Dr. P

Mehryar (Ray) Taban, MD, FACS · Answer

Hollow midface/cheeks can make someone appear older. There are various filling options available to make the midface/cheek fuller, including one's own fat (fat transfer from belly/thighs) or various synthetic fillers, each with pros/cons.

Harold J. Kaplan, MD · Answer

Hi HGF. There are many different injection options for your situation. As you pointed out, Juvederm and Restylane are possibilities. In the area around the cheekbones where we see what looks like a hollowing of the cheeks, we would use a thicker or longer lasting filler. We would prefer Perlane, Radiesse (9-12 months) or Sculptra (up to 2 years). Sculptra would most likely produce the best results as the product helps you to stimulate your own collagen.

Kimberly Finder, MD · Answer

Whether your cheeks are naturally less full or age has rendered them less full, there are ways to enhance them. Hyaluronic acid fillers--Juvéderm, Restylane and Perlane offer the advantage that they look and feel natural and are dissolvable if necessary. Radiesse isn't dissolvable like the HA fillers, but it creates nice volume. Another option is to create your own new collagen and volume with Sculptra. Seek a physician who has a lot of aesthetic experience with all the options. I'm biased towards fillers or Sculptra rather than cheek implants, but for some patients that may be a good choice.

Peter J. Malouf, DO · Answer

If you are looking for some immediate gratification I would choose radiesse in someone with extensive experience in achieving natural results.

	Best

	Dr. Malouf

Steven Wallach, MD · Answer

Cheek fullness can be obtained with fillers. More permanent would be fat, but fillers like restylane, perlane, and juvederm are nice.

Barry L. Eppley, MD, DMD · Answer

Building up the submalar area of your cheeks is what you are creating by smiling. Its effects can be initially created by synthetic injectable fillers to prove the benefits of submalar augmentation. Once proven that creates a favorable result, you can then consider fat injections or submalar implant augmentation for a permanent result.

Michael Bowman, MD · Answer

Based on your photographs you are a good candidate for a filler of some kind to give your cheek more volume.  The picture doesn't show your full cheek projection, but your bony anatomy appears sufficient...which means that I would not recommend a cheek implant for you.  I would not recommend a midface lift (if that is what you were referring to in your question).

	I prefer Sculptra to allow for a longer term volumization of the cheek area.  It allows for a natural volumization and your results should last about 2 years or more.  Other products like Juvederm, Restylane, and Radiesee can also be used.  There are risks and benefits with all these products that your qualified doctor can discuss with you.

	Your injecting physician should be able to share before and after photographs to help you to understand what you can expect from your treatments.

I Hate my Cheeks,, Please Help Me :'( (photo)

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