Best treatment for sunken asymmetrical cheeks? (photo)

Treating sunken, asymmetrical cheeks requires a personalized approach based on the underlying cause and the degree of asymmetry. Here's a breakdown of the best treatment options, ranging from non-invasive to surgical:  

Non-Surgical Treatments:

These are often the first-line treatments for mild to moderate sunkenness and asymmetry. They offer immediate results with minimal downtime, but the effects are temporary.  

Dermal Fillers: This is a very popular and effective option. Hyaluronic acid-based fillers are most commonly used.
How they work: Fillers are injected directly into the sunken areas of the cheeks to restore lost volume and create a more balanced appearance. Different types of fillers with varying thickness and longevity can be used depending on the specific needs.  
Benefits for asymmetry: Fillers can be precisely placed to add volume to the less full cheek, creating better symmetry with the other side.  
Longevity: Results typically last from 6 months to 2 years, depending on the type of filler used.  
 
Fat Grafting (Autologous Fat Transfer): This involves taking fat from another area of your body (like the abdomen or thighs) via liposuction, processing it, and then injecting it into the sunken cheeks.
How it works: Fat transfer provides a natural-feeling and longer-lasting solution compared to synthetic fillers.  
Benefits for asymmetry: Similar to fillers, fat can be strategically injected to equalize volume differences between the cheeks.
Longevity: Results can last for several years, although some of the injected fat may be reabsorbed by the body. Multiple sessions might be needed to achieve the desired outcome.
 
The best first step is to consult with a board-certified dermatologist or plastic surgeon experienced in facial rejuvenation. They can:

Assess the specific causes and extent of your sunkenness and asymmetry.
Discuss your goals and expectations.
Explain the different treatment options in detail, including their benefits, risks, and costs.
Recommend the most appropriate treatment plan tailored to your individual needs.
Don't hesitate to ask questions and ensure you have a clear understanding of the proposed treatment before proceeding. Addressing facial asymmetry often requires a nuanced approach, and a skilled practitioner will be able to guide you toward the best solution for you.

Fat grafting is an excellent option for sunken cheeks.
I can be performed under local anesthetic ,however several treatments may be necessary .