Which procedure would help correct sunken, hollow area under the cheek bone? (photos)

Question

I have sunken hollow area right under my cheek bone only on my left side. As I age, it’s become more hollow, making my left cheekbone more prominent. I have smile lines only on left side due to my skin sagging from hollow cheek. Would fillers fill out that area or will it not even show because there is no bone under the cheekbone? What about fat graft? Which would be better solution? I do not want a big bottom of face. I only want that sunken area to look like my right side.

Tim Neavin, MD · Answer

I would recommend fat transfer to fill in the area. It is a natural looking and  permanent solutions.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. Dermal fillers and transferred fat are both favorable options for restoring volume to hollow areas of the face. Dermal fillers are composed of hyaluronic acid, while fat transfer uses your body’s own fat to increase volume. While both treatments are effective, results from facial fat transfers typically last longer in most patients.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or expert injector. They will be able to assess your concerns and determine the best treatment option to help you achieve your aesthetic goals.

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Zoran Potparic, MD · Answer

Based on these images, it is not possible to give you more meaningful advise beside filler augmenation of hallow areas. In person consultation with a board certified plastic surgeon with expertise in facial rejuvenation, is recommended. Good luck.

Randal Haworth, MD, FACS · Answer

Fillers or fat grafting could be effective options to address the sunken area under your left cheekbone. These treatments involve injecting a substance (such as hyaluronic acid filler or your own fat) into the area to add volume and fill out the hollowed-out area. The goal is to restore symmetry and balance to your facial features.

In terms of which option would be better for you, it's best to consult with a qualified and experienced medical professional who can evaluate your specific needs and make a personalized recommendation. Both fillers and fat grafting have their advantages and disadvantages, and the best choice will depend on factors such as the amount of volume needed, the location of the sunken area, and your individual anatomy.

Fillers tend to be a popular choice for addressing sunken areas in the face because they are non-surgical, relatively quick, and require little to no downtime. However, fillers may only last for several months to a year, and you will need to have additional treatments to maintain the results. Additionally, fillers may not provide as much volume as fat grafting.

Fat grafting involves taking fat from one area of your body (usually the abdomen or thighs) and injecting it into the sunken area under your cheekbone. This treatment can provide more significant and longer-lasting results than fillers, as the fat cells that are transferred become a permanent part of the body. However, fat grafting is a surgical procedure that requires some downtime for recovery.

Again, it's essential to work with a qualified and experienced medical professional who can evaluate your specific needs and recommend the best treatment option for you. They will be able to discuss the pros and cons of each treatment and help you make an informed decision based on your goals and individual anatomy.

Best of luck !

Randal Haworth from LA

Darryl J. Blinski, MD · Answer

Based on the posted photos you can. Have either HA fillers (about 4 syringes @$3,000+)
Or micro fat grafts (fee $5,000). Best to virtual consult with…

Which procedure would help correct sunken, hollow area under the cheek bone? (photos)

Answers (6)

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