Can Juvederm Add Volume to Sunken Cheeks?

Can Juvederm be used to add volume to the sides of the face that have flattened out due to aging?

Doctor Answers 50

Absolutely

Greetings,

Juvederm can definitely be used as a filler in the cheeks. This is an off label use but can be safely done. For severe cheek hallowing, you may want to consider Sculptra (another off label use), fat transfer from the abdomen, or possible cheek implants. All of these are fairly easy procedures which can produce longer lasting results than Juvederm. Good luck with your search.


Dallas Facial Plastic Surgeon
3.8 out of 5 stars 13 reviews

Can Juvederm add volume to sunken cheeks?

Absolutley. Juvederm is wonderful at adding volume to cheeks. In my opinion, it is the absolute best way to acheive great results in cheek enhancement.

Robert Heck, MD, FACS
Columbus Plastic Surgeon
4.8 out of 5 stars 62 reviews

A large volume filler would be a better option

Absolutely, but it doesn’t last long and you would need so much that it probably is not cost efficient. Better volume enhancers for the cheek would be your own fat (fat injections) or Sculptra which is used off-label (approved by the FDA for other uses). If the volume you need to improve in your cheeks is not very much, Perlane or Juvederm Ultra Plus, which are both the same chemical makeup of Restylane and Juvederm, might last longer and fill better. Sometimes, both Perlane deeper and Restylane or Juvederm, are placed in the deep and mid levels of the compartment below the skin, respectively. This layered technique works quite well, but again, expense could be an issue depending on the number of syringes you would need to create a satisfactory result.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Turning back the clock

The aging process causes loss of volume in the face. Adding volume with fillers is an excellent way to turn back the clock and delay the need for more extensive surgical procedures.

Juvederm is a filler made of Hyaluronic Acid. There are a number of products containing the same material. these include:

Rastylane, Perlane, Elevess, Prevelle, Hylaform, Juvederm, and Captique

The differences in the products are subtle despite claims made by the manufacturer. The newest products are Elevess and Prevelle. These 2 contain a numbing medicine that decrease the discomfort associated with the procedure.

All the products mentioned above last about 6 months and are avaiable off the shelf with no preparation.

Other types of fillers include Radiesse and Sculptra. These are also available off the shelf with no preparation.

Radiesse is a hydroxyapatite product (similar to the material found in bone) and lasts about 8-9 months

Sculptra is a poly-L-lactic acid product (similar to suture material used in surgery) and lasts about 2 years.

All of these products can be used to effectively add volume to the face. However, as mentioned, all of the products listed above are temporary fillers.

The only FDA approved permanent filler that is available off the shelf is Artefill. This product can add volume permanently to the face with excellent results.

Last but not least is fat injections. Fat injections can also permanently add volume to the face. Although this is a surgical procedure, with proper technique excellent results can be achieved.

A. Peter Salas, MD
Manhattan Plastic Surgeon

Juvederm can be used to fill the cheeks

Yes, a cosmetic surgeon can use Juvederm or Restylane (HA- hyaluronic acid) to add volume to the cheeks. My current favorite filler for these purposes is Radiesse. I gently place this filler from the inside of the mouth (much like a dentist would work).

Radiesse has the added benefit that it lasts longer than Juvederm. This is because unlike Juvederm, Radiesse has little calcium deposits within the jelly-like material that is injected. These deposits stimulate collagen growth. It is for this reason you may see the filler last double the other fillers (HA).

Sculptra (PLLA) can also work beautifully to fill large areas like the cheeks. While Sculptra can last the longest of the fillers, the benfits are delayed, as most patients need a series of injections to obtain the results they desire.

All of the fillers are used off-label for the cheeks. Lastly, surgically you can enhance your cheeks; your own body fat can be transferred to your cheeks, or there are terrific cheek implants that can be placed by your cosmetic surgeon.

Mark Berkowitz, MD
Sterling Heights Oculoplastic Surgeon
4.7 out of 5 stars 52 reviews

Juvederm for sunken cheeks

Yes! Thinner faces tend to hollow with age.  This can result in submalar hollowing.  Juvederm is great for softening the hollowed area.  I also like sculptra for this purpose.  

In addition, the bone that supports the cheek shrinks with age.  Juvederm voluma can be placed right on the bone to give the cheek more support.

Juvederm and Sunken Cheeks

Absolutely, Juvederm is wonderful at adding volume to cheeks. If the skin on your face appears to be thin and sunken, low levels of hyaluronic acid could be the reason. Your body is comprised of a number of cells, and this substance naturally exists in between them, giving your skin a firm, youthful appearance. As you age, the substance gradually decreases, slowly depleting your face of moisture and volume. Combined with other factors, this can cause an increase in the appearance of wrinkles and fine lines. Juvederm can be injected into the cheek to restore their natural suppleness. A fine needle targets the area to boost their volume and beautifully contour the face. In a matter of minutes, your skin is restored to a firm, plump state. Your face will be more defined and instantly appear more youthful.

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 23 reviews

Juvederm for Cheek Re-volumization

Dear Aldebarana:Yes, Juvederm can definitely add volume and reflate your flattened cheeks.  I find Juvederm Voluma highly effective in this area.  All the best.

Juvederm is fine in the cheeks

Juvederm can be placed into the cheeks and not just into wrinkles.
Often a little juvederm can do wonders in the cheek after the wrinkles are improved.

Juvederm Voluma is a great product for adding volume back into the midface.

Juvederm Voluma is a great product for adding volume back into the midface. It is thicker than regular Juvederm, and made specifically for volumization. It lasts for up to two years, and patients have had a very high satisfaction rate with it. I suggest visiting a board-certified dermatologist for a consultation to see if you are a good candidate for this product.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.