Will dermal filler help minimize the appearance of dimpling on the cheeks? (photos)

Question

I have these hollows in my cheeks and considering having them filled with filler as I really hate the way they look! I’ve heard the area can be tricky to fill.

Randal Haworth, MD, FACS · Answer

Most people want them. You can try subcising them with a SurgiWire or similar method while adding a filler of some sort. If you happen to be getting a facelift, the surgeon can undermine the skin to that area as well to help it.

I hope this helps,
Best of luck !

Randal Haworth

I hope this helps,
Best of luck !

Randal Haworth

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. A conservative amount of filler can be administered to the indentions you’re referring to, creating a smooth result. By restoring volume to the shallow contours, dermal fillers can provide a subtle lift to reduce the dimpled appearance. However, if these indentations are only visible when smiling, Botox may be a more favorable option to reduce the muscle activity causing them to appear.  
I recommend scheduling an in-person consultation with an experienced expert injector. They will be able to discuss your concern with you and help you decide on the best treatment.

Raffy Karamanoukian, MD, FACS · Answer

I would suggest a combination of Morpheus 8 and dermal filler to help reduce the linear pattern along the lower cheek and marionette areas. These should remain conservative.

Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

The kind of dimpling and folds seen in the photographs appear to simply be variations on what have been called parallel laugh lines, which characteristically ring the lower cheeks to the sides of the mouth and become more pronounced with smiling. I have consistently found that the appropriate choice of a soft, low viscosity, cohesive and malleable HA filler fanned  properly beneath the folds and indentations works quite well for nonsurgically and quickly ameliorating this problem. Make sure to consult with an  board certified cosmetic dermatology filler expert, and ask to see his/her personal before and after photos. Best of luck.

Eric M. Joseph, MD · Answer

It's usually not a good idea to have indentations or dimples filled when they are only present upon smiling. This could lead to unusual fullness when you're not smiling. I hope this helps! Doctor Joseph

Thomas Spalla, MD · Answer

Make sure you go to an experienced injector as this is the area where the facial artery and vein come up to supply and drain the lip region, respectively.