Difficult face shape to fill, how to fix my face shape? (Photo)

Question

I have had under eye and cheek filler done twice and both times had dissolved as my issue is, I think I have high cheek bones and-my eye and cheek becomes one when I get my facial deficits corrected with filler, I seem to lose my face shape and look strange (the puffy picture with no eye sockets is with filler) where can I have filler placed so don’t look strange but younger?? Please help I’m worried if I get under eye filler again or mid face I will have same issue

Anna Chacon, MD, FAAD · Answer

Hello,

Thank you for sharing your concerns. Based on your description and the issues you've faced with previous treatments, it sounds like you may benefit from a more tailored approach to your facial fillers. Here are a few considerations and potential strategies:

Detailed Facial Assessment: A thorough assessment of your facial structure by a qualified dermatologist or cosmetic surgeon is crucial. This will help in understanding the unique aspects of your face and the areas that need attention.

Customized Filler Placement: Instead of a general approach, a customized plan should be developed. This might include:

Under Eye Area: Using a lighter filler or a different technique to avoid the puffy appearance and ensure a more natural look.
Cheekbones: If high cheekbones are causing an issue, fillers could be placed in a way that enhances the natural contours without merging the eyes and cheeks.

Layering and Gradual Approach: Sometimes, using smaller amounts of filler in multiple sessions can help achieve a more natural result without overwhelming the facial features.

Alternative Treatments: Depending on your specific needs, other treatments like skin tightening procedures, fat grafting, or even surgical options might be more suitable.

It's important to consult with a specialist who can offer a personalized treatment plan. I would recommend scheduling a consultation with a board-certified dermatologist or plastic surgeon to discuss your goals and concerns in detail.

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