Facial volume loss, particularly in the pillow-like pads of the cheeks and mid-cheek regions, is a major contributor to many of the age-related manifestations that disturb most people, such as the appearance of sagging, tiredness, angry-looking or sad-appearing countenances. Central facial volume loss and the accompanying descent of the remnants of these shrinking fat pads are largely responsible for the mid-facial flattening we see; the accentuation of the smile lines and marionette lines; and the formation of the hollowness, incipient bags and tear trough formation under the eyes. Accordingly, injectable volumizing fillers can be used to restore a more appropriate youthful fullness to the midface and cheek regions, which would usually result in an immediate "Wow!" improvement in smile and marionette lines (i.e. less sagging and jowling) , as well as softening of both the tear troughs and early bags under the eyes. If necessary, the under eye area may be subsequently treated for further improvement. In my NY practice I would choose Voluma XC for the cheeks, Ultra Plus XC for the mid-facial region and Belotero Balance for the under eyes. In my Israel satellite facility, where a far greater number of regulatory agency approved volumizing fillers are available, I would opt for Stylage XXL for the cheeks, Princess Volume for the mid-facial rejuvenation and Teosyal Redensity II for the under eyes. You would do well to make certain that you consutl with a board certified aesthetic physician with experience and expertise in nonsurgical facial rejuvenation with injectable agents. Be certain to ask to see his'her before and after photos of each of the areas that require treatment before agreeing to proceed. Best of luck. .
