Horizontal lines across mid-cheeks. Does anyone have any advice? (Photo)

Question

I have developed these horizontal lines across my mid-cheeks, I have had looked at by a plastic surgeon who said they are caused by tethering of facial ligaments/genetics, & will progressively get worse & I'll struggle with them my whole life. Tried restalyn in the area a few times, really no improvement. I am becoming very depressed, obsess multiple times a day over them, try not to smile bc they look worse when I do. I am 27, I don't want to live self consumed by this. Does anyone have advice?

Jason Emer, MD · Answer

This can be improved with with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra, which would also give improvement in facial balance and symmetry. Implants or fat are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Anna Avaliani, MD · Answer

Thank you for your photograph. I must agree with your plastic surgeon that the line you are seeing is simply a facial ligament which becomes visible when you loose a little fat from cheeks and when you skin becomes a little saggy.  Using dermal fillers is the first step, but I have had success by using Sculptra Aesthetic collagen builder injections, which tighten the skin and add a little volume to soften the appearance of the lines. I suggest you read about Sculptra and find an expert provider in your area. Please do not get upset or frustrated. All these things help you look better. Certain things you can't control but today's technology is amazing.  Hope this helps. Best, Dr.Avaliani

Reza Akef, MD · Answer

Hi and thanks for your question. I agree with your plastic surgeon that this line is due to natural lig you have and can get worse by aging , loosing weight or loosing the skin.Injection filler can improve it but not completely resolve. Do not get obsessive about it as this is natural and many people have this line even without aging .

Horizontal lines across mid-cheeks. Does anyone have any advice? (Photo)

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Horizontal lines across mid-cheeks. Does anyone have any advice? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.