31 Year Old Male, Looking for Best Treatment for Malar Crescents (photo)

Question

I have a line on my face on each side of my nose. It extends from the junction between my nose and inside of eye to the edge of my cheek bone on each side of my face. I have had these since I was 25. I went to see a plastic surgeon who informed that what I had was Malar Crescents. Since I'm 31 and don't really actually have any other wrinkles he did not recommend any type of surgery. He recommended using Radiesse to fill the crescent. What is the best treatment for Malar Crescents?

Nelson Lee Novick, MD · Answer

With the passage of time, and at varying rates among different individuals, there can be a separation between the fat that covers the actual area overlying the cheekbone and the fat that gravitationally slips downward and inward toward the nose. At first, this separation, called the malar crease, appears more like a darkish line. With time, however, an actual triangular wedge-shaped dent may appear.

	For several years already, I have achieved consistently gratifying results for treating this condition using a combination of Radiesse, a semipermanent volumizing filler, and Juvederm UltraXC to smooth and shape the middle cheek and signficantly diminishing the appearance of the line or triangular depression. The Radiesse provides for a more long-lasting result and the Juvederm permits the security of the subsequent use of hyaluronidase to diminish the correction, if deemed necessary, although the latter is seldom required when performed by an experienced injector with an artistic eye. This technique is not to be confused with a cheek augmentation, which specifically enhances the cheekbone regions.

Darrick E. Antell, MD, FACS · Answer

Fillers as your doctor are an option.  This is a problem that does not have an easy solution.  Without the benefit of an exam in person, it looks to me like you have malar edema.  This is a collection of fluid under the skin based more on your individual anatomy, than anything else.  In at least 50% of cases, I have been able to resolve this using a tiny, micro liposuction cannula to both remove tissue, as well as to create scar tissue beneath the skin. 

	Post-operatively, I place a small cotton dental roll, or a small piece of rolled up gauze, taped over the area for 24 to 48 hours.  The results are variable, no has gotten worse, and at least 50% of the people have complete resolution.

Gary Goldenberg, MD · Answer

Cheeks can be augmented in men and women safely with fillers. Judging by your picture, you would be a good candidate. Make sure you go to a doctor who is experienced in doing the procedure in both, men and women.

Richard Galitz, MD, FACS (in memoriam) · Answer

These malar cresents are best treated with a filler. I personally use Juvederm but others use Radiesse with excellent results.

Richard W. Fleming, MD (retired) · Answer

I agree with your physician and would recommend the injection of Radiesse in these grooves. I cannot see the complete contour of your cheeks with this picture, but you can also consider a limited lateral cheek lift or a silicone implant .

31 Year Old Male, Looking for Best Treatment for Malar Crescents (photo)

Answers (8)

Answer: Malar Cresents

Answer: Malar Cresents

Answer: Treaatment of Malar Grooves

Answer: Treaatment of Malar Grooves

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Everything you need to know about Cheek Fillers

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

31 Year Old Male, Looking for Best Treatment for Malar Crescents (photo)

Answers (8)

Answer: Malar Cresents

Answer: Malar Cresents

Answer: Treaatment of Malar Grooves

Answer: Treaatment of Malar Grooves

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Recommended reading

Everything you need to know about Cheek Fillers

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