Would filler in the tear trough area help minimize the appearance of dents on my inner cheeks?

Question

I have dints in the middle of my face, I’d say it’s almost my very inner cheek on both sides right next to my nose. They’re very visible when I smile and especially in photos. I’ve tried cheek filler but this doesn’t seem to treat the area. Could it be my tear troughs that need to be filled instead?

Nelson Lee Novick, MD · Answer

My last patient on Thursday had the exact same problem in her outer cheek regions. She responded immediately and completely with the use of a superficially injected low viscosity, malleable, cohesive HA filler to elevate and smooth the indentations and create a gradual, smooth transition between the upper cheek and lower lid regions. One word of caution. The under-eye region is not a region for inexperienced, novice injectors accustomed to the simple use of ordinary Restylane or Juvederm for treating run-of-the-mill smile lines. So, you would be wise to seek out an experienced, board certified cosmetic dermatologist filler injector. Hope this helps and best of luck.

Paul Charlson, MBBS · Answer

I had a patient with a very similar appearance. I used some reasonably dense HA filler with a canula to fill the area with a nice result. Sadly dont have a photo but it was a pleasing result

Camille Cash, MD · Answer

I encourage you to visit with an expert injector for an evaluation.  It appears the area that concerns you may be migrated filler.  If so, you can have it dissolved with hyaluronidase and then begin again with correct filler treatment.

Anna Avaliani, MD · Answer

On your photos, those lines are the migrated filler. You need to dissolve it and not add any filler to the cheek. Please seek an expert physician who will confirm this and be able to remove for you to return your smile to normal.Once this is done, you should try biostimulators like Sculptra for the mid face support.
Best, Dr. Anna Avaliani, NYC

Leonard Grossman, MD · Answer

One should never treat a dynamic hollow with a filler, unless the hollow is present when there is no motion involved. Otherwise, you will have the opposite problem, a bulge. I hope this helps and good luck from New York City Plastic Surgery.

Would filler in the tear trough area help minimize the appearance of dents on my inner cheeks?

Answers (5)

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