What can I do about malar cheek line/hollowness? Not necessarily “eye bags” do not want to inject puffy filler (Photo)

Question

Hi! I am 34 years old petite 5’0 115-120 lbs and have “malar lines”. There’s hollowness directly under my eye but my main issue is this line/indentation I have that runs from my tear trough down to my cheek. I’ve researched that my issue is the cheek/malar junction or something. I had fillers once and dissolved, didn’t work. Fat graft? Heard it’s a hard area to treat. Help! :) and who is the best for this delicate area?

Nima Shemirani, MD · Answer

Hi @lreye001. Thank you for sharing your photos.  I recommend Morpheus 8.  Morpheus 8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin 
tightening and lifting.

Best of luck,

Dr. Nima

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. Since you were unsatisfied with the results from dermal filler injections, you may benefit from RF microneedling to smooth the area you’re referring to. 
Rf microneedling treatments stimulate your body’s collagen, elastin, and hyaluronic acid production, increasing the skin’s volume and making it appear more firm and supple. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to discuss your concern with you and help you decide on the best treatment option to achieve your aesthetic goals.

Tim Neavin, MD · Answer

Thank you for the photos.  If this is puffiness, then fat won't work well in this area.  Do you smoke by any chance? Smokers sometimes get puffiness under the eyes that is difficult to treat.  If it's hollowness unrelated to skin changes, then I would recommend fat transfer.

Darryl J. Blinski, MD · Answer

Your phots show typical tear trough deformity on 1 side much more than other side. Best treatment is HA filler done in micro dosing techniques over 3 weekly visits. Fee $1,000. I prefer VolBella HA.

What can I do about malar cheek line/hollowness? Not necessarily “eye bags” do not want to inject puffy filler (Photo)

Answers (4)

Answer: “eye bags” do not want to inject puffy filler

Answer: “eye bags” do not want to inject puffy filler

Recommended reading

Everything you need to know about Facial Fat Transfer

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

What can I do about malar cheek line/hollowness? Not necessarily “eye bags” do not want to inject puffy filler (Photo)

Answers (4)

Answer: “eye bags” do not want to inject puffy filler

Answer: “eye bags” do not want to inject puffy filler

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Recommended reading

Everything you need to know about Facial Fat Transfer

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