Collapsing, sunken cheek when I smile. What can be done? (Photo)

Hello,
Thank you for your question and for providing a photo to better illustrate your concern.

At 36 years old, it's not uncommon to notice changes in facial volume and skin texture. The appearance of a sunken cheek when you smile can be addressed with several effective treatments. Here are some options to consider:

Hyaluronic Acid Fillers: These are a popular choice for adding volume and smoothing out wrinkles. They provide immediate results and can be tailored to achieve a natural look. Brands like Juvederm and Restylane are commonly used for this purpose.

Poly-L-Lactic Acid (PLLA) Fillers: Sculptra is a well-known brand of PLLA fillers. These work by stimulating your body’s own collagen production over time, leading to a gradual and natural increase in volume. The results can last longer than hyaluronic acid fillers but may require a few sessions.

Fat Grafting (Lipo-filling): This involves harvesting fat from another part of your body (like the abdomen or thighs) and injecting it into the cheeks. This can provide a more permanent solution, but it is a more invasive procedure compared to fillers.

Morpheus8: This is a minimally invasive treatment that combines microneedling with radiofrequency to tighten and lift the skin. While it primarily targets skin texture and tone, it may not provide as significant volume restoration as fillers or fat grafting.

Each of these treatments has its own advantages and considerations. The best solution depends on your specific anatomy, the degree of volume loss, and your personal preferences regarding downtime and longevity of results.

I recommend scheduling a consultation with a board-certified dermatologist or plastic surgeon who can assess your face and discuss these options in more detail. They can help you choose the treatment that will best meet your aesthetic goals.