Mid 20's Facial Deflation and Cheek Descent - What Are My Options?

A good way to determine whether someone might benefit from nonsurgically revolumizing the cheeks and the mid-face region is to ask them to smile. If the smile lifts the fallen tissue back into place and rounds the contours of the cheeks making them appear more youthful, it is a good indication that nonsurgically volumizing the above regions with injectable volumizing agents, such as Radiesse or Radiesse combined with Perlane L would likely yield immediate, durable and gratifying results. I rely on these agents for these purposes in my Upper East Side New York City practice. In Israel, where I have a satellite office and where a far greater number of more robust volumizing fillers are available, I prefer to use Juvederm Voluma or Stylage XXL, either alone or in combination with Radiesse.

    Cheek implants or fat transfer would be good options and are permanent solutions.  If you have lower eyelid issues, you will likely need lower eyelid support through eyelid surgery at the same time.   Rhinoplasty can be performed at the same time.

When asking facial plastic surgeons a question, a picture can be very helpful in answering the question.  To create cheek in a young thin face your options are:

1)  Cheek implants-  Pro- Good if you have weak bone structure.  Permanent solution  Con-  It involves surgery and the associated risks

2)  Injectables-  Pro-  Can give a great results without surgery and associated risks  Con-  Temporary and will require repeat treatments

3)  Fat Transer-  Pro-  Longer lasting and natural result  Con-  requires surgery and is not a precise as injectables.

 

I hope this helps

Cheek deflation can be corrected by various techniques.

As stated Perlane and Radiesse are good temporary options.

Longer lasting options are Artefill, fat injections and cheek implants.

Please consult with a Board Certified Plastic Surgeon in person prior to making treatment decisions.