How to remove dent in face? (photos)

Question

Jason Emer, MD · Answer

Subcision and filler placement is a good idea.  I would suggest getting fat, silicone or artefill to the area so you have something more permanent.  Otherwise, you will have to continue with fillers forever.  An implant may be a possibility as well.  Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

Traumatic indented scars, like those from chicken pox, acne, and surgery can be improved by subcision and volumizing fillers. Subcision breaks up tethering scar tissue under the depression, freeing it up and allowing it to "float" to the surface. Usually a series of treatments are needed (generally about four spaced at four to six week intervals) for optimal results. A volumizing filler, such as Radiesse, can be injected either at the time of subcision or a later date to further aid in elevating the base of the scar upward. For more information of subcision and volumizing fillers for scar treatment, I suggest you check out the archives of Realself.com.

Guido P. Gutter, MD · Answer

Your picture suggests that you are into  Boxing or Martial arts ?If so you might have a zygomatic arch fracture (the bone which spans across the cheek from the lower lid to the ear is pushed "inwards"). If the bone is broken ("pushed in") it needs to be reduced to its original shape and position. THis would require some surgery. Should this be a "soft tissue" problem and not a bone fracture  various procedures with "fillers" can be attempted. First though I would have the area checked for a fracture which can be easily done by examination and/or an x ray. Good luck!

J. Jared Christophel, MD, MPH, FACS · Answer

What caused this?  Did you have trauma in the area?  While unlikely, I would ensure there isn't a fracture of the zygomatic arch.  More likely is some localized soft tissue necrosis from trauma.  In that case, can fill the dent in with something.  Ideally you will use your body's own tissue rather than an artificial material.  Will also need to separate overlying skin from the deep tissue (subscision as mentioned above is one method) to allow the filler to be placed.One option is to harvest temporoparietal fascia and some temporalis fascia from the just in front of the ear, and through the same incision lift the skin off the deeper tissue and place the grafts.

David Hansen, MD · Answer

Subcision followed by an implant such as eptfe will usually fix indentations quite easily under local and quickly in 1 treatment.

How to remove dent in face? (photos)

Answers (5)

Answer: Depends on cause

Answer: Depends on cause

Answer: Permanent way to fix facial indentations.

Answer: Permanent way to fix facial indentations.

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Everything you need to know about Dermal Fillers

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

How to remove dent in face? (photos)

Answers (5)

Answer: Depends on cause

Answer: Depends on cause

Answer: Permanent way to fix facial indentations.

Answer: Permanent way to fix facial indentations.

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

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