Cheek lines - can anything besides filler help? (Photo)

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Hi, thank you for your question! Both areas of concern are due to the lack of mid-face volume. You can address this with cheek filler, with Voluma being the product of choice. You are also a good candidate for Sculptra injections in the mid-face.

These lines reflect gravity causing the cheeks to "sag", Fillers would be the easiest way to start. But the trick is that it doesn't go into the folds. The cheeks (and cheekbones) must be lifted and that will elevate the face. The lines will appear less deep. Surgical solutions such as a face lift or thread lift can be used but I would start with a simple solution first.

Good Luck !

Joyce Davis MD, NY NY