Advice about my best options regarding sagging in cheeks area. Any suggestions? (photos)
Doctor Answers 7
Chin/Cheek Augmentation -- Fillers such as Radiesse, Voluma, Perlane; Fat; Implants; Sculptra
You're going to want an expert injector. Fat, fillers, such as Radiesse, Voluma, implants and Sculptra can all be used. Please see a professional for an evaluation. Best, Dr. Emer
Advice about my best options regarding sagging in cheeks area. Any suggestions?
- Cheek augmentation with cheek implants or a reliable "off the shelf" dermal filler can add angularity to the cheeks and mid face.
- Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.
From your photographs it seems that the issue is volume, not loose skin, so I would not recommend Ulthera at your age. Hyaluronic acid (HA) filler is the best choice for you - think Juvederm and Restylane families of products. We see dozens of patients weekly for cheek augmentation with HA fillers and achieve consistent results due to the extremely low side effect profile of these products and their consistent behavior in various types of patients. Regarding the possibility of Tindall effect under your eyes, it is very possibly from prior filler. We would be able to tell by evaluating the area. HA filler under the eye can persist for longer periods of time than expected. You might be a candidate for treatment with the enzyme hyaluronidase which could decrease the blue tint of the skin if due to previous HA filler.
Best to you,