Cheek/lid juncture. How can prevent my cheeks from bunching up so much and making my eye area look hollow when I smile? (Photo)

Question

I have naturally full cheeks but recently there is a hollow at cheeks/eyelid junction. I had cheek filler (Voluma?) one year ago and have since had it dissolved. Dissolving the filler helped but there is still too much of a ridge below my eyes when I smile or laugh. My doc thinks tear trough filler isn't the solution and will make my eyes smaller and the whole area appear unnatural. He adds Botox below my eye to help relax the cheek muscle which helps, but I want a better fix. Please help.

Jason Emer, MD · Answer

you need lifting not volume. so voluma laterally and around the eyes would help but long term you also need therads, morpheus, thermage and ultherapy. an early facelift will help too. you NEED at home dermarolling (see link!!)

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly, see linkt) should be started now to prevent further aging.

For facial rejuvenation,  I would suggest a combination approach of 
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Michelle Zweifler, MD · Answer

There a several options that may smooth out the lid cheek junction.  Off label filler placed along the lateral orbital region may "lift" the lower eyelid.  Crows feet Botox may soften the cheek appearance with animation.  At times, a small amount of tear trough filler may help.  Lower eyelid Botox helps with lower eyelid wrinkling and excess animation.  At times, eyelid surgery may be the best option.

Cheek/lid juncture. How can prevent my cheeks from bunching up so much and making my eye area look hollow when I smile? (Photo)

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Everything you need to know about Cheek Fillers

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Cheek/lid juncture. How can prevent my cheeks from bunching up so much and making my eye area look hollow when I smile? (Photo)

Answers (2)

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Everything you need to know about Cheek Fillers

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