What are your suggestions for a flat midface? (Photos)

Question

I am happy with my face from the front but I've always had little to no cheek projection/ogee curve. I have been researching all the options, and it seems that most people would not recommend implants (even though I prefer a permanent solution). I am afraid of pillow face/migration from fillers, and fat grafting is very unpredictable and also not permanent. Are fillers the best option, or can an implant provide me a natural 3/4 view curve? I've edited a few photos to show what my goal would be.

Nelson Lee Novick, MD · Answer

I wholeheartedly agree with your concerns about fat injections. The results are unpredictable and not permanent. Moreover, any fat that does remain retains the characteristics of the location (stomach, buttocks, thighs) from which it was taken--meaning that in mid-life when fat from those areas begins to bulge, it can do so in the face where it was transplanted. I take exception with the idea that implants are permanent. The implant itself IS permanent. However, the tissue around it will age, so that what may look fine right now, in five years or ten, when the tissues around age, the implant may no longer be satisfactory and may need to be removed and surgically replaced with a one that better fits the age-related changes. Injectable, natural volumizing and lifting fillers provide a natural looking and safe solution to facial contouring and shaping and are easily injected over time to fit the ever changing and evolving nature of our faces. Just make sure that you consult with a board certified aesthetic physician with experience and expertise and avoid cut-rate medspa, non-physician venues. Hope this helps and best of luck.

Jason Emer, MD · Answer

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Leyla Arvas, MD · Answer

Hi, for your face I recommend you fillers. Fillers to cheek bones balance your face. If needed further consultations you can have more fillers to needed areas.

Amy Brenner, MD · Answer

I absolutely love adding filler (I use Voluma) to the mid face/cheekbones. This gives and instant lift while adding some volume to the apple of the cheeks.I think filler would be a great way to "test" if you would like a more permanent solution so you can see what you potentially could look like without it being permanent. Filler can also be dissolved if needed. I have have VERY few instances of filler migrating.

Anshul Gambhir, MD · Answer

Thank you for your question. Personally, I would not recommend fat transfer or permanent implants as there are dangerous side effects with them. Fillers would be the safest way to go and although it is not permanent you may have some collagen left behind in their place as you keep up with it. I would suggest using Voluma and starting with maybe 2 or 3 syringes. Hope this helps!

What are your suggestions for a flat midface? (Photos)

Answers (8)

Answer: Filler in cheeks

Answer: Filler in cheeks

Answer: Cheeks

Answer: Cheeks

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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.

What are your suggestions for a flat midface? (Photos)

Answers (8)

Answer: Filler in cheeks

Answer: Filler in cheeks

Answer: Cheeks

Answer: Cheeks

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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.