Flat cheeks with no forward growth - what procedures can I get to improve appearance? (photos)

Thank you for your question and photo. Hyaluronic acid dermal fillers are an excellent option for adding volume to specific areas of the face, such as the chin and cheeks. Administering filler to both areas can create a soft, balanced enhancement by adding fullness and creating a supple, youthful appearance. Results from dermal filler injections can last for up to a year or more, depending on the formula used. If you’re interested in more long-lasting results, facial fat grafting works in a similar fashion to dermal fillers with more durable improvement. Finally, custom-fit silicone implants can increase the projection of the cheekbones and define the jawline, creating a striking contour that is permanent as long as the implants aren’t removed. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector. They’ll be able to discuss your aesthetic goals with you and review your options to determine the best treatment for you.

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

The kind of problem you describe is practically an everyday problem in an active cosmetic dermatology practice. And a rather straightforward one to easily correct with the proper appropriate choice of a robust HA filler injected in the proper manner. Treatment, in experienced hands, should not take more than about ten minutes to perform and the results are typically immediate and elicit an immediate "Wow!" reaction. You would be wise to consult an experienced, board certified cosmetic dermatologist. So, no need for despair. Best of luck.

You have a good eye! Cheeks that go to the sides are attractive, but most attractive is when it also comes forward underneath the eye. The cheek in this area will be full, more like when you smile, and will reflect light up into the eye creating a brighter more attractive appearance.
We can do this readily with cheek implants, right in the office. This is something we do frequently and we can choose the right shape to fill in where you need. It's permanent, safe, quick, and effective. Watch our videos to learn more.

The broader and more prominent cheek look you describe is typically seen in patients of Asian descent. There are many implants, but custom implants are likely the best option for achieving symmetry, the right volume, and the correct shape.
One of the many advantages of custom-fit and custom-designed implants is that you get to choose the look you want.
Generic or off-the-shelf implants are very problematic for the chin for a variety of reasons. Custom implants are the better option in terms of look and long-term success.
Costs are relative, and location, hospitals, and other variables play a role. Please learn about the differences between custom and generic implants.
Happy holidays

I would recommend fat grafting on the malar bone with Vollux (new) thicker HA filler from Juvederm. Fee $6,000. Best to virtual consult with....

Good Afternoon! Thanks for the questions. A cheek implant may be a great option. These are inserted through the inside of the mouth and then anchored to the cheek bone. They come in a variety of shapes, sizes, and materials. Parameters - like projection - can be adjusted. The results can be quite nice overall. This may be a better option for true definition than something like fat transfer to the cheeks. That can work well, though it's more for volumizing throughout. Seek consultation with a facial plastic surgeon to learn more. Hope this helps!

Have a consult with a Board Certified Injector to discuss adding a bit of volume mid face as well as chin and jawline.

Best of luck!