What is the best filler for a thin face with sunken cheeks, hollows under my cheeks and the beginning of jowls?

Question

I have high cheek bones so I do not want to put filler above my cheek bones. What filler would be best and where should it be placed?

Jason Emer, MD · Answer

​Volume and contouring of the cheeks can be created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. Implants or fat are alternatives. Botox and radiofrequency can help slim and contour the jawline. Liposuction can help slim the face. Ultherapy, J Plasma and RF treatments can provide skin tightening and lift. I would recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer​

Larry S. Nichter, MD, MS, FACS · Answer

Jowls and Pre-Jowl Concerns can be addressed without fillers by minimally invasive surgical techniques. You have not provided photos so the following are general recommendations that might apply to you. For example if jowls are a problem and it is mostly a fat issue (rather than skin redundancy) then liposuction using a very tiny cannula is helpful. Likewise fat transfer (for example from the Jowls, below the chin or from the tummy) can be used to fill in the slight hollowing in the pre-jowl area (the depression between the chin and the jowl). If loose skin is an issue then a mini-facelift such as a Lite Lift, MACS, etc is helpful.

Mary P. Lupo, MD · Answer

Voluma and Restylane Lyft are excellent options for those with high cheekbones, but with sunken lower cheeks and jowls. This liquid dermal collagen stimulating product doesn't bulk up high cheekbones and give that appearance like the eyes are disappearing. I love it for people with a gaunt appearance. Of course, your personal board certified dermatologist or plastic surgeon can best examine you and outline all your options.

F. Victor Rueckl, MD (in memoriam) · Answer

For the central face, Voluma is a great option because the particle size is larger so it is able to plump this area quite well. If you could provide some photos, we may be able to be more specific. "This answer has been solicited without seeing this patient and cannot  
be held as true medical advice, but only opinion. Seek in-person  
treatment with a trained medical professional for appropriate care."

What is the best filler for a thin face with sunken cheeks, hollows under my cheeks and the beginning of jowls?

Answers (4)

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