Asymmetrical cheek muscles, what can I do to make my cheeks match?

Question

I have long been bothered by my asymmetrical cheek muscles. One cheek has a dimple/long crease and the other does not. I wold like my cheeks to match--either by both having a creed or both having no crease. The dimpleplasty procedures I have viewed make small, hole-like, dimples rather than long line creases like I have. The subcision procedures I have viewed are done for cellulite or scars; not getting rid of dimples/creases. Please don't tell me to get filler because this issue is dynamic.

Monica Boen, MD · Answer

Your case is somewhat unique and would need an in-person assessment to properly diagnose and recommend a treatment plan. While the area you are referring to is indeed dynamic, there are formulations of dermal fillers today that are specifically designed to move with your face. However, a careful evaluation would be needed to determine whether this is the right approach for you. I advise you to schedule a consultation with an experienced, board-certified dermatologist who will have the expertise to customize a treatment for you to produce the best possible results.

Shaun Patel, MD · Answer

I believe the intradermal microinjections using Restylane Refyne will help with this issue as would Sculptra Aesthetic. I know it is not what you want to hear but I think it will help.

David A. Kimmel, DMD · Answer

This is really an interesting case. As it is dynamic it is really difficult to tell from a photo just want is occurring. It could be just a volume loss or more likely the area is bound down. Which unfortunately means you really need someone to closely evaluate the area . I know you mentioned not wanting to use a filler but an experienced injector can really make a difference in this area with a filler. Today there are dermal fillers that are more elastic  and function very well in dynamic areas.

Leonard Grossman, MD · Answer

I believe you would benefit a great deal from having Autologous Fat Grafting. Fat grafting will it restore the Lost volume in the face as well as correct the skin from any of the effects of aging. The results of fat grafting should be completely natural and almost permanent. I hope this helps and good luck from New York City, have a look at our website for more information.

Asymmetrical cheek muscles, what can I do to make my cheeks match?

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