Can one receive dramatic results with 2 syringes in each cheek for high cheekbones ?

Wintersun Depending upon the  filler I can give subtle to dramatic changes, all with a natural look.  Without examining you and discussing all of your concerns, it is impossible to make a recommendation on the type of filler nor the quantity.  As you are in my backyard, please come in and I would be happy to give you my recommendations. Please call Laney and let her know we met on Realself 5862547692

Its best you schedule an in-person consult for a full evaluation, depending how the cheeks look now would determine how many syringes you would benefit from, Radiesse and Juvederm Voluma would be the best option to help build and contour the cheek. Seek a reputable board certified physician to help ensure a result you wish to achieve 

Nonsurgical cheek augmentation with volumizing fillers is a rapid and excellent way to improve the upper mid face region without the need for invasive surgery and significant downtime. In most cases, the procedure may be completed in no more than twenty minutes with immediate return to work or social activities. Nonsurgical augmentation with volumizing fillers has the additional benefit of being able to be modified in accordance with age-related changes in the area itself and surrounding regions.A good way to determine whether someone might benefit from nonsurgically revolumizing the cheeks and the mid-face region is to ask them to smile. If the smile lifts the fallen tissue back into place and rounds the contours of the cheeks making them appear more youthful, it is a good indication that nonsurgically volumizing the above regions with injectable volumizing agents, would yield immediate, durable, and gratifying results.For nonsurgically augmenting cheeks, I prefer to use Radiesse or Radiesse combined with Voluma XC or Perlane L. I rely on these agents for these purposes in my Upper East Side New York City practice. In Israel, where I have a satellite office and where a far greater number of more robust volumizing fillers are available, I prefer to use Stylage XXL, either alone or in combination with Radiesse or Restylane SubQ. The actual amount used needs to individualized according to the cheek and underlying bone structure. It is crucial to seek treatment by a board certified aesthetic physician with extensive experience in treating these areas.

I feel 2 syringes in each cheek (totally 4) can definitely gice you noticeable results. A denser product such as Voluma, Radiesse, and Perlane should be used. You could also consider cheek implants that will be placed surgically.

Fillers can give a dramatic result if enough of the product is used by a skilled injector.  Two syringes may not be enough to give the desired result.  Juvederm Voluma is a denser filler and can give more enhancement than other fillers.

Wintersun, You are right when you say that you look at some results and not dramatic Some people want subtle improvement while others want a big change. I even have patients who don't want their husband to know that they did something. If you use enough filler you will get dramatic improvement. That being said, it depends on what you have to start with. I have patients who look in the mirror and go "wow" after two syringes of Radiesse while I have some where two gives a nice soft lift and correction that nobody might notice but the patient herself. Depends on face and how injected and distributed

This is obviously dependent on how much augmentation is required.  I have had excellent results with 2-4 ml of hyaluronic acid fillers and frequently can get by with three syringes.  Experienced injectors can make filler go a long way.  You can see some technique in the video below.Joe Niamtu, III DMDCosmetic Facial SurgeryRichmond, Virginia

he can definitely have a dramatic result in the areas of the cheeks with fillers.  If she need more volume I would probably recommend Radiesse.  I think he may have a hard time finding pictures of patients who have had more than 3 or 4 syringes and one sitting as they often look very dramatic and sometimes unnatural if multiple syringes are injected into a single site.  Injecting 4 or more syringes into various areas of the entire face is very common.  If a lot of volume is injected into one area at one time it may make the patient look like a person who has had filler in that makes it less likely that a doctor or patient would post it for the world to see as they may not be particular proud of it.  You may find better luck meeting with some providers and person who may have examples of patient's who wanted to be a little more dramatic in their initial changes with treatment.Chase Lay, MDdouble board-certified facial plastic surgeon

Depending on the degree of of volume loss or flatness, I usually get satisfactory result with 1-2mL per side either with temporary of permanent fillers. Fat transfer is also a very good alternative with longer lasting result.

For cheekbones particularly there is a newer FDA approved filler called Voluma. The particle size is larger which means it can give a more dramatic look. Remember that what it really comes down to is the experience and technique of the injector who is doing the filler. There is an art to using fillers - in the correct placement, depth, etc.! "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."