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Reduce Malar Fat Pads, or Have Cheek Augmentation? (photo)

photosinwApr 21, 2012
I really dislike the lower-mid portion of my face, which seems to be getting worse (sagging) as I age. I'm now in my mid-30's. What I dislike is that it protrudes more than my cheekbone area, and this isn't attractive and I think also makes me look older and tired. Are there any opinions from this photo about how to reduce the fullness in this area (malar fat area I think?) Would removal of the fat be better, or would fillers or augmentation on the cheekbones be better?

Answers (3)

From board-certified doctors and trusted medical professionals
Toby Mayer, MD profile photo
Dr. Toby Mayer, MD
Board Certified Facial Plastic Surgeon
4.7 | 100 Reviews
Answered on Apr 24, 2012
Answer
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on May 7, 2012
Answer
Dr. Barry L. Eppley, MD, DMD
Board Certified Plastic Surgeon
Answered on Apr 26, 2012
Answer

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Richard W. Fleming, MD (retired)

A sculpted cheek implant is the best way to permanently augment the cheek bone projection. You are correct when you suggest that the prominence is positioned closer to the eye.The cheek also can be  contoured with fat or a filler like Radiesse.

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Barry L. Eppley, MD, DMD

The specific area to which you refer below the buccal fat pad are known as the perioral mounds. This is a subcutaneous fat layer that is a completely different fat layer than that of the buccal fat pads. It is commonly perceived that buccal fat removal will address this area as well...but it...

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Francis R. Palmer, III, MD (retired)

This may be called a form of a Face Lift but that's more marketing hype than truth IMHO.  This is a Nd-Yag laser that's used in the tissues to deliver energy and melt fat instead of other forms of liposuction.  Face Lifts, IMO, must meet the 3 conditions (listed below) to be...

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