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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
Dr. Toby Mayer, MD
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Dr. Toby Mayer, MD
Board Certified Facial Plastic Surgeon
4.7 | 101 Reviews
Answered on Apr 24, 2012
Answer
Dr. William Portuese, MD
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on May 7, 2012
Answer
Dr. Barry L. Eppley, MD, DMD
Dr. Barry L. Eppley, MD, DMD
Board Certified Plastic Surgeon
Answered on Apr 26, 2012
Answer

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Toby Mayer, MD

Cheek implants for "low cheeks" are probably what you need and placed high on the cheek bone. There are several types of cheek implants and one of those does what you want.

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Chang-Hyun Oh, MD

Accusculpt is an variation of liposuction surgery and basic principles are totally the same. to reduce volume of upper/anterior cheek. Surgical removal of buccal fat poads are usually more effective.

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Steven J. Pearlman, MD, FACS

There are a number of moderate and long lasting fillers that work so well that I do many fewer cheek implants than I did a few years ago. If this is your first time, I suggest a hyaluronic acid filler, Juverderm, Restylane, or Perlane. The advantage is that they last +/- 9 months in the cheeks....

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Toby Mayer, MD

You have the type of face that has lower cheek fat and liposuction or buccal fat removal is not what I would do. You will need that fat in several years and you will look younger because of it. As you have found out you can always find someone to do it but you won't be happy. You could...

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David Shafer, MD, FACS

When choosing a filler, the patients anatomy and the location of interest needs to be taken into consideration.  There are many great fillers, but not every filler is good for every part of the face.  For instance, Radiesse is great for the cheeks, chin and jawline as it has firm...

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