Non-surgical Way to Restore Volume in Midface?

Question

Having had Juvederm injections several times for smile lines before, one doctor said that she could inject it in my cheeks and under my eyes if I want to try to restore some volume. I am hesitant because my experience is that the product stays where it's injected, what would be my options? What is the best and most natural non-surgical way to restore volume in the cheeks and under eyes that won't give me a lumpy result?

Ron Shelton, MD · Answer

Fillers are the best treatment. Juvederm or other fillers work best when injected below the muscle under the eyelid area to minimize bruising and create a more smooth result. The fillers are used in the deep plane in the cheek with multiple passes and small amounts per pass to spread out the product so there is only a small chance of lumpiness. The hyaluronic acid fillers such as Juvederm and Restylane / Perlane can be treated with hyaluronidase to thin out the lumpiness should it occur.

Jerome Edelstein, MD · Answer

Hyaluronic acid fillers, like Juvederm and Restylane, have been able to achieve beautiful improvements for my patients. The key is to find an injector who has experience with this area, and has an artistic eye to achieve the rejuvenating results you want.

Raffy Karamanoukian, MD, FACS · Answer

Fat grafting may be a natural solution to volume loss in the mid cheeks and mid face areas. Raffy Karamanoukian Los Angeles

Darrick E. Antell, MD, FACS · Answer

You seem to have been happy with Juvederm, so I would recommend that you stick with it for augmentation of the cheek/face area.

	There are a variety of off the shelf products but the beauty of these is that it avoids the downtime of a surgical procedure, such as cheek implants for example. The limiting factor is that they are not permanent.

Michael A. Persky, MD · Answer

Hi Newmie,
Juvederm is excellent for restoring volume in the midface.  I would use Restylane close to the eyes as sometimes Juvederm swells a little too much in this area leading to unsatisfactory results.
Another non-surgical method of restoring midface volume and lifting the slight laxity of the area is treatment with fractionated carbon dioxide laser.  I have been using Fraxel re:pair for the past year.  One of the most consistent effects is a slight lift of the mid-face, and smoothing of the lower eye lids.
Choose your injecting physician carefully.
Dr. P

Otto Joseph Placik, MD · Answer

I don't quite understand you hesitation if you have had a favorable experience with the Juvederm.
Essentially Juvederm comes in two forms Ultra and Ultra Plus. The latter is usually preferred for deeper (cheek) augmentation.
Alternatively, you could consider Restylane and Perlane. The latter is comparable to Ultra Plus.
Other cheek fillers include Sculptra or Radiesse.
Lastly, the use of autologous fat injections is an option but does involve minor surgery.

Kris M. Reddy, MD, FACS · Answer

Juvederm Voluma is an excellent option to restore volume to the cheeks and provide a nonsurgical mid facelift.Juvederm Voluma is a FDA-approved injectable gel to instantly add volume to your cheek            area to correct age-related volume loss in adults over the age of 21. It can provide you contour            and a subtle lift for up to two years with optimal treatment.

Laxmeesh Mike Nayak, MD · Answer

Midface volume restoration through cannula filler placement is one of my favorite procedures. Please take a minute to watch the video below - it says it all!

	Patients are generally extremely happy with the results. Cost varies form $600-$1800 depending on how deflated the face is. Most patients choose an annual touchup, but even without that, it would be years for all of the filler to dissolve.

Lee Kleiman, MD · Answer

Juvaderm Ultra Plus works well to restore volume in the midface.  It can last 6 to 12 months.  I also use Radiasse as a midface filler.  This lasts a bit longer.  
Costs are equivilent with 0.8  cc syringes about $650. 
Fillers beneath the thin skin of the nasojugal groove and perioribital skin require a thinner hyuronidase product, such as Restylane or Juvaderm Ultra. These cost $600 per syringe.

Philip Young, MD · Answer

Volumizing for the midface is one of the best ways to rejuvenate this area. Dermal fillers and fat transferring procedures can markedly bring youth to this area in a natural way. Dermal fillers are a non surgical way to do this without long incisions but the effect is short lived lasting from 6 months to a year or more depending on the product. Fat injections are another option that also requires no incisions just small puncture holes to achieve beautiful results that can last years up to 10 years or more. Volumizing is a great alternative to midface rejuvenation.

Non-surgical Way to Restore Volume in Midface?

Answers (20)

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