Non-surgical Way to Restore Volume in Midface?

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?

Doctor Answers 20

Juvederm and Restylane as non surgical alternatives

Juvederm and Restylane are wonderful non surgical alternatives to volumizing the face. I also use Radiesse as a mid face filler. I do not recommend it under the eyes. If you have a small amount of fat that could be removed I also recommend fat transfer as a great alternative to all of these. You stated non surgical in your question however with a small syringe we are able to remove fat from an area via syringe and then purify that fat and reinject that fat into the areas that need enhancement. All of the above methods work and it is dependent upon your needs and desires and the surgeons recommendations.

Orange County Facial Plastic Surgeon
5.0 out of 5 stars 208 reviews

Fillers are often used to improve fine lines and volume to the face

Fillers are a non-surgical way to add volume to the face. As we age we lose fat and bone volume in our face. If you look at pictures of actors as they age you we see a thinning of the face with age. This is a natural progression. On the lower eyelids we develop a depression under our eyes which occurs due to the descent of the cheek tissue.

Restalyne and juvaderm are the fillers of choice for the lower lids because this is a tricky area to fill. If the area is over-corrected it can look too full or grey in color. If this occurs with the fillers above it can dissolved with hyuronidase. The correction can last up to one year unlike the mouth area where correction is typically 6 months.

To volumize the cheeks, fat transfer, sculptra, radiesse can also be used.

Lenore Sikorski, MD
Orange County Dermatologist
4.3 out of 5 stars 24 reviews

Juvaderm Ultra Plus works for midface volume restoration

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.

Lee Kleiman, MD
Annapolis Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Fillers for the midface

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.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Fat injections and other dermal fillers

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.

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 84 reviews

The most natural way to restore volume is by injection of fillers

Fillers have become gold standard for volumizing the cheeks. In my experience, Sculptra and Radiesse work wonderful in this area.

For under eyes, however, Hyaluronic acid based fillers such as Restylane and Juvederm work better and are safer.

Nissan Pilest, MD
Irvine Dermatologic Surgeon
4.7 out of 5 stars 19 reviews

Midface fillers

I agree with the others. Fillers are the best option for treatment. However, some fillers are better than others. Scuptra in my opinion is not a good choice if you are using it close to the thin skin of the lower eyelid. The hyaluronic acid fillers are great... Restylane probably being my choice. The injections should be done by an experienced physician. The fillers should also be placed as deep to the skin as possible to avoid lumpiness. Volume is what you are trying to acheive.... not removing superficial lines. The technique is totally different.

Henry Daniel Sandel IV, MD
Annapolis Facial Plastic Surgeon
5.0 out of 5 stars 4 reviews

Mid-face Non-surgical Rejuvenation

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

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Non-surgical Way to Restore Volume in Midface

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.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 39 reviews

Midface Rejuvenation with fillers

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.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.