Female, 32, with overly hollow cheeks and manly jaws - injectable filler or fractional laser, or what? (Photo)
Doctor Answers 8
Cheek Reflation with Voluma
Dear beastface:Looking at your photos, you could benefit from reflation of your cheeks with the dermal filler Voluma. It will fill the hollow cheeks and give your cheeks fantastic projection and enhancement. Softening of your masseter muscles on your jawline with Botox will help with feminizing the face. Of course all of the above treatments, should be carried out by an expert injector. Hope this information helps you and wishing you treatment success.
Injectable filler (Juvederm, Voluma, Restylane, or Radiesse) or fat transfer would work well to augment your cheeks. Amount of fillers or fat needed will dependent on the patient's face. Speak to your surgeon about what is the best option for you. Laser resurfacing will help your skin texture (i.e acne scars), but will do nothing for your volume loss.
Cheek volumisation and facial feminization
It appears your midface has lost volume. Midface can be sunken from bone and soft tissue depletion, and that accounts for your sagginess. From your picture, you have lost volume in the anterior medial cheek, the submalar and parotid area.
Your options include hyaluronic acid filler, collagen stimulators and fat grafting.
Hyaluronic acid fillers have the strongest evidence for safety and efficacy, with several level 1 evidence studies conducted. Of which, Voluma is FDA approved for the midface, with longevity of 18 months on average.
Collagen stimulators, for example radiesse, sculptra take time to achieve peak results and possess mainly level 2 evidence to support its use.
Fat grating is a surgical measure, but is operator dependent.
For a straightforward treatment, I would suggest hyaluronic acid fillers. Filling up the abovementioned areas of volume deficit will help feminize your features and solve your gaunt and bony look.
You might also like...
Cosmetic treatment options for hollow cheeks and manly jaws
Nonsurgical Cheek Augmentation With Volumizing Fillers Works Well For Hollow Cheeks
I am not much of a fan of Sculptra, since it is not a filler, so it does not give an immediate improvement, requires a series of three treatment sessions, and is relatively expensive. I am also not a fan of fat injections. This, too, is typically a multistep process, requiring one procedure to withdraw the fat from the flanks, abdomen or buttocks, and the second procedure to inject it. And despite the claims that the results are permanent, one study evaluating fat transfer for mid-face volume augmentation (your area of interest) showed that less than a third of the initial volume injected remained after 1.5 years.
Seek consultation with a board certified aesthetic core physician with experience and expertise in deep support volumetry, which is the fancy way of saying a three dimensional approach to facial volumizatio using volumizing fillers n to provide proper lift, projection and light reflection for the face. Make sure to ask to see before and after photos.