How Do I Get Rid of a Frowny Face/cheeks? (photo)

I am still in college, I am about 110 and 5'3. I thought that the fat in my cheeks would go away if I lost weight but it did not. I hope this does not sound ridiculous but people constantly ask me why I am sad/angry. My face looks like it is frowning because my cheeks hang low. The first picture is me not smiling, the second picture is my pulling back my cheeks with my fingers, how do i get what i have in the second picture? Can I use filler for this

Doctor Answers 13

Lifting of the Cheeks

Dear veronicatyt:

I would recommend injection of Juvederm Voluma to augment your cheeks initially and if it has not achieved the desired treatment outcome on the 2 week review, then to inject some filler like Juvederm Volift to the area just below the lower corners of your mouth.

Kelowna Physician
5.0 out of 5 stars 9 reviews

Cheek augmentation to "balance" the face

Your cheeks are heavy, and they are weighing down the corners of your mouth. 

I would suggest using Voluma or Restylane lyft in the cheeks to lift them.  I use a technique where I pull the cheek up and then use the filler to "tack" the cheek into place.  The result is very natural and lifts the weight of the cheek as well as the corners of the mouth. 

In addition, sculptra can add more volume to the top of the face, restoring the focal point towards the upper third.

Finally, neurotoxin (botox or dysport) in the DAO muscles will help to keep those muscles from pulling the sides 

Melissa Chiang, MD, FAAD
Houston Dermatologic Surgeon
5.0 out of 5 stars 12 reviews

Belotero or the new Restylane Silk would work really well here

Thanks for your question and the photos – they help. You should have a consultation with a board-certified dermatologist or plastic surgeons to learn what treatment options are available for you. As you are young, we need to do something that maintains your youthful skin and does keep things looking natural. I would recommend an HA filler in the corners of the mouth – and either Belotero or the new Restylane Silk would work really well here. Find a skilled injector and your unhappy look can go away.

Michael Gold, MD
Nashville Dermatologic Surgeon
4.0 out of 5 stars 18 reviews

Face/cheekbone correction

I agree with you that a correction of the cheekbones would give you the results you are looking for.  Either Sculptra, Restylane, or Voluma injections would help correct this look and give you higher looking cheekbones and a less "frowny" face.  For the best cosmetic results please consult a board certified dermatologist with a great deal of experience with facial injections.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

Volume loss in face

I think you would definitely benefit from adding some volume into your upper cheeks. Start with filler injections.

Mitesh Kapadia, MD, PhD
Boston Oculoplastic Surgeon
5.0 out of 5 stars 167 reviews

Liquid Facelift to Change Facial Shape

Our facial shape is a result of our underlying bony facial skeleton, the amount of facial fat, strength of our facial muscles and skin thickness and skin texture.  Weight loss early in life generally has a beneficial effect on facial appearance.  As we age even minimal amounts of weight loss can considerably age one’s appearance.


In your case the lifting you’ve demonstrated can be achieved with facial fillers.  By precisely placing filler material into the cheek area you can contour the face to give a natural, refreshed and well balanced appearance without much downtime.


Jill Hessler, MD
Palo Alto Facial Plastic Surgeon
5.0 out of 5 stars 26 reviews

Achieving a Slimmer Look to the Face

You are right to note that losing weight did not change your facial shape. In many patients, fuller cheeks are not from weight gain but actually just a genetic trait inherited in families. And losing weight often will not change this type of fullness. I agree that by building up the cheek bones, you can get closer to that "ideal" upside-down triangular shape to the female face - wider at the cheeks then slimming down towards the chin. It may also be wise to consider minimally-invasive laser liposuction to remove some of the fullness in the lower cheeks and tighten the skin along the jawline. The position and contour of your chin in the side view can also influence the look of your jaw and neck line. Make sure to discuss this with an experienced Facial Plastic Surgeon who will examine your facial structure from all angles.

Manu Gujrati, MD
Palo Alto Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Non-surgical face lift

Adding volume to your upper cheeks with Juvederm or Perlane would help lift your lower cheeks and bring more attention to your beautiful eyes.  I would also use Botox and filler to lift the corners of your mouth to make you look happier.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Lifting cheeks in a young patient

Thanks for posting your photos that really helps. At your young age filing your cheeks could give them a lift and simulate what you see when you smile. You could also soften your folds below the corner of your mouth in the same way. Fillers like restylane and Juvederm are the simplist and safest to use and I would start there.

Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon
4.9 out of 5 stars 108 reviews

Cheek lift

Dear Veronica,

As you can see in the pictures, when you smile, and lift up the cheeks, you are essentially adding volume to the upper cheeks.  Fat transfers are great for a longer lasting result and they will go away as you get older.  By then, the rest of your face is likely to catch up and balance itself out.  Temporary fillers like Restylane and Juvederm are great as well.  The catch is that it would take a few syringes and it lasts for about a year or so.  A consultation would definitely answer all of your questions more specifically.


Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 74 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.