I have a thumb-sized indentation on right cheek, what can be done that provides more permanent results? (Photos)

Question

I, 25f, noticed a couple of months ago I have this thumb print size indentation on the right cheek, near the malar area. I attribute this volume loss due to myself losing about 50lb over the past year and a half. I was recommended filler, that would "last" 2 years, however, I want something more permanent, with more longevity. I was looking into fat grafting to replace the volume I lost, or even a cheek lift to reposition my fat pads?

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

Subcision is a simple, relatively inexpensive, nonsurgical method for elevating and smoothing skin indentations of all kinds. Since the procedure depends upon stimulating naturally new, native collagen and elastic fiber synthesis (neocollagenesis and neoelastogenesis), the results tend to be long-lasting to permanent. Fat transfer, on the other hand, is an expensive minimally invasive procedure that requires two steps: fat sucked out of a donor location with a large bore cannula and then reinjected into the recipient site, again with a large bore cannula. Unfortunately, despite the promise of permanent results, much of the fat, separated from its original blood supply, does not last, and that which does retains the properties of the donor site from which it was taken--meaning that if the donor site was the belly and the belly develops midriff bulge with aging, the midriff fat transplanted into the cheek may also develop the bulge with time. Make sure to consult with an experienced, board certified cosmetic dermatologist. Best of luck.

I have a thumb-sized indentation on right cheek, what can be done that provides more permanent results? (Photos)

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