Round Face With Flat Cheeks. Looking to Balance My Face and Profile? (photo)

As we age, we lose facial fat. The most visible area where this shows is the mid-face. Once high cheekbones are no longer balanced by full cheeks. From the photos posted, you have lost mid-face fullness. Fillers work great in this area to restore a full youthful cheek. As the filler is put in, the cheek bone can be augmented and "sculpted' with the filler as well to obtain your ideal shaped cheeks. This is much easier and faster than cheek implants, which is why I do far fewer than i used to do now that we have fillers that last a year or longer.
 

Hello,

Facial fillers work well for this type of situation.  Although several filler options are available, Radiesse (calcium based) works well in the malar area. 

Hope this is helpful.

Respectfully,

Andy Shah MD

 It's important not to over-do cheek implants, so that you do not look overdone. Virtual plastic surgery software was available on our website for you to try, so that you can see what cheek implants and neck liposuction would do for you. Cheek implants are manufactured in a large array of thicknesses, sizes, and shapes which is best determined at the time of the consultation and examination.

In the late 30's and early 40's I frequently see volume loss in the fat pads beneath the orbicularis oculi muscle and associated sagging of the cheek and flattening in the lateral brow.  One of the most lasting and gratifying procedures for this problem is the endoscopic brow and midface lift.  It is a hidden small scar procedure that restores the position of the lateral brow, cheek fat pad, and orbicularis muscle.  Fat volume is restored in the pads beneath the muscle.  In some cases the cheek bone is actually underdeveloped and in these cases the skeleton is augmented with hydroxyapatite bone mineral through the same endoscopic procedure.

 Aestheically speaking, from the photos provided, your profile is fine as far as facial structure however there is excess fat and skin under the chin.  From the front, the cheeks are quite flat and "jowls" are present indicating excess skin of the lower face.  A minimal incision Facelift, shaping the cheeks with a Cheek Implant or a filler (I prefer Perlane), micro-liposuction of the neck and removal of excess skin through an incision under the chin would address your concerns.  Hope this helps.

If your definition of cheeks extends down to the jowls,  improvement can be achieved with neck and jowl liposuction and a short flap facelift ( or "minilift" or any other terminology for what is less than a conventional facelift). Cheek augmentation as an isolated procedure may give you a more masculine look.

Age-related changes throughout the face result from the combination of multiple causes: skin laxity due to the loss of collagen and elastic tissue fibers, loss of subcutaneous fat, gravity-induced sagging in the skin and underlying tissues, and changes in the underlying bony structures. The older concept that “tighter is better” has been replaced by recognizing the importance of volume distribution as a defining characteristic of a more youthful face. Restoration of volume in the upper face can lessen or reverse the bottom-heavy, deflated appearance of the aging face. When treating volume loss problems such as cheek hollows and sagging skin, I will almost always use a stimulatory filler such as Radiesse or Sculptra. They are injected deeper beneath the skin to generate more volume which creates a much better lifting effect for sagging skin.