How to fix sunken cheeks, nasolabial folds and puffy face? (Photo)

Facial volume loss



Thanks for your question and photos. There are a variety or options, both non surgical and surgical, that can treat loss of volume in the face. These include fillers, either temporary or permanent, fat grafting or facial implants. They can create volume, symmetry, and balance your facial features. Additionally, a series of laser treatments can help improve skin texture. To address your concerns I would recommend having an in person consult with a board certified plastic surgeon who specializes in facial aesthetics and contouring.

You will need a combination of volume with fillers, sculptra, fat or implants along with lasers, skin care, microneedling/PRP for improvement.  Best, Dr. Emer.

Cheek implants are manufactured in a large variety of sizes and shapes, which can enable augmentation of the sunken cheeks.  The Implants are composed of Silastic, and are usually inserted through a small incision through the mouth.  For more information   and many examples including diagrams of the implants themselves, please see the link and the video below 

Thank you for your question. The best treatments for this type of mid face volume loss are either sculptra or autologous fat injections (transfer of your own fat). Both offer long term filling of the area you are concerned but it will likely take several treatments of each one to get your final and optimal result. Good Luck! 

Thanks for your post and photos. Your bout with cystic acne and treatment for this condition my have resulted in loss of soft tissue volume/ fat from inflammation related to your cystic acne. Fortunately midfacial lipoatrophy can successfully be treated with injectable fillers or fat. I would recommend you consider filler with Sculptra Aesthetic, which gives natural and long lasting results for the mid face. The puffiness around your eyes requires and exam and further evaluation to understand and properly treat. Best wishes.

 Hi, I have performed many facial shaping procedures using dermal fillers, facial implants (cheek, chin), liposuction and/or facelifts for over 30 years. Following the beauty principles that I have spent over 30 years developing, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles.  From the photos, your cheeks are flat anteriorly (in the front), the chin is weak as are the mandibular angles.  This combines to create an elongated oval shaped face.  The following procedures would create a more ruggedly handsome face.
Cheek augmentation with cheek implants to add angularity to the cheeks and mid face.  Alternatively, you can shape the cheeks using a temporary dermal filler.
Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face.  I have performed many Chin Augmentations using chin implants for over 30 years.  From the photos, your chin is weak.  A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.   I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.
Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.

Hope this helps.