What treatment do I need for volume loss under eyes and sagging cheeks?

Thanks for your question, Shelly. It’s hard to assess your concerns without photos or a physical exam, but Voluma is a great dermal filler that can be placed in the upper/lateral cheeks to help restore volume loss, lift the mid-face and reduce some hollowing of the eye. Additionally, Volbella can be used to fill the tear trough/under eyes as well as the upper orbits depending on the degree of volume loss or hollowing. For pigment and texture issues, I recommend regular use of topical products like Retin-A and Vitamin C as well as BBL or Halo laser treatment to manage pigments and textures respectively depending on your needs. Regardless of your treatment choice, I always advise judicious use of sunscreen on a daily basis to help prevent future damage and protect post treatment results. Good luck!

You are experiencing the early signs of aging that many of my patients are also experiencing. Today there are so many incredible non-surgical treatments to instantly improve your appearance. To address lost cheek volume, I usually recommend Voluma injections. Voluma is a great filler that lasts up to 2 years. We can combine the Voluma injections with Restylane under the eyes to get rid of the hollowing that is bothering you. Finally, to improve your skin tone and texture, a series of chemical peels and a good skin care routine should help significantly. However, I would need to evaluate you in person to confirm that all of these treatment options are right for you. Please make sure you consult with a board certified plastic surgeon or dermatologist to ensure you get the best recommendation and treatment possible. 

The most common treatment for significant volume loss in the cheeks and the area just under the eyelids is the use of injectable fillers. Fillers can be synthetic or they can be natural-that is it can be with your own fat. We call that a fat transfer. Synthetic fillers are usually hyaluronic gel's such as Voluma, Restylane or Juvederm. Voluma is best in the outer cheek area, Juvederm and Restylane finesse the more medial or insight cheek a bit better than Voluma I find. Your plastic surgeon at your consultation will discuss with you the pros and cons of each agent.

Complexion is improved with skin care , lasers and microneedling.  Fillers improve volume, hollows and fine lines.  Please see an expert for treatment.  Best, Dr. Emer.

Thank you for your question. Voluma is a great option to address the volume loss on your cheeks.  I prefer a less viscous filler such as Belotero for the tear trough/ periorbital area.  For skin pigmentation and texture problems, there is a vast array of treatment options (laser/ IPL/radiofrequency/ micro-needling/ dermabrasion etc) that are available and a in-person consultation with a board certified plastic surgeon/ dermatologist is warranted for more specific recommendations.  Best wishes.