22 yr old female, best way to add fullness to flat cheeks? (Photo)

 As a specialist in the FaceI've seen many patients who have this issue. You have options stemming from synthetic nonpermanent injectable materials to augment the cheeks to permanent implants. If you want something long-lasting and seeing that your cheeks were probably never full, cheek implants may be the best option for you. This is a very easy procedure to do and has very quick recovery with minimal pain. Please consult a double board-certified facial plastic surgeon for details. 

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

A #facelift is a surgical procedure designed to smooth and remove  major folds, wrinkles and excess skin around the #neck and #jawline; which form on our faces with age. Gravity, sun damage, smoking, living in a dry climate, and a variety of factors contribute to the aging process of our faces. The best candidates for facelifts such as #LiteLift are patients 35-60 years old with early changes of the lower face and the neck.It is important to understand that facelifts are not intended to remove fine wrinkles. A facelift which removes every line and fold would be too aggressive resulting in an unnatural result. Fine lines and #wrinkles are better addressed by non-invasive skin treatments such as chemical peels or microdermabrasion, which we also offer at our office. At this point and your age, you may not be a #facelift candidate. However, there are many other cosmetic options to accomodate your goals at your age all while providing great results. Consult with a board-certified plastic surgeon or their licensed esthetic staff to learn more about treatments best for you.

Thank you for your question and the photos.A good way to start would be a filler injection, you shouldn't need too much, make sure to go to someone who is experienced in giving cheek injections. If you like the results then you can look at fat injections which are a more long term option.Good luck

Looking at your pictures only, I think that you have a volume loss problem on your cheeks. You can have some dermal fillers on your cheeks (temporary solution) or fat grafting (more permanent solution). Please consult with a board certified Facial Plastic Surgeon or Plastic Surgeon in your area.Hope this Helps,Dr. Gus Diaz

al26, start with fillers to make sure you like the look and then move on to cheek implants should you be convinced that a fuller cheek is for you. May want to consider a rhinoplasty! As usual choose to go to an experienced facial plastic specialist with good photos. Good luck!

Adding volume to give facial balance can be done many ways. Injectable fillers both temporary or more permanent, fat transfer, and even cheek implants can add the volume you desire. At 22, you have much too much skin tone and texture to be a candidate for even a mini facelift which would not solve your issue anyway. Consult with a specialist in facial rejuvenation and discuss your options. Photos can be taken and computer imaging with 2-D and/or 3-D enhancements can help you decide which option is best for you. Often times a combination of adding volume to your cheeks and decreasing the projection of your nose can help achieve the balance you desire. John Standefer MD

Voluma is an injectable filler that can last 2 years.  It works very well for adding exactly what you want.  You are certainly too young for a facelift & don't need that at all!Cheek Implants are surgical and as you age and your face changes they stay the same- but your face will change- and sometimes the edges can be visible. Sculptra takes multiple treatments and time- Voluma is instant and will give you a lift like when you smile. Adding volume to your cheek will also help with your under eye area- making your face look more youthful all over.It will take 2 syringes for sure- one on each side.Enjoy your youth!

  Realistically you have two choices. 1) cheek implants which are permanent but are a surgical solution.  2) Voluma injections, one syringe to each malar eminence area for a temporary but safe and easy fix. The Voluma should last 1-2 years. I do cheek implants in the office operating room with oral sedation and local anesthesia. The procedure is very safe and the results are excellent. Whether you choose the implant route or Voluma filler injections I can get you the full midface look you are hoping for without any problem and with a natural look.

Hi, I have performed many cheek augmentations over the past 30 years using a dermal filler or cheek implants for a permanent enhancement.  From the attached photos, the cheeks
are flat anteriorly (in the front), the chin is weak and the nose is a bit large with an under-rotated nasal tip that makes it appear long. These
combine to create an oval shaped face.

 Following the beauty principles
outlined in my book on face and body beauty, women look the most feminine,
youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks
that are full and round in the front.  Cheek augmentation using a dermal filler
(I prefer Restylane Lyft) or with cheek implants for a permanent enhancement
will create full, round cheeks anteriorly that will feminize the entire face. When the chin is weak, this creates an imbalance making the nose appear larger,
the lower face short and the mid face appear top heavy.  Chin
augmentation, using a chin implant, will add projection to the chin creating
harmony and balance to the lower face.  I have found placing a silastic
chin implant through a small, curved, incisions under the chin to be very safe,
quick, highly effective and far less invasive than a sliding genioplasty that
requires bone cuts with placement of screws and metal plates. Rhinoplasty can refine the nose making it more feminine and naturally attractive if that is of interest.  The photos do not shows signs of jowls and these would not be expecetd in a 22 year old face.  Although I have performed many minimally invasive type facelifts on women in their late twenties to early thirties, they all had jowls.  I have included some information on this type of a facelift for clarification. Jowls are sagging facial tissues and
an indication for some form of a facelift.  The underlying SMAS layer, of
the face, must be dissected, lifted, trimmed and re-sutured.  The excess skin is
then removed and the facelift incisions closed.



My most popular facelift is the
minimally invasive, short incision facelift that has all the benefits of more
invasive facelifts (traditional, mid-face, deep plane and subperiosteal
facelifts) but with these added benefits:



•very small incisions

•minimal tissue dissection = less
bruising and swelling = rapid recovery

•can be performed in 90 minutes or
less, with or without anesthesia

•no incisions within the hair = no
hair loss

•excess fat can be removed

•excess skin removed

•cheeks, chin and jaw line can be
augmented with dermal fillers (I prefer Restylane Lyft) or facial implants

•most patients fly back home to parts
all over the world in as little as 3 days post-opHope this helps.