Will fillers help with sunken cheeks from tooth loss? (Photo)

Question

I had a upper first molar extracted 4 years ago and over time I noticed changes to my such as sunken cheeks and hollow under eye. These changes are only one the side of my face with the missing tooth. This has made my face look asymmetrical. I had an implant and bone graft done 6 months ago and I still don’t see any improvements. Will fillers help restore my face?

Anna Chacon, MD, FAAD · Answer

Yes, dermal fillers can often help restore facial volume lost due to tooth extraction—especially in cases like yours, where facial asymmetry, sunken cheeks, or hollowing under the eyes have developed on the side of the missing tooth.

Tooth loss, particularly of upper molars, can lead to gradual bone resorption and soft tissue volume loss in the midface over time. Even though you’ve had a dental implant and bone graft, those procedures restore functional bone support, not necessarily the soft tissue volume that contributes to facial fullness and symmetry.

What fillers can help with:
Cheek filler (e.g., hyaluronic acid-based or biostimulatory fillers like Sculptra or Radiesse) can replace lost volume in the midface.

Tear trough filler may help if hollowing under the eye is prominent.

Strategic filler placement can restore balance and symmetry, especially if the changes are one-sided.

Things to consider:
Results are temporary (6–18 months depending on product used).

A skilled injector will assess bone structure, soft tissue loss, and symmetry to tailor treatment.

Since you’ve already addressed the underlying dental issue, soft tissue volumization with filler may be the next best step to restore your facial contour.

I recommend consulting with a board-certified dermatologist or facial aesthetic specialist who has experience with post-dental facial volume restoration.

Camille Cash, MD · Answer

Yes fillers are a great tool to help improve facial asymmetry and contours.  The treatment is done in the office with no downtime.  Some improvement can be seen immediately with final results seen after two weeks.  See an experienced injector for treatment.

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