What can help these mid-cheek lines I have (25 y/o) (photos)

Question

I’ve had these awful midcheek lines my entire life and have only ever noticed them getting worse as I get older (which I know happens). I’ve had tear trough filler only to find it made the area worse. I’ve also been told by plastic surgeries themselves this area is hard to treat and I do not make a good candidate for filler/surgery. I’m OBSESSING over them and hate how they make me look… I know perfectionism is not ideal, but it’s my biggest insecurity /: SOS

Jason Emer, MD · Answer

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Nima Shemirani, MD · Answer

Hi @emmiekay! The upper cheek is a major support for the under eyes. I would first begin with addressing the volume loss in the cheeks followed by addressing the tear trough area. Best of luck!

Nelson Lee Novick, MD · Answer

Volume deficit in the cheeks, which plays a major role in the development of under eye problems, such as tear troughs and bags, can be quickly and easily remedied with the use of a lifting filler, such as Restylane Lyft. This must be done in the appropriate way to maintain the more desirable, feminine, heart-shaped face shape and to secondarily improve the under eye issues. I am not surprised that your under eye areas were worsened by direct tear trough injections, as treating the tear troughs alone, without prior treatment of the underlying supporting cheeks predictably can lead to under eye puffiness and bags that look worse. Once the cheeks are treated properly, Belotero Balance could be used subsequently should the inftraorbital tear troughs and bags still remain an issue. You would be wise to consider consulting with a board certified cosmetic dermatologist. In experienced hands, treatment should take no more than about twenty minutes and typically gives rise to immediate "Wow!" reactions Best of luck.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

It appears that you need volume.  Fillers will help but see an expert injector for a consultation.

Best of luck!

Robert T. Buchanan, MD (retired) · Answer

What you have is a variant of the orbital ligament where the medial half runs down the cheek. This causes the lines when the upper lateral tissue stops at the ligament and the lower tissue is suspended from it. These are easily treated by an expert that understands the anatomy and to use a heavy filler on the muscle to elevate the inferior tissues and flatten the area.

What can help these mid-cheek lines I have (25 y/o) (photos)

Answers (5)

Answer: Fillers

Answer: Fillers

Answer: Treating Mid Cheek Lines

Answer: Treating Mid Cheek Lines

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Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.

What can help these mid-cheek lines I have (25 y/o) (photos)

Answers (5)

Answer: Fillers

Answer: Fillers

Answer: Treating Mid Cheek Lines

Answer: Treating Mid Cheek Lines

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.