Loss of volume/flat cheekbones/sclera show. Suggestions? (Photos)

Question

I am 30 years old and very unhappy with my current appearance mosty due to recent loss of volume in cheek area (possibly stress related).My cheekbones are naturally very flat which with loss of volume made my cheeks to drop and even worsed the already existing sclera show.I have tried fillers for cheeks so far which have not given me the desired improvement as I found them looking fake. I have met with one facial surgeon who suggested mid cheek lift and cheekbone augmentation with hydroxyapatite

Jason Emer, MD · Answer

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Mehryar (Ray) Taban, MD, FACS · Answer

See following website page for examples of similar patients who underwent surgery to eliminate sclera show and add fullness to upper cheek and under eye area using internal eyelid lift with soof lift +/- orbital rim implant. Skype consultation available.

Zoran Potparic, MD · Answer

Based on these (far from perfect) photos, one can suggest augmentation with cheek implants vs. a true cheek lift. Cheek lift is particularly favorable providing that you have a true scleral show (which is not visible on your photos). This is done through lower eyelid incision or in more experienced hands through an incision placed inside the lower eyelid. Cheek pad is then mobilized, pulled up and fixed to the orbital rim with combination of bone holes and sutures. This will also lift your short lower eyelid in a more functional position. Cheek augmentation (if needed) may be done in the same time with implant or fat grafts. This procedure requires a true expert and should not be performed by any plastic surgeon. Good luck.

Jonathan Kulbersh, MD · Answer

Both implants and fillers in the cheeks can create good results for patients.  Both can build up the cheeks or bring symmetry to the face.  You must balance the pros and cons of each procedure and do what you feel is the best decision for you.
Fillers:
Pros: No downtime Reversible Quick
Cons: Temporary More expensive in long run
Implants Pros: Permanent Great for patients with poor bone structure Less expensive overtime
Negative: Risks associated with surgery Possible infection Downtime
I hope this helps!

Loss of volume/flat cheekbones/sclera show. Suggestions? (Photos)

Answers (4)

Answer: Improving flat cheekbones and volume loss

Answer: Improving flat cheekbones and volume loss

Recommended reading

Everything you need to know about Cheek Augmentation

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

Loss of volume/flat cheekbones/sclera show. Suggestions? (Photos)

Answers (4)

Answer: Improving flat cheekbones and volume loss

Answer: Improving flat cheekbones and volume loss

Browse related questions

Recommended reading

Everything you need to know about Cheek Augmentation

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