Teosyal or Juvederm for Restoring Cheek Volume?

A photo would be helpful in assessing what type of product and how much to use. Which product to choose is determined by what the patient requires. Some asymmetries are fixable. Ensure you have a consultation with an experienced injector and discuss your concerns and expectations. All the best.

Hi PP,

Juvederm has a longer track record of effectiveness and safety. I am unable to comment on Teosyal as it has not been approved for use in the US yet, and I have not had any experience with it.

Juvederm Ultra Plus is excellent filler for facial volume. If you are having the delicate lower eye lid included in your treatment, you might ask for Restylane in that area (less likely to swell).

Good luck and be well.

Dr. P

Restoration of the Malar Fat pad in the cheek is best done with a filler suitable for deep injecting. These will be on the thicker side with higher hyaluronic acid concentration compared to fillers designed for the lips, tear trough and superficial lines and wrinkles. 
Both Teosyal and Juvederm have fillers in this range. I prefer to use Teosyal as it is lovely to inject and give a beautiful deep profile contour enhancement. Depending on the degree of fat loss and the level of lift needed I like to use Teosyal Ultra Deep potentially layered with RHA 4. 
Teosyal has minimal side effects, in my opinion it has lower cases of granuloma and irritation and bruising vs Juvederm. The filler is more expensive for the doctor to purchase and that may be reflected in the cost of treatment. I believe in using the best filler rather than the cheapest.
The best filler to use is definitely the filler your doctor feels happiest using. The doctor doing your treatment will have a favourite, so listen to their thoughts and opinions on the filler they like to use before going ahead with treatment. 
(Please note that Juvederm is not the cheapest on the market, and it is a reputable pharmaceutical grade product from Allergan).

The history with these two products is very interesting. One of the key founders of the French company that made Juvederm before it was taken over by Allergan had a fall out with the board. That person founded Teoxane, the company that made Teosyal. When I moved from California to Dubai, it was eerily strange how the syringes of both products were the exact same thing, even the packaging with two syringes in one box was the same. The needle even came off just as it did with the old Juverderm syringes. (Allergan has gone to change that).
In Europe, Teosyal is a very strong competitor of Restylane and is the leading forrce to produce the price wars amongst the HA fillers. From all the fillers, I have used and I have used a lot, Teosyal is a great product and comparable to both Restylane and Juvederm, with results lasting the same.

Teosyal or Juvederm are both hyaluronic fillers; either would probably be fine although I am not familiar with Teosyal as it is not approved for use in the US at this time. If you go with Juvederm, you should use Juvederm Ultra Plus (thicker than the Ultra product) for the cheeks. Radiesse is a nice filler for the cheeks as well; it may last longer than the hyaluronic acid fillers, and can give a beautiful result. The drawback with Radiesse though is if you do not like the result, there is no way to dissolve the material (you would need to wait until it resolves on its own).
Good luck.