How can I add more projection to my midface permanently? (photo)

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Fillers, fat grafting and implants can all provide improvement and increase in mid face and its projection. Every patient has a different anatomy with different needs and desires. So it is best to consult a board certified facial plastic surgeon in person and discuss your options after a physical examination.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Thank you for your question. While many patients prefer nonsurgical facial filler injections, a silicone cheek implant can provide permanent augmentation of the cheek and mid facial area. Solid cheek implants enhance in multiple dimensions, including projection. Consultation and examination with a plastic surgeon can help determine appropriate options. Read more in blog link below.potomacplasticsurgery.com/blog/category/cheek-augmentation/Best,Dr. Chaboki

based on this single photo it looks like you have mild to moderate cheek hypoplasia (malar hypoplasia, small cheeks). This deformity can be successfully corrected with combination of cheek implants and fat grafts. In person consultation with a plastic surgeon experienced in facial implants andd fat grafting is recommended. Good luck.

There are a number of options for mid-face augmentation other than facial fillers. The main cheek implant options are malar implants that augement the cheekbones. Sub malar mid-face implants fill our hollowness in the front of the face. Combined malaria-submalar implants does both. There are also orbital rim implants. Lastly, implants can be custom made from a 3-D CT scan for a precise match to your needs. 

The mid- face, the cheeks, cheek implants and the maxilla are all three-dimensional structures, and an augmentation occurs in all three dimensions. A full set of pictures and an in-person examination going to be required to make a determination about how best to proceed. In addition, cheek implants are manufactured in a large array of thicknesses, sizes, and shapes. For many before-and-after  cheek implant examples, please see the link and the video below

The only assured method of midface augmentation, that provides permanent volume and its distribution in the desired areas, is with a custom design midface implant made from the patient's 3D CT scan. Fat grafting does not have a proven track record of consistency in young leaner patients of long-term retention. It is perfectly acceptable to try it first as it has few adverse side effects other than its unpredictibility of retention. 

The most ideal approach is to enhance the lack of 'bone' contours rather than mask it with fat 'soft tissue'. Your lack of projection in the area you mention would be improved (after review) with implants to the 'cheekbone/infraorbital rim'. Especially at a young age, one wants to define support and not have a feminine 'softness'.