What's going on with my face? My temples, eyes and cheeks are sunken in

Question

Over the past year my face gas rapidly gone downhill. My temples, Eyes and cheeks are sunken in. It started on my right cheek and it has proggresivley gotten worse.I don't smoke or do drugs so I don't know what is causing it.

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. Facial volume loss is a normal part of the aging process. Fortunately, there are procedures (mostly non-surgical) to help rejuvenate the face. By injecting small amounts of filler around the tear trough, temples, or cheeks, the skin will become plump and supple, lifting the skin and smoothing out visible grooves in the skin.

However, there are other options to consider as well. Lasers, Profound RF (microneedling combined with RF energy), and other procedures that help collagen production can be very effective in tightening and refreshing the skin. To determine the best treatment for you, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with an extensive experience with injectables. Your surgeon can do a proper evaluation, customize the best treatment plan, and ensure the best possible results.

Geeta Yadav, MD · Answer

Thanks for your question! As you age, it’s normal to experience facial volume loss. Dermal fillers are considered a safe and effective option for adding volume to the midface, including the cheeks, temples, and undereyes. Results from filler are instant and can last anywhere from six months to a few years, depending on the type of filler you choose and the area treated. Just be sure to book a consultation with an experienced provider who can determine the best treatment plan for your concerns. Hope this helps!

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

As we get older we lose volume all over.  Fillers will definitely help.
Have a consult with an Expert injector and they can help you with some restoration options.

Best of luck!

What's going on with my face? My temples, eyes and cheeks are sunken in

Answers (4)

Answer: Volume loss

Answer: Volume loss

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Everything you need to know about Dermal Fillers

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What's going on with my face? My temples, eyes and cheeks are sunken in

Answers (4)

Answer: Volume loss

Answer: Volume loss

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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.