What is the best mid cheek filler for filling the CK3 region?

Question

What is the best filler for the mid cheek region? I am wanting to fill the CK3 area in particular. My doctor recommended Restylane Refyne. Is this a safe choice?

Brandon Richland, MD · Answer

Hello, and than you for your question. If you provider recommended Refyne, there may be a specific reason behind it. When working on the cheek, most people want to aid in helping lost support/volume and structure. This is often times requires a more dense filler, such as Restylane Lyft, Restylane Contour, or Juvederm Voluma. These fillers are good at mimicking lost support to help rejuvenate the areas of concern. I would recommend consulting with your healthcare provider to see if Refyne is the best option for you.

Jonathan Kulbersh, MD · Answer

Thank you for your question. Refyne is an excellent filler for smoothing away fine lines, but it might not be robust enough to add the volume you want in the midface. Better options in this area might be Restylane Lyft or Defyne, or Juvederm Voluma. More important than the filler used is the experience of your injector. Make sure the provider you choose is board-certified and has the expertise necessary to produce the best possible result for you.

Milan Shah, MD · Answer

The choice of filler for mid-cheek augmentation in the CK3 region (also known as the cheekbone area) depends on various factors, including the desired outcome, the patient's anatomy, skin thickness, and the expertise of the injector. Here are some commonly used fillers for mid-cheek augmentation:1. Hyaluronic Acid (HA) Fillers: These are the most commonly used fillers for mid-cheek augmentation due to their versatility, safety profile, and reversibility. HA fillers, such as Restylane Lyft, Juvéderm Voluma, and Belotero Balance, can provide natural-looking volume enhancement in the cheekbone area. They typically last between 12 to 24 months, depending on the specific product used and individual metabolism.2. Calcium Hydroxylapatite (CaHA) Fillers: CaHA fillers, such as Radiesse, are another option for mid-cheek augmentation. They stimulate collagen production and provide longer-lasting results compared to HA fillers, typically lasting up to 18 months or more. CaHA fillers are often preferred for patients seeking more robust and longer-lasting augmentation.3. Poly-L-Lactic Acid (PLLA) Fillers: PLLA fillers, such as Sculptra, are collagen-stimulating injectables that gradually increase volume over time. They are particularly suitable for patients with mild to moderate volume loss in the mid-cheek area. While PLLA fillers may require multiple sessions for optimal results, they can provide a subtle and natural-looking enhancement that lasts up to two years or more.4. Autologous Fat Transfer: Fat grafting involves harvesting fat from one area of the body (e.g., abdomen or thighs) via liposuction and injecting it into the mid-cheek area to enhance volume. This technique offers the advantage of using the patient's tissue, potentially providing long-lasting results. However, fat transfer requires specialized training and may involve a more extended recovery period compared to injectable fillers.It's essential to consult with a skilled and experienced injector to determine the most suitable filler for your specific goals and anatomy. They can assess your individual needs, discuss the benefits and potential risks of each filler option, and develop a customized treatment plan to achieve optimal results in the CK3 region. Additionally, always ensure that the filler is administered in a safe and sterile environment by a skilled injector to minimize the risk of complications.

Dmitriy Schwarzburg, MD · Answer

You can really use any hyaluronic acid for the cheeks. Some people may respond better to one over the other, however they essentially all have the same purpose which is to fill in hollow areas. If your doctor suggested Restylane Refyne, go for it!

Dean P. Kane, MD, FACS · Answer

Dear misszoe,

With the pervasiveness of hyaluronic acid gel and other fillers flooding the market, we are able to pick and choose which filler is best for a particular desired effect; volume, firmness, elasticity, fluidity, projection and other characteristics.

Under the eye, the cheek extends from the nose to the ear with an upward tilt. It should be the widest dimension of the youthful face creating a light reflection line near parallel to the jawline. 
To me it appears like an ice cream cone. The ball projecting fullest under the eye with a swooping “nike” swoosh to the ear along the cone. Under the cheek, there is the submalar hollow and shadowing.

For those “depot or point” injectors,  Ck3 point is the middle of the ice cream ball. Fillers need to provide larger volumes and projection. Restylane Lyft and Juvaderm Voluma provide those attributes better than Restylane Refyne (which is great for elasticity and fine fill along creases and lines).  “Linear” injectors will provide more of a three-dimensional injectional technique in the cheek area.

As injectables (botox, fillers, threads) permeate into the anti-aging, minimally invasive cosmetic space, choose your talented and experienced Board Certified Plastic Surgeon or Injector carefully. These are advanced techniques to reach your desires and expectations.

I hope this is helpful. All the best!

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

Any of the HA fillers would be great.  The Restylane Lyft or Defyne might be a better choice.
The Refyne is a beautiful product but it is usually used in more detailed areas like fine lines.
The Juvederm Voluma is a very nice product as well.
Best of luck...

What is the best mid cheek filler for filling the CK3 region?

Answers (6)

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