I want a full face as mine is sunken in and I look like a skeleton. How can I achieve this? (photo)

Question

Hi I'm very desperate for some professional advice. When I reached 21 I lost all my facial weight and my cheeks sank in I look like a skeleton. I am a healthy weight. I went to a plastic surgeon in ire and he said I've no muscles in my face.that he could do nothing only fillers for my prominent lines that would only last a few months.I can't live my life to my full potential as I'm very depressed. The picture I send actually does justice to my face

John J. Martin, Jr., MD · Answer

It is hard to tell from just this photo, but your upper cheek area seems to be fairly full.  However you have a fairly marked hollowing directly under the cheek bone.  Younger patients frequently like this sculpted look but as we age it can become more pronounced and make us look older.  To give a more full appearance to the whole face you would want to either use fat or sculptra.  You look pretty slim, but most people have some fat somewhere that can be used to fill in the face.  Sculptra is a filler that creates a scaffolding for new collagen growth.  It can take a few months to see the full effect, and can last for about 1.5 years.

Paul L. Leong, MD, FACS · Answer

I am sorry to hear about your difficulties. There are
two reasonable options for your concerns.One would be fat transfer and the other is Sculptra injections.Fat transfer can have outstanding results but
is also subject to a certain amount of variability in the degree and longevity
of the results.Sculptra Aesthetic works
well to replenish lost collagen and facial volume. For many patients, I
recommend four vials of sculptra injected 6 weeks apart.Sculptra is composed of Poly-L-Lactic acid
and works gradually to build up collagen, restore volume and diminish folds and
wrinkles.You can expect to enjoy the
benefits of Sculptra for approximately 2 years.Sculptra can be combined with other treatments such as Botox, Restylane,
Perlane or Juvederm.I recommend doing
some research to find an experienced injector in your area with great patient
reviews.Good Luck!

William Portuese, MD · Answer

It is difficult  to tell the exact location of the hollowness, however  cheek implants can be placed over the maxilla if the hollowness is located in the maxillary area. Fat injections or injectable fillers are used if the hollowness is located in the buccal fat space. For more examples, please see the link below

Kimberly Lee, MD · Answer

You may be a candidate for fat grafting in which your own fat is harvested and then prepared and injected into your face to achieve more facial fullness.  This would be more permanent than facial fillers.  Please consult with a board certified specialist who can assist you with achieving the results you seek.

Karen Stolman, MD · Answer

Hi Sinead,I agree with starting with a temporary filler to see how you like the look, before committing to a longer lasting treatment.  I like Voluma in the cheeks, and Juvederm or Radiesse in the chin/jowls, tear trough and temples.  Voluma lasts two years on average, and is still hyaluronic acid like Juvederm (12-18mths duration) so can be dissolved with hyaluronidase.  See how you like it, sometimes having a filler treatment like Voluma or Juvederm every 1-2 years for five years reduces the need down the road because of the ongoing stimulation of new collagen.

I want a full face as mine is sunken in and I look like a skeleton. How can I achieve this? (photo)

Answers (9)

Answer: Achieving Facial Fullness & Youthfulness

Answer: Achieving Facial Fullness & Youthfulness

Answer: Bringing back natural volume to rejuvenate the face

Answer: Bringing back natural volume to rejuvenate the face

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Everything you need to know about Facelift

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

I want a full face as mine is sunken in and I look like a skeleton. How can I achieve this? (photo)

Answers (9)

Answer: Achieving Facial Fullness & Youthfulness

Answer: Achieving Facial Fullness & Youthfulness

Answer: Bringing back natural volume to rejuvenate the face

Answer: Bringing back natural volume to rejuvenate the face

Browse related questions

Recommended reading

Everything you need to know about Facelift

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