What's the best way to help hollow cheeks and sagging around the mouth? (Photo)

Question

I'm 40 and have lost 42 pounds over the past year. I am noticing that my cheeks are hollow and my lower face is sagging and around the corners of my mouth. Got my body in shape and now my face isn't looking so good. What would be the best way to help this, I am not liking this at all and making me look older.

Nima Shemirani, MD · Answer

Hi @tlc74! I recommend a combination treatment of dermal fillers and Morpheus 8. I would suggest you consider cheek and tear trough fillers.  Best of luck, Dr. Nima!

Jason Emer, MD · Answer

I suggest you see a cosmetic dermatologist with experience who can see you in person, evaluate your contours and decide on the best plan. You will need to revolumize with fillers or fat abut as a foundation Sculptra, which is an injectable product that builds collagen would be important.  Additional skin tightening with Thermage/venus legacy or alternatives would be a best combination.  Best, Dr. Emer.

Robert S. Bader, MD, FAAD · Answer

We
now have better options than ever to add volume to the cheeks--whether it be
from the normal aging process, HIV, weight loss, asymmetry, etc. Here are some
of the available options:

1.Fat transfer--an oldie but a goody that is not performed as much
due to the recent additions to the filler market (below). With this procedure,
one takes fat from one area and injects it where you want it. Results are
immediate, although varies greatly with technique. Some lumps can be felt at
times. There are some restrictions due to the harvesting of the fat and
implantation. Post-procedure swelling is not uncommon and can last several days
if not longer.

2.Radiesse--safe, immediate, extremely cost effective, minimal downtime if
any, lasts 12 months, although touch-ups as 6 months is common as the carrier
gel dissolves.

3.Voluma--newest on the filler front, very safe, immediate results, no
downtime, may last 6-12 months.

4.Perlane (now called Restylane Lyft)--extremely safe, relatively inexpensive, and no downtime with results lasting
approximately 6 months or longer. 5. Sculptra--works different than all other fillers in that it induces a reaction that causes plumping. In other words, the product itself does not cause thickening so results take 4-6 weeks to appreciate. Most patients require 2-3 treatment sessions, which can be a bit pricey. Results last 1-2 years.

Sean Freeman, MD · Answer

tic74, photos are not the best way to evaluate a patient but from what I can discern you look like a good candidate for a "SOOF lift blepharoplasty". You can find out a lot about this on the Internet. You may want to consider fillers for your cheeks; don't think you need a midface/deep plane lift yet. Seek MD's that are familiar with these procedures and specialize in facial plastic surgery; years of experience is a positive. Do your research! Good luck!

Francis R. Palmer, III, MD (retired) · Answer

Hi, based upon the attached photos the cheek and lower eyes do look quite hollow creating an angular look to the face.  The face can be feminized by shaping the cheeks and lower eyelid hollowness using a dermal filler (Perlane that's now called Restlayne Lyft and is great for shaping the cheeks, Restlane or Juvederm for the lower eye are).   If you have "jowls" this is sagging facial tissues and an indication for some form of a facelift, not Cheek Augmentation.  I have performed many Cheek Augmentations over the past 25 years and the notion that Cheek Implants or dermal fillers to the cheeks will lift tissues is an urban myth.  Filler to the cheeks or cheek implants will not lift up the jowls.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face and subperiosteal facelifts) but with these added benefits:very small incisionsminimal tissue dissection = less bruising and swelling = rapid recoverycan be performed in 90 minutes or less, with or without general anesthesiano incisions within the hair = no hair lossexcess fat can be removedexcess skin removedcheeks, chin and jaw line can be augmented with dermal fillers (I prefer Perlane) or facial implantsmost patients fly back home to parts all over the world in as little as 3 days post-opHope this helps.

What's the best way to help hollow cheeks and sagging around the mouth? (Photo)

Answers (5)

More Dermal Fillers Questions

Asymmetrical smile lines. How can I fix this? (Photo)

What can be done about sudden smile lines and sagging side of mouth? (Photo)

Is atrophy and discoloration due to kenalog injections permanent? (Photo)

Are fillers safe in Tijuana?

WE SEND PRETTY
EMAILS