What is the best treatment for too wide lower cheeks when smiling?

Hello catsadlesCheek implants are available in a range of different shapes and sizes, they are mostly customized to fit a specific facial structure. Fillers such as Juvederm Voluma, Radiesse and RestylaneLyft are great alternatives to cheek implants, also fat transfer or injection can be done.

 

Both implants and fillers in the cheeks can create good results for patients. Both can build up the cheeks and create symmetry.  You must balance the pros and cons of each procedure and do what you feel is the best decision for you.
Fillers:
Pros: No downtime Reversible Quick
Cons: Temporary More expensive in long run
Implants Pros: Permanent Great for patients with poor bone structure Less expensive overtime
Negative: Risks associated with surgery Possible infection Downtime
Hope this helps.

Closeup front-face, three-quarter face, and face slightly downward photos--both at rest, as well as smiling--would have been very helpful for determining what treatment route would be best in this case. In general, I can say that with aging most people lose volume with the critical cheek fat pads, which in turn leads to the development of the less oval, more boxy lower face characteristic of aging. Restoration, using injectable volumizing fillers, of the appropriate volume and in the proper location over the cheek bones, can do much for restoring the more youthful, oval face and diminishing the kind of sagging and widening of the lower face that appears to be the issue here. In my Manhattan practice I would opt for Voluma XC for this purpose and in my Israel satellite facility, where a far greater number of regulatory agency approved volumizing fillers are available, I would opt for Stylage XXL. You would be wise to seek consultation and treatment by a board certified aesthetic physician and of course be certain to ask to see his/her personal before and after photos before agreeing to proceed. Best of luck.