Juviderm injected in the high cheekbone, will it lift up the face?

Thank you for the questions. This is a common scenario and warrants some detailed explanation. Injectable fillers can be used to change the volume of certain facial structures, thereby affecting the overall contour of the face.  Nothing is actually lifted, in the true sense. In the case of the cheeks, the volume that is added helps to fill out any loose or sagging skin in the midface, and draws the eye toward the natural bony highlights next to the eyes.  In my practice, I frequently use Radiesse for this. However, Voluma (made by the same people who make Juvederm), is a newer and, in some ways, preferable option.  This filler is placed similarly, along the bony below the skin and muscles of the face.  The advantage is that it is a bit more pliable and, in the event that you change your mind, can be dissolved with an enzyme.  The duration of effect is similar to Radiesse.

Hi there this is probably one of my most common and satisfying treatments at the clinic. Cheek augmentation alongside miface volumisation in general using the appropriate techniques can significantly take weight out of the ageing features of the lower face such as NL folds / marionettes / and jowels. This also helps create lovely natural looking cheek bone curves and improve facial contours...Great question! Please do check in with an experienced practitioner for consultation as its important that you are also a good candidate for the procedure. Hope this helps!Best wishes,Dr Rupert

This is actually a very good question. One hears about 8 point face lifts or liquid face lifts using fillers. In practice it is possible to achieve some lift but placing enough product on the cheek bones which will act like a ‘tent pole’ and moderately lift the soft tissue structures beneath it. The problem with this approach is that unless you have very delicate features, near perfect bone structure and excellent skin consistency,  it doesnt really work. Instead you can end looking, in my opinion, much too full around the cheek bone area. A good injector knows that by carefully placing a correct amount of filler in various points around the cheeks, temporal areas, in front of the ears going down to the angle of the jaw, around the mouth and chin you can achieve wonderful natural rejuvenation. Interestingly if you then actually measure the elevation of the soft tissues this would only be very minimal but the face does look lifted and fresher! Now days I tend to use fillers almost exclusively below the skin ( apart from the lips). Im more interested in restoring lost volume created by changes in the facial fat and facial skeleton.

Voluma made by Juvederm is a fantastic product for cheeks and nasolabial folds. Enhancing cheeks can assist to lift the areas mentioned, although those areas may need treatment as well. It is hard to make an accurate judgement without a photo. An in person consult is best. It's important to find an injector you are comfortable with, someone who will discuss treatment options. Hope this helps.

As we age, we lose facial volume.  As we lose this volume, the face deflates and sags.  Sagging in the face can have multiple other causes.  For this reason, adding volume back to the face can lift the face if injected properly.  Injecting in the cheekbone can essential lift and tissue below it.  Fillers are best at restoring contour.  While it does lift the face, the lifting effect is limited.  If you have severe sagging, fillers are not going to correct this issue.  In regards to who you use to do your injections, choose wisely.  There are many PAs and nurses doing injections.  I remind patients that there is not only a technical compenent but and artistic aspect to facial fillers.  

Juvederm is a hyaluronic acid based filler that is reliable and long lasting, but not permanent. It is preloaded as a gel usually with Lidocaine (Juvederm XC) and comes in two forms, Ultra and Ultra Plus. For all of the areas you mentioned: cheeks, marionette lines, and lower eyelids, Juvederm would be a very good filler to choose. Voluma and Perlane have specific indications for the cheeks and midface and are longer lasting, but less forgiving. If this is your first round of injections and you are unsure of the injectors experience, you may want to try Juvederm. It can be dissolved if you have any issues such as over filling and nodularity. Try it and you can always add Voluma or Perlane for future filling in the area. 

Thank you for your question, It is true  that strategically placed filler will help generate a fresher more youthful version of yourself. The location of where to give the best result it very much determined by the individual. A face to face assessment will demonstrate where you have had volume loss. As we age the fat pads in our upper face start to move down and cause a heaviness to the lower face. Filler can provide structure, help support the upper face and give a refreshed look. The cheeks are one area we can look to volumize, however there are other areas of the face such as temple, tear trough, jaw and chin that can also make a person look more refreshed.
Research your injector well, read reviews and look at their previous work.
Wishing you all the best.

Thank you for your question! Juvederm Voluma is very effective in lifting the cheeks, which does improve the appearance of the nasolabial folds and jowls.  Most patients however, will also require filling of these areas as well for a pleasing result.  You should have treatment with an experienced dermatologist or plastic surgeon. Best of luck! 

Yes, Juvederm or other fillers will lift the face and enhance the cheekbone. How does it do this? Think of a beach ball that loses a little air. It sags and filling it with the original volume brings it back up. The face is similar, in that we lose volume of both fat and bone as we age.However, simply putting a wad of Juvederm or any filler in the cheek is rarely ideal. It must be placed accurately, and each individual is different requiring different amounts of filler in various parts of the cheek to look best and most natural. This almost always involves placing product in the tear trough (the depression between the "cheek bone" and nasolabial fold just outside of the smile line. Also, the hollow under the lower eyelid needs a filler as well in many cases. This hollow makes one look tired and older. I hope this has helped you somewhat. Thank you for your question, and good luck.

I love using Voluma in my practice to lift the lower face. As we age, gravity pulls our face down creating the nasolabial folds, marionette lines, & jowls. Voluma, if injected properly, will help to lift and soften those areas. You still may need filler in the lower face but only after full correction with Voluma. Some mistakes made by injectors: not using enough product, using the wrong product, and poor placement of the product. My patients average 3-4 syringes for full corrrection of the face and a little lip plump (1 Voluma in each cheek, 1 Vollure for lower face, & 1 Volbella for lips). That may sound like a lot but keep in mind that one syringe is only about a teaspoon full!  If you are under corrected, you will not see results and you will be wasting money. If injected properly, nobody should be able to tell you had anything done, you should look rested!  To answer your question about a PA injecting, YES, it's ok, IF you do your research and the PA has a has had the appropriate training, has treated many patients, and has the artistic ability to enhance your looks. It does not matter what your initials are after your name if you have the qualifications and the artistic ability and proven results!  I am a trainer for Allergan and have trained plastic surgeons, dermatologists, ENT's, NP's, & RN's. I know within 30 second if the person I am training has the ability to inject and it's not always who you think it is.  I would recommend asking to see before and after photos that the PA has personally done, ask about experience and education. Have them evaluate you and if you feel comfortable, go for it!  Good luck!