I had the classic cute very deep dimples heart shaped face when I was younger, which was great because it always made me look younger, but seemingly overnight, at age 40, I started to lose that youthful fat layer on my upper cheeks (I am told this is normal), which with my small jaw, caused a "flattening" of my cheeks below my eyes, leading to slight jowling on either side of my chin.
Frankly, it made me look much older than my actual age. Over 3 years, I researched procdures for jowls on the internet, and saw through pictures what seemed to be the best results through "threading", or through cheek implants.
So I consulted a plastic surgeon, who was wonderful, and honestly told me that "threading" was a relatively new procedure, and I might want to wait to see how people are satisfied long term. He did not do that procedure, and did not try to sell me on anything he did do, or stop me from seeking a Dr. that did that procedure, just gave me information to help me decide. I then asked him about the implants. Again, he was very honest, told me that with my facial type and shape, he thought I would be pleased with the results on my upper face, but was unsure whether I would be satisfied with the jowl area. He said a midface lift might be a better solution, but that I didn't really need that yet, and that if I planned that in the future, it often involved cheek implants.
If I did the cheek implants now, and I wasn't satisfied with the jowl area, the midface cost would be less expensive later, because they would already be done. I didn't have the downtime available, for a lift, and he was honest about my not needing it yet, so I decided to try just the implants. Well, I can tell you that I was thrilled with the results, and five years later, I am still thrilled!
The procedure was very quick, they were put in through my mouth, and I had less pain and complications than having wisdom teeth pulled. I had a lot of swelling for about three weeks, but I am prone to swelling so I expected it. The results were wonderful! I didn't go for the big implants, just enough to fill out the area that had the fat loss, and it brought most everything back into place.
People thought I had lost weight, been on vacation, gotten a good nights sleep, no one dreamed I had implants done. It was a very natural improvement. I have only the slightest jowling starting, after five years.
The only complication I had was a spot of scar tissue about the size of half a marble under my left cheekbone, which was uncomfortable, but can't be seen, and did lessened with light massage starting a couple months after recovery.
All in all, for the money, the recovery time, and the cost, it was a great investment. It has made me comfortable with my aging. I am planning on the midface lift in the next couple years, and glad that it will be simpler and less expensive because I had the implants done and enjoyed the results already. I am 48 now, and people frequently guess my age in my mid thirties, I think that is great.
On my experience, I would recommend the procedure.