Cheek augmentation is a cosmetic surgical procedure that is intended to emphasize the cheeks on a person’s face. To augment the cheeks, a plastic surgeon may place a solid implant over the cheekbone. Injections with the patients’ own fat or a soft tissue filler, like Restylane,Liquid Implant and Hyaluronica are also popular.
Full, defined cheeks are a sign of youth and beauty, but over time the face loses fat, causing the cheeks to become flat and saggy, giving way to a sunken-in look. Although some are born with naturally high cheekbones, achieving the look of sculpted cheeks can be accomplished through both nonsurgical and surgical treatments that focus on restoring plumpness, volume and definition. To restore volume to the midface and recreate youthful contours, your doctor may suggest facial implants, fillers or fat grafting.
Expert injectors are constantly finding new ways to make use of fillers and injectables. “The cosmetic approach to aging and enhancing one’s appearance has changed. It includes going beyond just wrinkles,” says Boca Raton, FL, dermatologist Marta Rendon. “An important part of maintaining a youthful appearance is addressing volume loss. Some of the more popular uses for fillers are revolumization of the cheeks (and lips, filling in under the eyes, improving the look of the hands and earlobes and, of course, minimizing smile lines).”
By using a combination of injectable fillers, your doctor can instantly lift your cheeks and restore lost volume. Thick hyaluronic-acid-based gels like Perlane, and longer-lasting Radiesse and Sculptra, are ideal for resculpting the cheek and building volume. The result, which lasts on average from six months to a year, if not more, is contoured cheeks, giving way to a more youthful appearance.
Both hyaluronic acid injectables and collagen-stimulating fillers can reinstate definition to the cheeks, giving a more defined profile and a similar look to what’s achieved with fat without surgery or the “forever” factor. “Fillers are useful in reestablishing the shape of the cheek around the orbital rim, where the signs of aging often begin. This area should be injected with a deeper technique to reduce the risk of visible irregularities since the skin can be thin,” says New York City plastic surgeon Andrew Kornstein, MD. To get the most natural look that doesn’t look “done” or “injected,” filler should be placed in the front of the cheeks, as opposed to the outside of the cheekbones, which causes the filler to push the eyes up.
Placing Sculptra Aesthetic, a collagen stimulator, in the upper area of the cheek adds fullness and can also lift the area below the cheeks, which may be flat. “By lifting the cheeks, other features are subtly lifted, too, like the corners of the mouth and jawline, which gives a nicer contour,” says Los Angeles dermatologist Rebecca Fitzgerald, MD. Radiesse, Juvéderm and Artefill can also be used to achieve similar results.
Smoothing the Neck