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One of the first areas to show the visible signs of aging is the facial cheekbone area.  While there are many make-up tricks which can accentuate the cheekbones, making them appear higher and more prominent, make-up cannot mask the collagen loss that occurs in the mid face as we age.  As we get older, the mid face loses volume and the cheekbones start to lose their natural fullness. A high cheekbone is a sign of youthfulness and beauty.

Most patients do not want to have invasive plastic surgery and have cheek implants surgically implanted in their faces.  Luckily, there are now simpler cosmetic solutions for facial rejuvenation and cheek augmentation such as injecting Dermal Fillers composed of Hyaluronic Acid, Radiesse, and Sculptra injections.  These non-invasive cosmetic injections, which do not involve having facial plastic surgery, have increased in popularity each year.

How to know which injectable filler is right for you?

Choosing the best filler for mid-face augmentation depends on several factors.  It depends on your facial structure, the degree of cheekbone augmentation that you are looking for and also on the degree of skin laxity that one has.  Dr. Michele Green is an expert in facial rejuvenation.  She will evaluate the texture and resilience of your skin, and make appropriate recommendations and treatment options based on providing you with the best cosmetic results.

Restylane Lyft and Juvederm Voluma are two hyaluronic acid based injectable fillers which work exceedingly well for the cheek area.  If there is a great deal of sagging or skin laxity, Dr. Green may choose to inject Sculptra to that area.  The benefit of Juvederm and Restylane® Lyft is that they usually only need one series of injection to have a complete mid-face rejuvenation.  Dr. Michele Green was one of the first dermatologists in NYC to offer Juvederm Voluma™ to her patients.

Before & After photo of female with Juvederm Voluma in Cheek area

Sculptra® is another excellent choice for the mid-face.  Sculptra is used, generally, when there is more skin laxity involved in the jowls and lower face.  Sculptra is unique in that it assists the body produce its own collagen. Sculptra is better suited for panfacial rejuvenation, similar to Radiesse injections.

When considering cheek augmentation, it is important to visit a dermatologist or board-certified plastic surgeon who is knowledgeable in the anatomy of the mid-face. Dr. Green performs precise, customized treatment for each patient to offset their specific pattern of age-related mid-face descent.

Surgical Cheek Augmentation options

In addition to the injectable filler options, there are surgical options as well. There are other treatment options which can give you more defined cheekbones such as silicone implants and fat grafting.  Fat grafting is a technique which involves two surgical procedures.  Your own fat is removed via liposuction from a different  area of the body and transferred to the cheeks.  Fat grafting can last many years but if a patient is unhappy with the results, it cannot be reversed.

Cheek Implants

Cheek implants is one option for cheek augmentation. Cheek implants is a surgical option to improve volume by increasing the projection of the cheekbones. Plastic surgeons sometimes use silicone implants similar to those used for breast augmentation for surgical cheek implants. In addition to silicone implants some plastic surgeons also use porous polyethylene. With cheek implants small incision is placed in the submalar and the implant is placed within the soft tissue. Since cheek implants is considered plastic surgery there is more rigorous medical screening involved prior to doing this procedure and it also requires more downtime.  Cheek implants can also be done while getting a facelift. The procedure requires medical clearance since you are under general anesthesia for the procedure.

Cheek implant surgery was a common surgical procedure in the past. While many patents still have plastic surgery procedures on the upper and lower eyelids, as well as brow lifts and facelifts, the numbers of cheek implant surgeries has dropped tremendously in popularity.  One of the reasons in this decrease in popularity is simply the  cheek augmentation cost and the fact that fat transfer involves having two surgical procedures.  Another major reason is the ease of cosmetic injectables which have replaced the need for invasive surgery. Patients do not want to undergo general anesthesia for a cosmetic surgery when there is a simple and safe alternative.  If patients are unhappy with their cosmetic injections, they can be easily reversed with Vitrase or Hyalenex. In addition, some Plastic Surgeons use a technique called skeletal contouring, a form of reconstructive surgery, which is used for defining facial contours and bone structure to alter the facial structure. This technique is also used during rhinoplasty to shape the nose.

What is the Procedure for Cheekbone Augmentation with Injectable fillers?

The area of the face area is prepped and a topical anesthetic is applied for thirty to forty-five minutes. The face is cleaned and prepared and the areas of injection in the submalar area are marked out. The dermal filler is carefully injected and Dr. Michele Green is an expert in contouring the cheekbone area.   After the injections, the mid-face may feel some soreness and you have some minor swelling for about 3 – 5 days. Cold ice compresses are applied immediately after the procedure which will reduce any swelling.  We also recommend a short course of Arnica to minimize and localized bruising in the injected area.

Combining Cheek Augmentation with Botox and other Cosmetic Injections

Most patients who are concerned with cheek augmentation may show the visible signs of aging in other areas of their face, such as their foreheads, eyes, brows, lips, or neck.  Dr. Michele Green often combines Botox® and other cosmetic injections such as Belotero® for the upper lip to improve the cosmetic appearance.  Other lasers such as Fraxel® and Thermage lasers can be combined with these cosmetic injections to ensure the best overall cosmetic results. It is most important to choose a board certified dermatologist like Dr. Michele Green or a cosmetic surgeon who is an expert in these cosmetic procedures to have the best cosmetic results.

If you are looking for cheek augmentation or want to look at ways to improve the appearance of your sagging cheeks, Dr. Green can discuss the best options with you. To book an appointment, please contact our NYC based office or call 212 535 3088

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