Attractive, plump and fuller cheeks are signs of youthful and young face and an important component of attractive facial features. Fuller cheeks with well-defined contours create harmony, improve the facial appearance and represent youth. Normally in females the cheeks are full and forward projecting. In young males the cheeks are less forward projecting but not flat either. Ageing as well as losing weight can decrease volume in the cheeks leading to flat or sunken cheek silhouette.

Cheek Enhancement Treatment

Less pronounced cheeks
  Cheek Augmentation
Overall more full and forward Projecting

The process of ageing starts by the time we approach mid 20s due to internal changes such as loss of the skin filler elements like hyaluronic acid and collagen as well as due to lifestyle factors that lead to skin ageing causing an appearance of wrinkles and lines along with facial volume loss. This gives a dull, saggy and older appearance to the facial profile with the passage of time while changing the shape of structure of facial features.

The balance of volume in the facial features during the youth gives it an attractive and captivating appearance. These features can are evidently observable in the ‘Triangle of Youth’ that includes:

  • Smooth and radiant skin
  • High and prominent cheek bones
  • Well-defined and contoured jawline and jowls

All these facial features, together give a harmony to the facial structure, making it look wide from the above and narrow from the chin and lower face. As we advance in age, the facial volume is lost which turns the facial harmony upside down giving sad and stressed appearance to the face due to:

  • Wider jawline
  • Sagging and loose skin
  • Loss of volume in cheeks
  • Appearance of wrinkles and fine lines
  • Reduction of skin elasticity
  • Appearance of downturned smile lines

This gives an inverted appearance to the triangle of youth making the lower face wider with sagging skin and facial volume loss.

Possible Causes of Facial Volume Loss

In addition to ageing, there are other factors which can contribute towards the loss of facial volume.

  • Hormonal changes
    With the lowering of hormonal levels in body like oestrogen, with age, facial volume and definition is lost.
  • Life style
    Habits like smoking, alcohol intake, excessive sun exposure causes a reduction in collagen and elastin in skin while speeding up the process of ageing. The free radicals are formed in skin which weakens the skin’s cellular structure responsible for maintaining the smoothness and definition of skin. This results in loss of volume, radiance and density of skin while making wrinkles prominent.
  • Weight Loss
    Over the time, hyaluronic acid is also lost from the epidermis layer of skin along with collagen from the deeper skin layers causing the skin to lose moisture, form wrinkles and lose volume to give hollow and sunken cheeks.

Surgical Cheek Enhancement

The issue of facial volume loss can be treated by surgical as well as non-surgical treatment procedures. These treatments helps is restoring the lost facial volume along with giving volume to the hollow, flat and sunken cheeks.

At CosmeDocs, surgical cheek augmentation is offered by our experienced cosmetic surgeons. For the surgical cheek enhancement, a synthetic material is placed underneath the subcutaneous tissues, above the cheek bones. Different types and shapes of implants are available for cheek implantation surgery that is chosen by our professional surgeons according to the individual patient’s requirements. The different sizes of implants include the following;

  • Malar: gives greater facial outline and are placed directly on the cheek bone.
  • Submalar: these are used to fill up the hollowness and sunken appearance of cheeks and to enhance the middle facial area.
  • Combined malar and submalar: combination of both implants can be used to give definition as well as fullness to the cheeks.

Our skillful and professional cosmetic surgeons have an extensive experience of performing malar, submalar and combined cheek enhancement surgeries.

Cheek Volume Loss Scale

Cheek Volume loss scale has been developed to determine the extent of volume loss in cheeks. It helps in better assessment of severity of the condition and in better treatment outcomes. The system can be used for identifying the 5 severity levels that are based on the width, length and depth of the skin folds, creases and the loss of volume in the different facial areas. Each can be given a value ranging from 0 (no wrinkles and folds) to 5 (severe wrinkles and folds). It also helps in determining the degree of facial loss in patients. The following pictures exhibit the volume loss grading in mid-cheek
( source courteousy: http://www.medscape.org/viewarticle/573737_7)

 

Mid-cheek-grading-system-level-0

Fig 1: Mid cheek grading system level 0

Cheek Fillers Treatment

Fig 2: Mid-cheek grading system level 1

Filler treatment on Cheek

Fig 3: Mid-cheek grading system level 1-2

Facial volume loss treatment

Fig 4: Mid-cheek grading level 2

Dermal Filler Treatment for volume loss

Fig 5: Mid-cheek grading level 3

Facial rejuvenation treatment with fillers on cheeks

Fig 6: Mid-cheek grading level 3-4

Cheek contouring with non surgical treatment

Fig 7 : Mid-cheek grading system level 4

Non surgical treatment with fillers on cheeks

Fig 8 : Mid-cheek grading system level 4-5

Cheek enhancement with dermal fillers

Fig 9: Mid-cheek grading system level 5

Cheek Enhancement by Dermal Fillers

Cheek fillers offer quick, safe, and minimally invasive treatment with minimal downtime performed on outpatient basis in a doctor’s clinic. Cheek dermal fillers are used for restoring the height, definition and volume of the cheek area. Dermal fillers are injected into the various areas of cheeks according to the individual requirements, at varying depths which plump and contour the cheek area almost instantly.

Cheek Filler Procedure by CosmeDocs

The cheek fillers treatment procedure starts with a thorough examination of the patient’s facial features by our professional and experienced practitioner who also possess a keen eye for facial aesthetics. Our practitioner will carefully determine where the cheek fillers should be injected to get the most aesthetically appealing and augmented results.

Generally, Hyaluronic acid dermal fillers are used for non-surgical cheek augmentation which are FDA approved. A local anaesthetic cream as well as local anaesthetic may be applied before performing the cheek fillers treatment. A small needle is used to make one insertion hole through which the rest of the procedure is carried out with a blunt cannulae minimising trauma and bruising. Small quantities of appropriately chosen dermal filler are injected into the deep soft tissues of the cheeks. The dermal fillers also have mild anaesthetic which minimizes the level of discomfort. The total cheek fillers treatment procedure takes about 15-20 minutes to complete.

Results

The cheek fillers treatment with dermal fillers give instant results with plump , fuller and well-defined cheeks. The cheek bone appears contoured, with a tightened overlying skin along with softer nose to mouth contours. The effects of the cheek fillers last for about 12-18 months or more depending on the type of cheek dermal fillers used.

Possible Side Effects

There are fewer side effects of non-surgical cheek fillers. The most common side effects include redness and slight discomfort immediately after the treatment which subsides in few hours. Other temporary side effects include swelling and bruising which may take few days or a week to wear off.

Downtime

The non-surgical cheek fillers treatment has little downtime. The patient may feel mild discomfort and redness immediately after the treatment but this does not interfere with the daily routine activities that can be continued after receiving the cheek fillers treatment. It may feel as if you have been to the dentist as the local anaesthetic may make you feel a bit numb in the cheek area.

Price

The cheek fillers cost depends largely on the type of dermal fillers used and on the area of treatment. Your doctor will discuss the cost of cheek augmentation with fillers in the initial consultation session. If you need further information you can check our price page or contact us directly.

Before and After

The pictures given in this section are of real patients who have undergone non-surgical cheek fillers treatment at CosmeDocs. You can clearly see the difference in their facial volume before and after the cheek fillers treatment. The after pictures show enhanced and well-defined cheeks.

FAQS

What is a non-surgical cheek enhancement?

Non-surgical cheek enhancement is a procedure that makes use of dermal fillers to restore the volume of hollow and flat cheeks and to reshape and contour them while naturally enhancing their aesthetic appeal in a quick, effective and safe treatment with minimal downtime and side effects.

Am I good candidate for non-surgical cheek augmentation?

Any patient who has lost cheek and facial volume due to ageing or any other factors is a good candidate for cheek fillers treatment. Patients, who have any cheek deformities from birth or due to some injury, can also attain improvement in their facial structure without undergoing surgery.

How long does the cheek fillers treatment take?

The cheek fillers treatment takes only 15-20 minutes to complete and can be undertaken during the lunch time as it has minimal downtime and few temporary side effects.

Will there be any pain or discomfort during and after the cheek fillers treatment?

The discomfort or pain is minimal as local anaesthetic cream will be uses to numb the area. The fillers also have anaesthetic which helps to minimize the discomfort. We use injection techniques which virtually give minimal pain. There may be mild bruising and swelling after the treatment for few days which is just temporary condition and will settle in few days or in a week.

When will I be able to see the results of cheek fillers treatment?

The results of cheek fillers treatment can be immediately seen following the treatment. You will be able to see improvement in the height, volume and definition of your cheeks.

Will there be any side effects of the cheek fillers?

You may experience mild side effects which are temporary in nature and usually subsides in few days. These include mild swelling, redness and bruising.

How long the cheek fillers last?

The effects of the cheek fillers depend on the type of fillers used. The results of hyaluronic acid cheek dermal fillers last for about 16-18 months or may be more.