One has to understand the aging process of the mid face in order to correct the sagging that you see in your cheeks. This sagging also is the cause for the deepening of the parenthesis (nasolabial folds). All to often, plastics surgeon go after these folds, filling and unnaturally effacing what we were born with. They are treating the symptom, not the cause- the loss of cheek volume. I have patients bring in photos from their 20's and 30's to demonstrate this change in facial volume which can involve the cheeks, under the eyes, temples, and jaw line.
There are many options for restoring youthful volume to the cheeks. If you are looking for instant results, that can last 6 to 12 months, usually a combination treatment of Radiesse, Juvederm, and Restylane injections work the best. Many patients want longer lasting results, that are instant, without downtime. The safest product, is Juvederm Voluma, which can last up to two years. It is the only FDA approved injectable filler for the cheeks. Many patients opt for Sculptra injections because the results develop gradually over time, are natural, and last more than two years. Surgery is always an option, including fat injections and cheek implants.
