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Does Bellafill Work on Cheek Wrinkles?

Posted: 12:01 a.m. Sunday, Mar. 17, 2019

By Anita Mandal, M.D.
Question: I have always been overweight and finally lost 50 pounds over the past year. While I’m happy with being thinner, my face has lost a lot of volume. The aging over my cheeks seems especially pronounced because I also have wrinkles over my cheeks since the weight loss. Will Bellafill help my cheek wrinkles?

Answer: Fillers, in general, can improve certain types of cheek wrinkles, but it depends on the patient’s unique problem. This is true not only for Bellafill as well as temporary fillers, with the main difference being that Bellafill lasts 5 years compared to the one year temporary fillers.

Several different categories of cheek wrinkles exist. In instances when the wrinkles are in the area of the upper cheek and become worse with smiling, Botox treatments to the laugh lines or crows feet can soften upper cheek wrinkles.

Cheek wrinkles near the lower face which mainly worsen with smiling or other facial expressions typically do not respond well to most fillers which can cause a bumpy appearance to these lines. Treating these lines directly with Botox is also not the best option due to the risk of facial weakness in this area.

In some patients who have wrinkles overlying the cheeks area and such lines are visible even without facial expression, placing filler into the hollow can inflate a deflated cheek and efface or flatten the overlying wrinkles.

Infini RF can also be a useful device for treating superficial cheek wrinkles. Again, if these lines worsen with facial expression, a Botox pre-treatment is recommended to optimize the results of Infini.

There is also an advanced technique I use on eligible candidates where certain fillers can be run just along the undersurface of the cheek wrinkles to stimulate collagen and improve these wrinkles over time. In such cases, a collagen-stimulatory filler such as Bellafill or Sculptra is used rather than hyaluronic acid fillers.

A thorough consultation with a Board Certified Facial Plastic Surgeon who understands the intricate facial anatomy and has extensive experience in the various uses of different injectable fillers is the first step.


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