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Upper Outer Cheek Key to Natural Facial Volumization

Posted: 3:55 p.m. Friday, July 31, 2015

By Anita Mandal, M.D.
Question: I had Sculptra by a dermatologist who filled the hollows under my cheeks bones. Now I look puffy and my upper cheek and lower eyelid look like they are missing volume. Why has filling my lower cheek hollows caused a puffy look?

Answer: Filling of the wrong cheek subunit is one of the most common mistakes that I find in patients seeing me for corrective facial procedures after being treated elsewhere.

Volumization is not as simple as filling a cheek hollow. A keen surgeon most importantly identifies the cause of the hollow. While a lower cheek hollow may be what you see, it is often due to bone and fat loss occurring in the upper cheek. As fat and bone loss in the upper cheek occurs with age, the overlying skin loses support and sags. This can result in deep nasolabial smile lines, jowls and lower cheek hollows.

Filling lower cheek hollows without addressing the upper cheek volume loss can give a puffy look to the lower mid-face and hollow appearance to the upper cheek and lower eyelid area, resulting in facial disproportion.

The upper cheek bone especially the upper lateral portion is a key area in restoring mid-facial volume loss with age. Restoring volume to the lateral upper cheek gives the balance and proportion crucial to a natural looking mid-face.

While temporary fillers such as Sculptra, Radiesse and Voluma are options, Bellafill is a long lasting, “permanent” and more cost-effective filler with fewer maintenance treatments. Because Bellafill injections are performed with cannulas instead of needles, less bruising, swelling and discomfort occurs. It’s many benefits along with the high safety profile of 1% or less granuloma rate make Bellafill my filler of choice for facial volumization.

It is a misconception to think you should only seek a surgeon for surgery. Facial Plastic Surgeons have in-depth knowledge of facial anatomy and expertise in both non-surgical and surgical facial aesthetic treatments. An alarmingly growing number of doctors, not board certified in plastic surgery, are performing cosmetic treatments. Each time you have a non-surgical cosmetic procedure by a less qualified doctor, you increase your risk of complications and poorer results. When it comes to your face, why would you consider less than a Board Certified Facial Plastic Surgeon? Go to www.abfprs.org to verify that your doctor is board certified in Facial Plastic Surgery.

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