Lately, there seems to have been a shift from big lips to sculpted cheeks.
Full cheeks and a round face are signs of youth and beauty…however, as we age the fullness of the cheek starts to slide and drop downward, creating jowls and a gaunt or tired look.
Think of babies and children who have the fullest, plumpest cheeks that we all want to pinch. Some people are more blessed than others in this department, but fortunately there are procedures for everyone at every age to correct and restore volume to the cheeks.
So what to do to restore the volume and definition to the once high cheekbone area?
Facial fillers such as Juvederm, Perlane, and Radiesse can be used to restore fullness. Many Doctors prefer Radiesse, as it tends to last longer (about one year).
This can be done in the office and takes about one hour. The results are immediate with minimal swelling and you should be able to go out to dinner that evening.
Recently, the FDA approved Voluma for cheek augmentation. Voluma is also hyaluronic acid, is completely safe yet a bigger molecule ideal for the cheek area. Voluma has become a very popular filler option for the cheeks.
Your own fat is the best filler. Though slightly more expensive than fillers and done under anesthesia, fat transfer to the face is a wonderful option that lasts a few years and creates natural volume. The downside is that too much can give you an over inflated pillow face.
Cheek implants are placed by a surgeon who has extensive experience in this area. Under general anesthesia, small implants are strategically placed so that they cannot move to turn. The result is permanent and there is minimal down time…usually 3-4 days. You might have swelling and feel slightly sore the first few days.
Sometimes the entire mid- face needs to be lifted back up and restored to its original position. This is called a mid- facelift. This is also done under general anesthesia in order to have a more permanent result. Sometimes it is done under local anesthesia (just injections to numb the area) as well.
Endotine mid-facelift is accomplished by using an absorbable holding device that acts to keep the position of the suspended cheek tissues with small spikes. There may be more swelling with this technique in some patients, but swelling also varies from patient to patient even when the same devices or techniques are used.
As always, make sure that you seek a reputable, board- certified surgeon who has extensive experience in facial surgery.
Sylvia Silvestri, RN