Cheek Augmentation With Injectable Dermal Fillers

What is a cheek augmentation procedure?

The cheek extends superiorly to the zygomatic arch, posteriorly to the ear, inferiorly to the margin of the mandible, and anteriorly to the corner of the mouth. It can be divided into 4 major topographic areas: the zygomatic, buccal, infra-orbital, and parotid-masseteric regions. These fleshy areas are innervated by the buccal nerve and a major portion of facial fat tissue—known as the malar fat pad—is located underneath the cheeks. The fat pads help to give healthy and fuller appearance to the cheeks. Unfortunately, ageing usually causes a deterioration of the volumising fat pads, resulting in drooping cheeks, a sagging jawline, undefined cheekbones, and even sunken cheeks. If left uncorrected, these aesthetic issues could give an inaccurate perception of one’s age. Patients can undergo a cheek augmentation procedure to effectively improve the shape of their cheeks.

How are the cheeks augmented?

Patients who are displaying premature signs of ageing have the option of undergoing cosmetic procedures for an effective augmentation of the cheeks. Cheek augmentation procedures can be done surgically or non-surgically. The former involves using fat grafts or solid cheek implants to get the desired cheek shape. However, surgical approaches are invasive and require a relatively long recovery time. Nonsurgical method involves using injectable dermal filler to easily plump and sculpt the cheeks. These fillers can be made of different types of material such as hyaluronic acid and poly-L-lactic acid (PLLA).

How to use injectable dermal fillers to augment the cheeks?

The dermal filler injection process is performed once the patient’s medical history and aesthetic assessment have been reviewed extensively. Most importantly, patients must be made to understand the possible side effects that they might face, and physicians must obtain their informed consent prior to treatment. The chosen dermal filler can then be injected into the thoroughly cleansed and sanitised cheek areas. The appropriate depths and techniques of injection depend on the severity of the cheek deformities and the administration technique recommended by the individual manufacturers. Some of the most popular brands of dermal fillers for this purpose are hyaluronic acid-based Juvederm Voluma XC and Restylane Lyft, calcium hydroxylapatite (CaHA)-based Radiesse, and even PLLA-based Sculptra. While the hyaluronic acid injectable gel simply volumises and sculpts the cheeks, CaHA and PLLA implants encourage the growth of collagen fibres, resulting in semi-permanent yet natural-looking cheek enhancements. Following the treatment session, cheeks become plump and sculpted.