If you’ve been struggling with the appearance of your face, whether it be the overall shape, lack of structure, or noticeable signs of aging, you are not alone. In fact, most of us face some level of insecurity about how we look, which is totally normal and often overcomable. However, if you are overly bothered by any particular feature of your face to the point that it’s affecting your social life, mood, and even professional responsibilities then you may want to consider a minimally invasive option to adjust that feature and boost your self-confidence all without the risks of surgical intervention. 

One area that tends to affect the overall image and structure of our face from both a frontal and lateral perspective is the cheeks. Unfortunately, this region of the face is frequently vandalized by the inevitable aging process as our bodies begin to produce less collagen and our healthy superficial and deep facial fat volume gradually diminishes, making us look gaunt, saggy, and plain and simple, old. In addition, hormonal factors may contribute to the density and fullness of paranasal soft tissues which are located above the maxillary and zygomatic bones. 

Paranasal soft tissues are what create projection in the cheekbones in women, more so than men. While it may seem like men simply have different bone structure than women, studies have demonstrated that the facial skeleton and malar projection of men and women are very similar, and instead the primary difference is found in the overlying fat distribution in the orbital and midface region. As such, alongside the gradual loss of bony midface support and facial fat due to aging, loss of tissue elasticity, hormonal imbalances, illness, or weight loss, our cheeks can become deflated – in both males and females.

Fortunately, there is a solution to this problem and it comes in the form of dermal fillers. In 1981 the first dermal filler injectable, purified Bovine collagen, was FDA approved for cosmetic use in the face. In the decades following up until today, a wide range of dermal fillers were developed, most of which are now hyaluronic acid based and can be used to restore facial volume loss alongside various other aesthetic purposes. Some of the most popular hyaluronic acid (HA) based dermal fillers used in the cheeks are a part of the Juvederm and Restylane families, and others that are not HA, but collagen based, include Sculptra and Radiesse. Dr. Schwarzburg offers a wide range of injectables at his clinic located on the Upper East Side in NYC, and primarily uses HA fillers to rejuvenate the sunken cheeks of his patients, and to add structure and overall shapeliness for a fresh, plump, and youthful glow!

Cheek filler injections

THE PROCESS OF AGING IN THE CHEEK AREA

The cheeks are a convex region of the face and are the primary component of the facial anatomy and structure. The superior aspect of this area consists of the zygomatic arch as well as the orbital cheek crease, while the inferior aspect is made up of the lower border of the mandible. From a lateral perspective the preauricular crease plays a huge role in the structure of your cheeks, alongside the medial nasofacial sulcus, nasolabial crease, and labiomandibular creases.

The aging process consists of 3 dimensions involving adjustments in the bone, soft tissue, and skin. As we become older, our bones restructure and recess, causing the underlying fat pads and facial musculature to shift – this is known as craniofacial skeletal remodeling. The central, middle, and lateral-temporal superficial fat compartments are small and compact, while deeper fat lobules are more mobile, but more securely attached due to the support of surrounding bone. Both types of fat are subject to change as a result of constant facial movement and restructuring and disintegration of supporting ligaments. Hence, the cheeks become more hollow and gaunt over time.

CORRECTING SUNKEN CHEEKS WITH DERMAL FILLERS IN NEW YORK

Hyaluronic acid based fillers work to replace lost volume in the cheeks by absorbing water surrounding the treated area as the uniquely formulated HA gel products simultaneously offer instant volume upon injection.

Hyaluronic acid is naturally found in tissues and fluids of the body, particularly in articular cartilage and synovial fluid and is responsible for the lubrication of joints. It is also a key molecule contributing to maintaining the moisture of the skin, which is why you may have noticed it as an ingredient in some of your serums and skin care products. 

HA gel fillers come in many formulations each of which vary in consistency and thickness. Juvederm Voluma XC, for instance, uses Vycross technology which results in dense and more voluminous results. Some hyaluronic acid fillers differ in molecular weight, further influencing their density and the regions in which they are most effective. Restylane Contour on the other hand utilizes XpresHAn technology, resulting in a lighter and more malleable outcome allowing it to move freely and naturally with the face, making it ideal for the midface, cheeks, and nasolabial folds. 

Not all fillers used for cheek enhancement are hyaluronic acid based. In fact, one of the first products used to restore lost facial volume is Sculptra, which was originally FDA approved to treat lipoatrophy in HIV positive patients. At his private medical practice in New York, Dr. Schwarzburg rarely uses Sculptra for facial restoration, due to its unpredictability in terms of how much volume the treatment will result in and its irreversible results lasting up to 3 years, it is used in some cases, and is an excellent product for those looking to add projection to their buttocks with a Sculptra Butt Lift.

When used in the orbital midface region, Sculptra, consisting of Poly-L-lactic acid, stimulates collagen production which gradually enhances the treated area over the course of 1 – 2 months.

Radiesse, another collagen based dermal filler is sometimes used in the cheeks in its hyper diluted form and offers instant volume in addition to collagen production. Radiesse is a very dense filler, which is why it is only used in the cheeks in rare cases.

CHEEK DERMAL FILLERS VS SURGERY

Surgical cheek augmentation is accomplished by restructuring and contouring the facial skeleton, namely the zygomatic arch and the zygomatic body. This is typically achieved by installing fitted silicone cheek implants directly onto the malar bone creating increased projection. Submalar implants are intended to improve the appearance of a sunken anteromedial cheek in the midface. The process involves an incision above the gumline and below the cheeks to allow the placement of the implants. While cheek implants are common and often successful when administered by a skilled and qualified plastic surgeon, there is always the risk of not only an irreversible botched result, but the general downsides of invasive surgical intervention including a lengthy downtime, potential scarring, and high risk of infection. Surgical silicone implants rarely look and feel natural and most of the time surgeons aim for overcorrection, with intentions to exaggerate the results.

Dermal fillers require significant artistry and an excellent understanding of the patient’s facial anatomy, as an inexperienced injector can cause far more damage than good with misplaced dermal filler and a suboptimal outcome. Nevertheless, cheek injections are minimally invasive and take no longer than 30 minutes, yielding immediate natural looking results with little to no downtime, risks, or side effects when performed by a skilled and qualified injector. It is extremely important to seek out an experienced board certified plastic surgeon, preferably one who specializes in minimally invasive procedures and injectables like Dr. Schwarzburg in NYC, to ensure safe and effective execution of the cheek augmentation procedure and outstanding effects.

Cheek augmentation before after

JUVEDERM CHEEK INJECTIONS IN NYC 

In 2006 Juvederm was approved by the FDA for the treatment of facial fatty tissue loss in the midface, and hence, the cheeks. The product is manufactured and distributed by pharmaceutical company Allergan and can be used in a variety of regions to fill in deep wrinkles and folds, and midface hollowness, as well as to accentuate the lateral orbital region.

This line of dermal fillers is constructed using Hylacross technology, a homogenization process allowing for a smooth, eurythmic consistency. 

Juvederm offers immediate durable projection in the cheeks and superior efficacy due to its monophasic and monodensified gel consistency and cross-linking technology. Monophasic polydensified fillers penetrate into the reticular dermis, resulting in even distribution for smooth and natural looking results.

Juvederm XC is fabricated with 0.3% powder lidocaine resulting in a more manageable treatment experience in terms of pain.

If you’ve noticed a gradually more sunken looking midface due to aging or even weight loss, Juvederm can be a wonderful product to correct what has been lost. While aging is one of the primary factors that cause your paranasal soft tissue to break down over time, other aspects that may lead to the loss of volume in your cheeks include genetics, weight loss, and illness causing lipoatrophy.

After the injection of Juvederm or one of the many fillers of the Juvederm family, your cheeks will look fuller, more plump, and all in all younger.

JUVEDERM VOLUMA FOR THE CHEEKS IN NEW YORK

Juvederm Voluma was FDA approved in 2020 for cosmetic use in NYC via injection to treat infraorbital hollowing and restore fullness in the midface, cheeks, and surrounding facial areas. Juvederm Voluma XC is a biodegradable, viscoelastic gel composed of high and low molecular weight hyaluronic acid, cross-linked with Vycross technology. It contains 0.3% of lidocaine, a numbing agent making the injection process in the delicate area along the cheeks more comfortable for patients. Voluma has been shown to exhibit more stability and a longer in-vivo duration compared to other Juvederm products, making it preferable for people who are looking for longer lasting results. It can even add a lifting effect to the cheeks due to its significant magnification of the zygomatic area. 

Juvederm Voluma is used to bring out the malar bones and to replace volume in the medial aspect of the face via injection in the supraperiosteal or submuscular plane. Juvederm Voluma has been clinically tested in retrospective observational studies finding overall satisfaction in patients with only 12% of subjects having experienced side effects that were both temporary and mild. Because the periorbital region of the face is anatomically complex with delicate skin, vascularity, and limited lymphatic drainage, the experience of your injector with an excellent understanding of various layered injection techniques is vital to achieve optimal results. Dr. Schwarzburg errs on the side of undercorrection in this region to prevent asymmetry, edema, and hematomas, and adds more filler as needed for natural and aesthetically appealing results.

RESTYLANE LYFT VS JUVEDERM VOLUMA FOR THE CHEEKS

Both Restylane Lyft and Juvederm Voluma are hyaluronic acid based dermal fillers used primarily in the midface and cheeks for facial volume restoration. While they are similar, they differ slightly in chemical composition but may be used interchangeably to fix deep folds and wrinkles and emphasize structure in the malar or cheek bones yielding a more youthful and contoured look. When it comes to the midface, many of us deal with infraorbital hollowness in the medial aspect of the face, where there used to be more fullness. Restylane Lyft and Voluma can add more plump to this region, making you look brighter, more refreshed, and younger.

The main difference between the two fillers is the longevity of their results. Voluma tends to last longer (up to 2 years) than Lyft, which lasts up to 18 months. Regardless, it is important to keep in mind that there are many factors that contribute to how long your results will last, such as genetics, metabolism, how much filler was used, and the treated area itself.

Cheek filler before after

SCULPTRA FOR THE CHEEKS

Sculptra is made up of Poly-L-lactic acid (PPLA) and works by stimulating your own collagen production upon injection. This product was originally developed and used to treat lipoatrophy (fat loss) in the midface and cheeks in HIV positive patients. Today, it is used cosmetically amongst a wide range of patients to volumize the cheeks and as a minimally invasive Sculptra butt lift.

After Sculptra is injected intradermally into the cheeks, it stimulates collagen production. This collagen then wraps around the Poly-L-lactic acid molecules, causing the treated area to expand over the course of 1 – 2 months. Because Sculptra cannot be dissolved like hyaluronic acid fillers, Dr. Schwarzburg starts with very small amounts (0.5 or 1 vial) and adds more as needed as the results begin to manifest in the cheeks until the desired result has been reached.

JUVEDERM VOLUMA VS. SCULPTRA FOR THE CHEEKS

You may be asking yourself which dermal filler is the best choice to enhance your cheeks – the answer is that there is no single filler that is globally better than the other. When it comes to selecting a filler for the cheeks, Dr. Schwarzburg takes several things into account including your unique anatomical facial structure, the thickness of your skin, the severity of your individual case, and your desired aesthetic outcome.

There are a few factors that set Juvederm Voluma and Sculptra apart from one another. Juvederm Voluma is hyaluronic acid based, offers immediate volume enhancement, and can be dissolved with hyaluronidase if necessary. Due to its higher G-prime factor, Voluma offers enough rigidity to support overlying tissues, while soft enough to make it ideal for the periorbital and zygomatic region of the face. It typically lasts 12 – 24 months, though this varies on a case by case basis. 

Sculptra, on the other hand, consists of Poly-L-lactic acid molecules and works by stimulating your own collagen production, which may take 1 – 2 months to actually become visually evident in your cheeks. In addition, Sculptra is not dissolvable and its volume expansion can get out of control compared to hyaluronic acid based dermal fillers. Another caveat of Sculptra is that it often unpredictable in terms of how much new tissue mass will actually be produced by your body. While some patients may respond as expected to Sculptra injections, others may have an above average response to the product, causing the injected area to inflate more than planned, resulting in a puffy or overdone look. 

Taking this into consideration Dr. Schwarzburg rarely uses Sculptra in the cheeks and prefers the versatility and predictability of hyaluronic acid based fillers such as Juvederm Voluma in the cheeks for his patients in New York. However, there are some exceptions, which is why the best way to determine which filler is right for you, is to first consult with Dr. Schwarzburg himself in his NYC offic to confirm which filler is suitable for your individual needs.

RADIESSE CHEEK FILLER

Radiesse is a collagen stimulating soft tissue filler made up of calcium hydroxylapatite. This product has a reputation of producing a very natural result, and though it is FDA approved for esthetic facial augmentation, it isn’t always ideal for cosmetic use in the cheek area as it is a particularly dense and thick filler. In fact, Radiesse is otherwise known as “liquid bone” and more commonly used in rigid or bony areas like jawline contouring and even hand rejuvenation. In some cases a hyper diluted form of Radiesse may be used in the cheeks for pronunciation, or as a treatment to improve the overall quality and smooth out the skin in patients with uneven skin texture or acne scarring.

WHICH FILLERS ARE BEST FOR CHEEK AUGMENTATION?

Selecting the appropriate filler can be challenging when there are so many options available. The best way to find out which filler is best for you is to consult with an experienced board certified cosmetic physician like Dr. Schwarzburg, who understands your facial anatomy and will know which dermal filler will best suit your needs – doing this will save you the energy and overwhelming process of trying to figure out which product is right for you.

Nevertheless, you should always inform yourself about your options. Below are the most commonly used dermal fillers that are used on the cheeks:

Juvederm is a family of hyaluronic acid based dermal fillers manufactured by pharmaceutical company Allergan. There are several products in the Juvederm family, each of which has a unique formulation suitable for different regions of the face and varying facial anatomies. Common Juvederm fillers used in the cheeks include Juvederm Voluma, Juvederm Ultra, and Juvederm Vollure.

Restylane is a hyaluronic acid filler typically used in the lips, cheeks, smile lines and under the eyes. There are several forms of Restylane with different densities and molecular weights ideal for a number of areas of the face. While most Restylane fillers are light and subtle, the best Restylane product to use on the cheeks is usually Restylane Lyft.

Radiesse is a dermal filler consisting of calcium hydroxylapatite that offers immediate results and stimulates collagen production simultaneously. Radiesse is not dissolvable or reversible and typically lasts approximately 1 year. It can be used to restore lost volume in the cheeks or to fill in wrinkles and lines, though it is very dense and is not typically the number one filler used for cheek augmentation. 

Sculptra is made up of Poly-L-lactic acid molecules and works by stimulating your own collagen production in the treated area. The collagen produced then wraps around these PLLA particles that would naturally be broken down by the body, causing them not to be broken down and gradually increasing the size of the cheeks over the course of 1 – 2 months. This product was originally intended for use on HIV positive patients to restore lost facial fat, but has fallen out of favor secondary to multiple complications as described previously.

G-prime is a technical term used to describe the density of HA gel. Softer, lower G-prime hyaluronic acid gels are typically favored for more superficial injections administered to bring out the structure of your cheek bones, for example. Denser and more robust dermal fillers with higher G-prime are ideal for deeper tissues to add volume to depressed infraorbital and medial aspects of the face. There are various differences in the level of cross-linking in hyaluronic acid gels, which is the overriding factor determining their density and longevity.

Based on your consultation with Dr. Schwarzburg at his private clinic in NYC, the proper dermal filler will be selected to enhance both anterior and lateral cheek projection to reach your desired aesthetic.

AM I A CANDIDATE FOR CHEEK FILLER?

If you are struggling with your appearance, specifically with contour deficits in the malar (or cheek) bone, and feel like it may be time to look into cheek filler, you just might be a candidate. Cheek filler is effective on anyone looking to add more fullness to the midface and improve zygomatic prominence for a plumper, younger, more contoured appearance. Most dermal fillers are FDA approved for intradermal injection on patients aged 18 and above, though some are 21 and above in the United States. Because submalar hollowness is not primarily caused by age, but can be the result of other factors such as significant weight loss, lifestyle, genetics, hormonal imbalances, and disease, there is no particular age limit when it comes to getting cheek filler.

The best way to determine whether a cheek filler is the right option for you is to schedule a consultation with Dr. Schwarzburg, M.D. at his private clinic located on the Upper East Side of NYC.

Contraindications that may disqualify you from being a candidate for cheek filler include allergies to ingredients in the product used, bleeding disorders, pregnant or breastfeeding women, the tendency to form keloid scarring, and certain autoimmune deficiency disorders. In addition, if you are taking anticoagulants, you may be at risk of ecchymosis and hematomas.

AT WHAT AGE SHOULD I START GETTING CHEEK FILLER?

The average age of patients who get cheek fillers ranges 30 – 55, though this age group primarily seeks correction of facial volume loss for a more youthful appearance. At his NYC clinic, Dr. Schwarzburg has a lot of patients in their early to mid 20s who get minimally invasive cheek augmentation to add projection in the malar bone to create that contoured look that is commonly observed in celebrities like Kim Kardashian. Generally, there is no particular age in which anyone should or should not be getting midface enhancements; instead, it is more about the reasoning behind wanting the procedure and whether or not you as an individual are a candidate. 

CHEEK FILLER FOR MEN

If you are a man and wondering if a cheek filler would look good on you – the answer is yes! There is a common misconception that cosmetic treatments are primarily for women, but the truth is that we all suffer from the physical downsides of aging and all have certain aspects or facial features that make us feel self conscious. Dr. Schwarzburg has many male patients that seek his expertise in creating a natural looking outcome using minimally invasive cosmetic medicine, including cheek filler, to treat medial facial depression or lateral zygomatic magnification and restructuring. 

PROCEDURAL PROCESS OF CHEEK FILLER

Before your cheek enhancement, you will have to discuss your goals, medical history, questions and concerns with Dr. Schwarzburg. This will make up your consultation, alongside a detailed physical examination of your facial anatomy and the thickness of your skin for Dr. Schwarzburg to carefully select the appropriate dermal filler for you. At this time you can go over any medications you are taking, and ask Dr. Schwarzburg about any reservations you may have – it is extremely important to vocalize all questions as this will help build a good connection between you and your provider and improve your overall outcome as your provider will have a better understanding of your aesthetic needs. Pretreatment photographs will be taken from a frontal and profile perspective for your patient records and for you to see your before and after cheek filler results.

After your consultation your cheeks will be sanitized with alcohol and in some cases a topical numbing cream containing lidocaine will be applied, though most hyaluronic acid fillers contain 0.3% lidocaine, making the overall injection process more tolerable to begin with. In addition, topical numbing cream is rarely applied to the cheek area as the numbing agent has the tendency to cause swelling, making the injections less precise and preventing optimal outcomes.

Once prepped and sanitized, the injection points will be marked using a skin safe marker and the filler will be carefully administered using a very fine 30 – 31 gauge insulin syringe for maximum precision and efficacy. The three fundamental insertion ports include the lateral cheek, nasojugal, and nasolabial insertion port in which the needle penetrates the subcutaneous tissues alongside the superficial musculoaponeurotic (SMAS) layer and posterior membranous surface of the orbicularis oculi muscle.

The injection process itself will take no longer than 20 minutes, and once complete, the area will be cleaned up after which you will be provided with ice packs to reduce swelling.

There is rarely downtime after cheek filler, and most patients are free to go and resume normal activities immediately after the treatment, and as long as Dr. Schwarzburg confirms that your case requires no restrictions you can go enjoy a brunch or a date night in NYC. 

DOES CHEEK FILLER HURT?

Regardless of how high your pain tolerance may be, you are likely to experience some level of discomfort during the injection process, though overwhelmingly patients tolerate cheek fillers rather well. 

You may feel a prickling or stinging sensation during each injection as the needle punctures through your skin – however, you will experience no pain beyond this point.

Most hyaluronic acid based dermal fillers contain a small percentage of lidocaine, which is a local anesthetic that will numb the area and is indicated with an “XC” after the filler name. If you feel that you are extremely sensitive to pain, Dr. Schwarzburg will apply an ice pack to your cheeks to numb them beforehand, and in rare cases patients might request lidocaine injections or ProNox to make the experience less unpleasant.

DOWNTIME AND POST CARE AFTER CHEEK FILLER

Cheek injections in NYC are minimally invasive and require minimal downtime, if any. The main thing to be cautious of is to avoid rubbing or massaging the fresh filler and avoiding vigorous exercise and heat around the treated area for 2 – 3 days post-injection. This will prevent the filler from migrating in addition to minimizing swelling. You should ice your cheeks for the remainder of the day of your injections to further decrease swelling if applicable. It is possible to develop minor hematomas due to punctured blood vessels in the treatment area. If this occurs, no worries – you can apply a hot compress on day 2 to break down the bruises and speed up the healing process. 

Dr. Schwarzburg at his New York clinic typically advises his patients to come back 1 week after their initial appointment for a follow-up, to confirm that the cheek filler has settled nicely and that you are satisfied with your results.

CHEEK FILLER RISKS AND SIDE EFFECTS

Fortunately, due to their minimally invasive nature risks and side effects are minimal when it comes to cheek fillers, and complications are extremely rare. Nevertheless, you should always be aware of the possibility of them occurring.

Minor and more common side effects include swelling, redness, and mild discomfort around the cheeks during the first 24 hours, in which case an ice pack may be helpful. On day 2, you may experience bruising which can be remedied with a hot compress. Some patients take arnica supplements prior to their cheek filler injections to prevent bruising, and over the counter topical arnica gel can mitigate existing bruises. 

Rare side effects include lumps, bumps, or granulomas in the area of injection, which will either go away on their own or can be cured with hyaluronidase or steroid injections.

The best way to avoid all of the above is to seek out a skilled, experienced, and reputable board certified cosmetic physician who specializes in minimally invasive injectables, such as New York based cosmetic dermatologist Dr. Schwarzburg to ensure safe and effective execution of your cheek fillers.

HOW LONG WILL MY CHEEK FILLERS LAST?

The longevity of your cheek filler depends on a variety of factors. Firstly, the type of filler used and your individual response to that filler plays a huge role. Most modern hyaluronic acid based dermal fillers last anywhere from 9 months to 2 years, while Sculptra can last even longer, up to 3 – 4 years and Radiesse is known to last approximately 1 year. These are all average numbers and can vary depending on your biological response to each of these fillers. If you live an active lifestyle, are young, and have a fast metabolism, chances are that your cheek filler may not last as long as it would on someone who’s body will not metabolize the filler as quickly. 

If you want to be proactive to maintain your results, Dr. Schwarzburg recommends bi-annual touch up appointments to add small amounts of dermal filler before your cheeks fully deflate back to their original state.

DISSOLVING AND REVERSING CHEEK FILLERS 

If your dermal filler used on your cheeks is hyaluronic acid based, then it can be dissolved with hyaluronidase, an enzyme that breaks down hyaluronic acid polysaccharide. This is an additional benefit that hyaluronic acid based dermal fillers have compared to Sculptra and Radiesse in the cheeks. 

Dr. Schwarzburg frequently treats New York residents and patients who fly to him across the US who had unsatisfactory results from a previous, potentially inexperienced injector, with hyaluronidase to get rid of the old cheek filler and correct it. Hyaluronidase may also be used on patients who have developed lumps or bumps after incorrect filler placement or to repair an asymmetric outcome due to improper injection or lack of post-care. There are several brands of hyaluronidase, including Hylenex, Vitrase, and Hydase. 

In the case that your filler is not hyaluronic acid based, most modern and commonly used fillers wear off over time. If you are injected with silicone, your cheek filler will have to be surgically removed or may not be remedied at all.

WILL CHEEK FILLERS STRETCH MY SKIN?

Cheek filler is intended to restore lost volume in the zygomatic region and medial aspect of the face. This means that the areas in which your cheek filler is injected, the skin is likely already stretched but has lost the underlying fatty tissue and prolapsed or sagged. Dermal filler injection then essentially “refills” this volume deprived region using dermal filler. So no, if properly administered by a qualified and experienced injector, your cheeks will only be filled to correct hollowness or sunkenness in the cheeks, rather than overfilled and puffy. 

If injected poorly or too much filler is injected into the cheeks, you may look overdone for a while, though even in this case it is very unlikely for your skin to become loose or stretched out unless a significant amount of product is deposited.

MINIMALLY INVASIVE CHEEK ENHANCEMENT COST

The average cost of a cheek filler in NYC can range $800 – $2400 per single treatment. This is variable depending on a number of factors including your individual anatomical structure, your desired result, the amount of filler needed to achieve your desired cheek shape, and the credentials of the person injecting you. A board certified cosmetic surgeon with years of experience and extensive training in minimally invasive injectable treatments will likely charge more than a registered nurse or esthetician who’s skill level may be harder to grasp. 

In addition, larger cities like New York and Los Angeles are typically higher in price than suburban areas. The number of syringes injected will increase or decrease the price, as two syringes of dermal filler will be more expensive than just one. However, some clinics offer package deals if you purchase more than one syringe or if you add other treatment in addition to your cheek filler.

SHOULD I GET ALLERGY TESTED FOR CHEEK FILLER?

Allergy testing is not necessary or required before getting a cheek filler, though you should request an allergy test if it is your first time using a product and you have allergic tendencies. This way you can rest assured that you do not have any sensitivities to the filler and can move forward safely with your cheek injections.

MICRO-CANNULAS FOR CHEEK FILLER

A micro cannula is a very small, flexible, hollow, blunt tipped device that creates a channel to administer dermal filler using only 1 – 2 insertion points, compared to a needle, which involves multiple insertion points. When a cannula is used to inject cheek filler, a small puncture is created in the treatment area as an entrance for the cannula to be horizontally inserted to deliver the selected product. 

Benefits of using a cannula for cheek filler is that due to its blunt tip, there is little tissue damage and less possibility for bruising and discomfort. However, the downside of using a micro cannula is that it is very imprecise compared to a needle, which may not allow your injector to evenly distribute the product along your cheeks. 

For complex areas such as the under eyes and cheeks, Dr. Schwarzburg advocates for using an ultrathin hollow needle, which is typically preferred over a micro cannula for full control and precision while delivering the product, leaving patients with the best cheek filler results.

WHAT OTHER TREATMENTS CAN BE USED IN CONJUNCTION WITH CHEEK FILLER?

Cheek filler can be injected alongside many other regions of the face for a full facial contour. One area that goes hand in hand with the cheeks includes the under eyes, and is often injected together with the cheeks to restore a fuller and more youthful looking appearance in the bid face. Closer to the midface are the nasolabial folds, which run from the corners of your nose down to the corners of your mouth and become more pronounced as we smile and as we age. Nasolabial fold filler is also commonly injected with the cheeks. Other areas in which dermal fillers are injected for overall restructuring and aesthetic emphasis are lip fillers, chin, and jawline contouring.

Other injectables that are routinely administered in conjunction with cheek fillers are neurotoxins such as Botox and Dysport, to eliminate fine lines and wrinkles around the eyes, also known as crow’s feet, to further refresh the periorbital region of the face, which is located near the zygomatic subunit or cheek area.

Some patients struggle with other issues around their cheeks, like skin irregularities and acne scarring. These problems can be solved using collagen stimulating skin treatments like Fraxel laser and Secret RF microneedling. If you have oily and acne prone skin and have frequent breakouts in your midface, carbon laser may also be an appropriate option to pair with your cheek fillers.

While cheek fillers can add a slight lift and emphasize the cheek bones, if you are struggling with skin laxity, a better option or addition to your cheek filler may be a PDO thread lift, which is a minimally invasive alternative to a surgical face lift.

It is best to consult with Dr. Schwarzburg to see if you need additional treatments to reach your desired aesthetic, and which procedures would be appropriate for the look you have in mind.

HOW OFTEN DO I NEED TO GET CHEEK FILLERS?

The frequency of getting cheek injections depends on various factors including your personal response to the filler itself and how quickly your body metabolizes it, as well as the amount of product used in the first place. Dr. Schwarzburg notes that on average, the cheek filler lasts 9 months to 2 years in most of his patients in NYC, but that also depends on the product injected. Taking this into consideration, your next filler treatment will be within this timeframe. You can wait for your filler to fully wear off, or get routine touch-ups every 6 months to maintain your results. The number of syringes needed is fully dependent on the severity of your case and your desired aesthetic outcome.

WHY CHOOSE SKINLY AESTHETICS FOR YOUR CHEEK FILLER?

Skinly Aesthetics is conveniently located on the Upper East Side of Manhattan, NYC and is owned and operated by Dr. Schwarzburg, a board certified plastic surgeon with over a decade of experience in minimally invasive cosmetic treatments. Dr. Schwarzburg has treated a wide range of patients with different goals and facial anatomies, and takes his patient’s individual needs seriously. Through thoughtful physical examinations, Dr. Schwarzburg is able to compose a safe and effective treatment plan to meet your unique expectations for natural and aesthetically pleasing results.
To schedule your one on one consultation with Dr. Schwarzburg, please contact us at (212) 774-4264 or email us at info@skinlyaesthetics.com.