Cheek Fillers

Cheek fillers for augmentation is a common procedure to restore volume and  support the midface.  Cheeks that are full and proportionally projected are considered more youthful. The region from the lower eyelid to the nasolabial line (laugh line) should be a smooth convex. Cheek fillers help to support and volumize the midface to improve facial harmony and balance.

Cheek fillers for augmentation is a common non-surgical procedure that is effective for individuals who want to restore midface volume loss. The cheek filler procedure can be performed under topical anaesthesia with minimal downtime. Most patients can return to work on the same day of the procedure. Cheek fillers lasts for 1-2 years and can be combined with other procedures to enhance your look.

What are Cheek Fillers?

Cheek fillers that are used for midface augmentation include hyaluronic acid (HA), autologous fat, poly-L-lactic acid (PLLA) and calcium hydroxylapatite. The specific type of cheek fillers used depends on your anatomy, costs and product offered.

Hyaluronic acid fillers such as Restylane helps to restore bony loss, thus improving facial contour and definition. Cheek fillers enhances your facial features that can be customized to your individual natural look. HA fillers lasts from 1-2 years, look natural and has the element of reversibility if necessary.

Why Cheek Fillers?

The midface is one of the most important area of facial aesthetics. Over time, skin laxity increases, the fat compartments in the face deflates and our facial bones loses mass. Cheek fillers not restores the the smooth contour to give you a more youthful appearance, but also improves the surrounding tear troughs, nasolabial lines (laugh lines) and lower face aesthetics.

Injectable cheek fillers presents a non-surgical option with minimal downtime and discomfort in appropriate cases. Cheek fillers are simple procedures that can be performed in clinic with minimal downtime.

Evaluation of Cheek Proportion

What is the ideal cheek?  Although there are several guidelines available, cheek augmentation has to take into account the overall facial aesthetic proportions. The upper-face, mid-face, lower-face need to be considered when planning for any cheek augmentation procedure to create a harmonious appearance.

An midface assessment during consultation can be quite revealing. Your facial features at rest and during facial movements during assessment can give your doctor a clue of how much filler to use and which area would need more attention. The study of the skin contour, type of wrinkles (static or dynamic), underlying fat and bony loss will further aid the doctor to the best cheek filler treatment approach.

How Cheek Filler procedure is done?

Injectable cheek fillers can be safely carried out in clinic with minimal downtime. Your skin is cleansed and a numbing cream is applied. The cheek filler is injected deep to the skin and massaged to smoothen and mould it. You may feel some swelling and mild discomfort but it is tolerable for most individuals.

Can Cheek Fillers be combined with other treatment?

As aging affects different areas of the face and different layers of the skin tissue, the best cheek fillers approach is often combined with other treatments to achieve a more natural and harmonious look.

Cheek deflation and sagging owing to volume loss rarely occurs in isolation. There may be concomitant volume loss over the chin, visible laugh lines and marionette lines that may also benefit from the addition of injectable fillers. 

Tense mentalis muscles around the chin and masseter hypertrophy may benefit from botox treatments.

In addition, skin laxity on the mid-face, lower face, neck and cheeks may benefit from energy-based treatments such as HIFU and Genius. These procedures stimulate collagen, enhances skin elasticity and tightens the skin. A multimodality approach that considers the overall facial proportions will therefore lead to better results.

Price is from $769 per syringe before GST.

Cheek fillers for augmentation is suitable for individuals with mild to moderate cheek volume. Most individuals only require 1-3mls of chin filler per session.

Common and temporary swelling and bruising is to be expected. Bruising will typically fade in 10-14 days.

Skin irregularity is uncommon as the skin overlying the chin is thick.

Uncommon side effects include allergy to filler, infections, granulomas and vascular compromise.

Individuals with the following conditions are not suitable for chin filller injections.

  • Active infection around treatment site
  • Multiple allergies
  • Allergies or hypersensitivity to hyaluronic acid fillers or lidocaine
  • Pregnancy or breastfeeding
  • Bleeding disorders
  • Existing implants

Shortly after your procedure, there will be some swelling around the injected area. Once the swelling has subsided, you will begin to appreciate a natural looking chin that is more contoured and projected.

Most HA chin fillers can last for 1-2 years. With time, hyaluronic acid is gradually broken down by your body. A repeat treatment at least once a year is sufficient for most cases.

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References:

  1. De Maio M, DeBoulle K, Braz A, Rohrich RJ. Facial assessment and injection guide for botulinum toxin and injectable hyaluronic acid fillers: focus on the midface. Plastic and Reconstructive Surgery. 2017 Oct 1;140(4):540e-50e.
  2. Mowlds DS, Lambros V. Cheek volumization and the nasolabial fold. Plastic and Reconstructive Surgery. 2018 May 1;141(5):1124-9.