What is the best filler for hollow cheeks?

Dr. Irwin
May 13, 2010
What is the best filler for hollow checks? I am 57 and have good skin, but I see some hollowing in the middle of my upper center of my cheeks. I have a full face, but not fat. I do Thermage and it works great for me so far. I tred Radiesse, but I agree with your opinion that it looks a little wooden when smiling. It has worn off some since I tried it last year.

If you have only mild to moderate hollows, then try the more robust forms of hyaluronic acid like Juvederm Ultra Plus or Perlane.   These should last 6-9 months the first time and slightly longer after that.  Generally, 1 syringe per cheek is average.  There is a longer lasting form in Europe made by Juvederm called Voluma but it is not FDA approved here so it’s not yet available.  If your volume loss is more severe, then Sculptra will give you a very natural, long lasting correction without the stiffness.  Usually 2-3 treatments are needed to correct with 1 treatment a year for maintainance.   Dr. I

Dr. Brandith Irwin, MD

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