Cheek Filler For Smile Lines: Achieving Long-Term Improvements

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Cheek fillers are a cosmetic treatment that can significantly reduce the appearance of smile lines, also known as nasolabial folds. These fillers work by restoring lost volume in the midface, lifting the surrounding skin, and diminishing the depth of the creases that form with age and repetitive facial expressions.

The result is a smoother, more youthful complexion that maintains natural facial movements and expressions. With various types of fillers available, such as hyaluronic acid and poly-L-lactic acid, individuals can achieve adapted results that last from several months to a couple of years, depending on the product used and individual factors like skin type and lifestyle.

Cheek Fillers as a Treatment for Smile Lines

Cheek fillers offer a non-surgical solution to combat the signs of aging around the mouth and midface. By strategically injecting dermal fillers, practitioners can provide an instant lift to the cheeks, soften nasolabial folds, and enhance facial contours, leading to a refreshed and rejuvenated appearance.

What are Cheek Fillers?

Types of Dermal Fillers Used for Cheeks:

Hyaluronic Acid Fillers (Juvederm, Restylane): These popular fillers are known for their safety and efficacy in adding volume to the cheeks and reducing smile lines. Composed of hyaluronic acid, a substance naturally found in the skin, these fillers attract moisture and can create a plump, hydrated look. Juvederm and Restylane are two renowned brands that offer a range of products adapted for cheek augmentation. The results are immediate, with a typical duration of 6 to 12 months before the body gradually and safely absorbs the filler.

Poly-L-Lactic Acid Fillers (Sculptra): Sculptra is a unique type of filler that not only fills but also stimulates the body’s own collagen production over time. Made from poly-L-lactic acid, it works gradually to restore facial volume and can have long-lasting effects for up to two years. Sculptra is ideal for those looking for subtle improvements and natural-looking results, as it helps rebuild lost collagen and restore the skin’s inner structure.

Calcium Hydroxylapatite Fillers (Radiesse): Radiesse is a robust filler that provides immediate volume and stimulates natural collagen production. Composed of calcium hydroxylapatite microspheres suspended in a gel carrier, it is often used for deeper smile lines and areas requiring substantial volume enhancement. Radiesse is known for its durability, with results that can last a year or more, making it a cost-effective option for long-term facial rejuvenation.

How Cheek Fillers Work: Cheek fillers are injectable treatments that add volume beneath the skin’s surface to lift and plump the cheek area. When injected, these fillers not only fill in wrinkles and folds but also replace lost volume due to aging or weight loss. The fillers work by attracting water to the injection site or stimulating collagen production, depending on the type of filler used. This process smooths out the skin from within, reducing the appearance of smile lines and giving the face a more youthful contour. The procedure is relatively quick, often completed within 30 minutes to an hour, and results can be seen almost immediately. Over time, the body naturally metabolizes the filler, with results lasting from several months to a couple of years.

Results and Longevity of Cheek Fillers for Smile Lines

The results and longevity of cheek fillers for smile lines can vary, offering both immediate enhancements and benefits that develop over time.

Immediate and Long-Term Results

Instant Volume and Lift: Cheek fillers provide an immediate transformation by restoring volume and creating a lift in the midface area. This instant change can significantly reduce the appearance of smile lines and give the cheeks a fuller, more youthful look. The lifting effect also helps to improve the overall facial profile and can make the face appear more balanced and rejuvenated.

Gradual Improvement in Skin Quality and Collagen Production: In addition to the immediate volume and lift, certain cheek fillers can promote gradual improvements in skin quality. Over time, these fillers can stimulate the body’s natural collagen production, leading to enhanced skin elasticity and firmness. This benefit continues to develop in the weeks and months following the injection, contributing to a more sustained youthful appearance.

Longevity of Results

Type of Filler Used: The longevity of cheek filler results is heavily influenced by the type of filler used. Hyaluronic acid fillers, for example, tend to be absorbed by the body over time, with results lasting anywhere from 6 to 18 months. Other fillers, like those made from poly-L-lactic acid or calcium hydroxylapatite, may last up to two years due to their collagen-stimulating properties.

Individual Metabolism and Lifestyle: An individual’s metabolism plays a significant role in how long cheek filler results will last. A faster metabolism may break down the filler more quickly, while a slower metabolism might retain the filler for a longer duration. Lifestyle factors, such as sun exposure, smoking, and exercise habits, can also affect the longevity of filler results. It’s important for patients to follow a healthy skincare routine and protect their skin from environmental damage to maintain their filler results for as long as possible.

Maintenance Treatments: To maintain the rejuvenated appearance provided by cheek fillers, periodic maintenance treatments are recommended. The frequency of these touch-up sessions depends on the type of filler used and individual factors such as metabolism and lifestyle. Maintenance treatments are typically less extensive than the initial procedure, often requiring fewer injections to preserve the desired volume and contour. By scheduling regular follow-ups, patients can enjoy continuous, long-lasting results and address any minor adjustments needed over time.

Frequently Asked Questions

How much do cheek fillers cost for treating smile lines?

The cost of cheek fillers varies depending on geographic location, the expertise of the injector, and the amount of filler required. Prices can range from several hundred to a few thousand dollars.

How long does swelling last after cheek filler injections?

Swelling after cheek filler injections usually subsides within a few days to a week, though minor swelling can persist for up to two weeks.

Can cheek fillers be combined with other facial rejuvenation treatments?

Yes, cheek fillers can be combined with other treatments such as Botox or laser therapy for a more comprehensive rejuvenation.

How do I find a qualified provider for cheek filler injections?

Look for a board-certified dermatologist or plastic surgeon with experience in injectable treatments, and check their credentials and patient reviews.

When will I see the final results of my cheek filler treatment?

Immediate results can be seen after the procedure, with final results visible once any swelling has subsided, typically within two weeks.

Are there any dietary restrictions before or after cheek filler treatment?

There are no specific dietary restrictions, but staying hydrated and avoiding alcohol can help minimize swelling and bruising.

Will cheek fillers make my face look unnatural or overfilled?

When administered by a skilled professional, cheek fillers should enhance your natural features without looking overdone.


Cheek fillers are a versatile and effective solution for addressing smile lines and enhancing facial volume. With immediate and long-term benefits, they offer a non-surgical option for those seeking to rejuvenate their appearance. While results are generally temporary, maintenance treatments can prolong the effects. It's important to consult with a qualified provider to ensure safety and achieve the most natural-looking results.

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Akinbiyi, T., Othman, S., Familusi, O., Calvert, C., Card, E. B., & Percec, I. (2020). Better Results in Facial Rejuvenation with Fillers.

Funt D. K. (2011). Avoiding malar edema during midface/cheek augmentation with dermal fillers.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.