Sagging Cheeks Filler: Adapted Solutions

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

Sagging cheeks are a common concern as we age, leading to a less defined facial contour and a tired appearance. Dermal fillers, particularly those containing hyaluronic acid like Restylane Lyft and Restylane Contour, offer a non-surgical solution to this issue.

These fillers restore volume and structure to the cheeks, providing a lifted look or subtly rejuvenated contour. The procedure is adapted to individual aesthetic goals, with minimal downtime and immediate, natural-looking results that can last up to two years.

Understanding Sagging Cheeks and Filler Solutions

The loss of cheek volume and the resulting sagging are key signs of aging that can be effectively addressed with dermal fillers, offering a refreshed and youthful facial appearance.

The Aging Process and Cheek Volume Loss

Collagen Decline, Skin Laxity, and Elastin’s Role: Collagen and elastin are the base of youthful skin, providing firmness and elasticity. As we age, collagen production diminishes, and elastin fibers wear out, leading to increased skin laxity. This loss of structural integrity contributes to the sagging of cheeks, as the skin can no longer maintain its taut, youthful position. The decline in these vital proteins results in a face that appears tired and aged, with less resilience to the natural movements and expressions that once left no lasting mark.

Dermal Fillers as a Non-Surgical Solution

Hyaluronic Acid Fillers for Cheek Enhancement:

Restylane Lyft: Designed specifically for cheek augmentation, Restylane Lyft is a robust hyaluronic acid filler that targets volume loss at a deeper level. Its thicker consistency allows for a more pronounced lift, making it ideal for those seeking a significant enhancement of the cheekbones. The gel’s formulation provides a scaffold-like support that can elevate the midface region, creating a more youthful and invigorated appearance. Patients opting for Restylane Lyft can expect a noticeable yet natural elevation of the cheeks, contributing to a reduction in the appearance of sagging and a more defined facial contour.

Restylane Contour: Restylane Contour is the go-to option for those aiming for a natural-looking rejuvenation of the cheeks. Its flexible gel consistency is adapted to work harmoniously with the dynamic expressions of the face, ensuring that the restored volume moves naturally with your expressions. This filler is adept at correcting midface contour deficiencies without compromising the authenticity of your smile or facial movements. Restylane Contour is about subtlety and refinement, offering a gentle lift that restores the cheeks’ natural curvature and combats the flattening that occurs with age.

Juvéderm Voluma: Juvéderm Voluma stands out for its long-lasting results and ability to provide a substantial lift to the cheek area. Its thick, viscous formulation is designed to address the deeper layers of the skin, providing a sturdy structure for the overlying tissue. Voluma is particularly effective in enhancing the apex, apple, and hollow of the cheeks, delivering a youthful plumpness that can last up to two years. Patients can enjoy an immediate transformation with Voluma, which not only lifts the cheeks but also improves the overall facial harmony by balancing the proportions of the midface.

FDA-Approved Options and Their Unique Benefits: The FDA approval of fillers like Restylane and Juvéderm is a testament to their safety and efficacy for cheek enhancement. Each product within these lines has been rigorously tested and proven to deliver specific benefits. For instance, some fillers are designed to provide a subtle lift, while others aim for a more dramatic enhancement. The unique properties of these fillers, such as their varying consistencies and longevity, allow practitioners to tailor treatments to the individual needs and aesthetic goals of their patients. With FDA-approved options, patients can feel confident in the quality and predictability of their cheek filler results, ensuring satisfaction and a rejuvenated appearance.

The Procedure: What to Expect When Getting Cheek Fillers

The cheek filler procedure is a meticulous process that begins with a detailed consultation and culminates in precise injections, adapted to enhance facial contours and achieve the desired aesthetic effect.

Initial Consultation and Aesthetic Goals

Defining Cheekbones vs. Restoring Contour: The initial consultation for cheek fillers is a critical step where patients discuss their desired look with their practitioner. Some may seek to define their cheekbones, aiming for a more sculpted appearance that highlights the natural angles of their face. This often involves strategic placement of fillers in areas that enhance the cheekbones’ prominence. Others may wish to restore lost contour due to aging, which typically requires a different approach. Here, the goal is to replenish volume in the midface to revive the cheeks’ youthful roundness and fullness, smoothing out any associated lines or sagging skin. The practitioner will assess the patient’s facial structure to determine the best course of action for their unique features and goals.

The Injection Process and Techniques

Anatomical Considerations: The injection process for cheek fillers is highly individualized and requires an in-depth understanding of facial anatomy. Practitioners must consider the location of underlying structures such as blood vessels, nerves, and muscles to ensure safe and effective filler placement. The depth of injection is also crucial, as it affects the filler’s ability to lift and contour. Superficial injections may be suitable for smoothing fine lines, while deeper injections are often necessary for restoring volume and structure. The practitioner’s knowledge of the facial anatomy helps in avoiding complications and achieving a natural-looking enhancement that complements the patient’s unique features.

Post-Procedure Care and Recovery

Managing Swelling and Tenderness: After receiving cheek fillers, it’s normal to experience some swelling and tenderness at the injection sites. To manage these side effects, patients are advised to apply cold compresses intermittently for the first 24-48 hours to reduce swelling. Over-the-counter pain relievers can also be taken to reduce discomfort. It’s important to avoid touching or massaging the treated areas, as this can cause the filler to shift. Swelling typically subsides within a few days, revealing the full effects of the treatment, while tenderness diminishes gradually as the area heals.

Frequently Asked Questions

Can cheek fillers truly lift sagging cheeks and look natural?

Yes, cheek fillers can effectively lift sagging cheeks and provide a natural appearance when administered by an experienced practitioner using the appropriate technique and product.

What is the difference between Restylane Lyft and Restylane Contour?

Restylane Lyft is designed for a more pronounced lift and volume increase, while Restylane Contour is tailored for a more natural-looking enhancement and dynamic expression.

How much filler is typically needed to correct sagging cheeks?

The amount of filler needed varies, but typically 1-2 syringes are used to correct sagging cheeks, depending on the extent of volume loss and desired results.

Can cheek fillers lift jowls and improve facial harmony?

Yes, cheek fillers can lift jowls and improve facial harmony by restoring volume to the midface, which in turn can provide a subtle lift to the lower face.

Are cheek fillers suitable for all skin types?

Cheek fillers are generally suitable for all skin types, but a consultation with a qualified practitioner is necessary to address individual concerns and suitability.


Cheek fillers offer a versatile and effective solution for combating the signs of aging, providing lift and restoring volume to sagging cheeks. With a range of products available, treatments can be customized to meet the unique needs and aesthetic goals of each patient, ensuring results that are both natural-looking and long-lasting. As with any cosmetic procedure, it's important to seek out a skilled and experienced practitioner to ensure the best possible outcome.

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Fried R. G. (2011). Filler cheeks: a bright idea? The "eyes" have it.

Kapoor, K. M., Saputra, D. I., Porter, C. E., Colucci, L., Stone, C., Brenninkmeijer, E. E. A., Sloane, J., Sayed, K., Winaya, K. K., & Bertossi, D. (2021). Treating Aging Changes of Facial Anatomical Layers with Hyaluronic Acid 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.