Wrinkles on the cheeks can take many forms. Some wrinkles extend from the crow’s feet down and out over the cheek bone. Other wrinkles extend up from around the jaw line over the cheek hollow area of the face. While other wrinkles can emanate from several areas and cross hatch on the cheek hollow. The cross hatching of numerous wrinkles can also create a creping affect, similar to crêpe paper.
Wrinkles on the cheeks are typically treated with FDA-approved advanced dermal fillers, non surgically. Healthcare professionals treat these conditions with fillers, such as Juvederm® Ultra, Juvederm® Ultra Plus, Radiesse®, Restylane®, Perlane®, and Sculptra®.
Before dermal fillers are applied, most healthcare providers will numb the areas to be treated with a topical anesthetic, local anesthetic or nerve block, depending upon the area to be treated and medical practitioner’s preference. Also, ice is often used during and after the procedure to help control any swelling.
Upper Cheek Wrinkles
Crow’s feet wrinkles in some individuals can elongate over the cheek bone and onto the cheek hollow. These lines are generally superficial and relatively shallow. To treat these lines, dermal fillers
such as JUVEDERM® Ultra and Restylane® are typically combined with BOTOX® to fill and relax the wrinkles.
BOTOX® is usually injected with a fine needle in the depressor muscles somewhat above and outside of the eyes and out along cheek bone area. Dermal fillers are placed beneath the wrinkles, usually in the mid dermis of the skin.
In this area of the face, the wrinkle reduction will typically endure longer than some other facial areas because there is less movement. Some healthcare professionals report that over time with touch up treatments, patients have seen these wrinkles disappear for significant amounts of time.
Lower Cheek Wrinkles
Some individuals have wrinkles that arch up the cheek hollow from around the jaw line. Wrinkles in this area are commonly treated with a dermal filler such as JUVEDERM® Ultra or Radiesse®.
For more shallow wrinkles, a product like JUVEDERM® Ultra is an effective product that may last up to a year, particularly in this part of the face. Radiesse® is an excellent product for deeper wrinkles as it not only helps initially fill & lift deeper wrinkles, but it works to stimulate the body’s own collagen for some enduring results. Some healthcare providers will use Sculptra® in the cheek hollows as well. Sculptra® is FDA approved for areas that have lost volume or atrophied. It does not fill, but over time stimulates collagen growth. This in turn can have a positive effect on diminishing wrinkles. Depending upon the origin and placement of the wrinkle, some lower cheek wrinkles may be treated with BOTOX® as well. Some medical practitioners use a combination of these products, depending upon the patient’s needs and goals.
On the flat plane of the cheek hollows sometimes wrinkles not only arch vertically from the cheek bone or the jaw line (or both), but also emanate out horizontally from the middle of the face. This can occur when an individual has experienced a significant amount of collagen break down and loss of elastin. Some patients develop skin that looks a bit like crêpe paper.
Dermal fillers cannot only diminish or eliminate the wrinkles, but often work to smooth the skin as well. Over time, most patients will notice a marked improvement of the skin’s texture in the treated areas. Maintaining the correction, over time with periodic treatments, will likely cause the patient to need lesser amounts of filler as the body responds by creating collagen.
It is advisable to select a medical practitioner who has performed at least hundreds of dermal filler procedures because techniques are often refined over time. A medical practitioner who is more experienced in these procedures will be far more likely to achieve better, more pleasing and enduring results, which means you are getting more for your money. We have determined a number of medical practitioners nationally who have extensive experience or training with dermal filler medical procedures. To see a list of experienced healthcare professionals in your area, or to receive a special discount on your procedure, click here.
W. Grant Stevens MD FACS, Marina Del Rey, CA ~ Lisa M. Donofrio MD, New Orleans, LA
Christine A. Hamori MD, Duxbury, MA ~ Mark A. Clymer MD, Brentwood, TN