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Cheek Fillers in Miami, FL

Double board-certified oculofacial plastic surgeon, Gregory D. Lewen, M.D., offers cheek fillers for men and women in Miami, Aventura, and the surrounding areas of Florida. Dr. Lewen is one of a select few plastic surgeons who specializes in plastic surgery of the eyes.

What Are Cheek Fillers?

Cheek fillers are a great way to add natural, youthful cheek volume without the more extensive downtime from surgery. As with all of his rejuvenation procedures, Dr. Lewen’s primary goal with liquid cheek augmentation is to re-establish youthful facial contours, balance, and harmony. By restoring natural and adequate volume to the cheek areas, this will restore normal light-reflectance patterns to the face, and will often cause the eyes to appear brighter, as well as lessening some of the shadowing effects below the eyes.

What Are the Benefits of Cheek Fillers?

Defined cheek bones are very important for youthful balance and symmetry in the appearance of facial features. Many times, one of the first signs of aging in the face is a loss of volume in the cheek areas. This loss of volume can be due to a combination of factors including: genetics, facial shape, weight, diet, hormone changes, medical conditions, environmental stresses such as sun exposure and smoking, and sleep patterns. Over time, people tend to lose volume from the cheek and midface areas as well. In fact, the loss of volume in the cheeks over time causes the face to appear longer, while the lower parts of the face begin to appear heavier. These changes will shift the primary focal point of the face from the eyes (the most desirable location) to a lower position, causing people to start to notice more heaviness in areas such as around the mouth, in the nasolabial folds, and near the jawline. Additionally, loss of volume in the cheeks can significantly affect the light-reflectance patterns of the face, and this can often make the eyes appear somewhat darker, while also creating some undesirable shadows in the surrounding areas. When you lose those “apple cheeks,” you may feel that you are beginning to look more tired and older in appearance. Also, the areas of the face just below your lower eyelids, can start to look more pronounced when you have volume loss in the cheeks, and this can cause some hollow areas to show more underneath the eyes.

How Do Cheek Fillers Work?

Dr. Lewen regularly uses cheek fillers to achieve a more balanced and complete rejuvenation of the lower eyelids for certain patients in combination with lower blepharoplasty surgery. For these patients, an optimal rejuvenation of the lower eyelids cannot be accomplished by just simply removing the bags of fat or pulling the lower eyelid skin tighter. Although it may seem that this simpler excision of tissue and pulling things tighter is all that needs to be done to improve the appearance of this facial area, this outdated approach to lower lid rejuvenation and blepharoplasty can actually make your eyes appear somewhat more sunken, hollow, and aged in appearance over time. It is important to understand the significance of volume, shape, and positioning of the midface when considering the best rejuvenation options for the lower eyelids. It is this relationship between the lower eyelids and the midface, along with the smoothness of transition between these two areas of the face, that is integral for the best possible cosmetic rejuvenation with natural-appearing results. For this reason, the ideal rejuvenation of the lower eyelids for many patients may necessitate some degree of volume replacement in the lower eyelid or midface with face fillers, such as liquid cheek augmentation, to create a smoother transition between the lower eyelids and the midface tissues.

Dr. Lewen’s meticulous technique for cheek fillers not only addresses the cosmetic portion of the lower eyelid area but also serves to improve lower lid support. In many cases, proper volume replacement in the cheeks can reduce the amount of lower eyelid skin that may initially appear to be in excess as this area becomes “re-inflated.” Adequate volume in the midface also helps to maintain a youthful contour of the lower eyelids, and creates a smoother blending effect in the transition between the lower lid and the cheek areas.

To understand the true role of cheek fillers, and other volume replacement procedures, it is important to consider the shape of a face as it matures. A child’s face, no matter how thin, tends to have more of a round shape that is attributable to normal fullness from “baby fat.” This baby fat tends to shrink over time, and at different rates depending on individual genetic and environmental factors. By the late 20’s/early 30’s, much of the baby fat in a woman’s face will be gone, and the face will appear more heart-shaped, with fullness still maintained around the eyes and a more tapered jawline. With continued aging, loss of volume around the eyes, in the midface, around the mouth, and along the jawline areas, causes these areas of the face to appear deflated and sag. This also contributes to the appearance of added weight in the lower face, neck, and jowl areas. These age-related facial changes create a longer shape to the face, eventually, the youthful heart or triangular shape tends to appear inverted, with fullness in the lower part of the face and a lack of volume in the upper areas. Although many people want volume replacement procedures such as face fillers to erase lines, folds, and wrinkles on the face, the more important role for these procedures is to restore the youthful balance, contour, and shape to the face. This is extremely important for achieving the most natural and effective facial rejuvenation.

What Should I Expect from Cheek Fillers?

Dr. Lewen typically performs cheek fillers as an in-office procedure with most patients experiencing minimal or no discomfort. Some degree of bruising and swelling can be expected after the procedure, but this will vary based on each individual patient.

Dr. Lewen meticulously injects volume into the cheek areas, and this can create the effect of lifting the midface, often also causing some areas around the mouth and jawline to improve as well. Although some patients may be concerned about having cheeks that are too large, this is very rarely a concern for patients after having this procedure. It is important to understand that it is the careful and selective placement of face fillers in the correct anatomic areas that serves to have a lifting effect for the midface areas, and Dr. Lewen is meticulous in his technique to ensure that the effects from liquid cheek augmentation are natural-appearing. Patients will often share that after having a cheek fillers procedure, they will feel that their faces appear more youthful, well-rested, more relaxed, less stressed, less angry, happier, and healthier!

Cheek fillers is a procedure that is frequently performed in combination with other cosmetic surgeries and procedures, such as upper eyelid surgery, lower blepharoplasty, brow lift, mid-face lift, and CO2 laser skin resurfacing.

What is the Recovery like After Cheek Fillers?

Every patient is somewhat different in terms of the healing time required after a cheek fillers procedure. Procedures that require more product volume will typically have slightly more healing time required. Although Dr. Lewen utilizes advanced injection techniques to minimize bruising as much as possible, this can still occur with these injections, and you should also expect some degree of swelling in the treated area afterwards. Applying ice to the treated area immediately afterwards, and for the first 24 to 48 hours, will significantly reduce the risk of additional bruising and swelling in the area. Arnica, a homeopathic remedy, may also help to alleviate swelling and bruising somewhat faster. There is little to no downtime required after liquid cheek augmentation injections, and you can resume normal exercise 24 hours after treatment. Although some patients will see results immediately after treatment, you should expect your final cheek fillers procedure results to settle in by about one to two weeks after your treatment.

How Long Do the Results of Cheek Fillers Last?

Individual patient anatomy in this area of the face can vary considerably. Depending upon the severity of your volume deficiency or creasing and the amount of product required to correct this area, most patients will find that the results from liquid cheek augmentation can last for one to two years. It is important to remember that every person metabolizes facial filler product somewhat differently, and therefore, individual results may last for variable amounts of time. Dr. Lewen usually recommends that his patients schedule a follow-up appointment at about six to nine months after cheek fillers in order to evaluate the area and determine the best schedule for maintaining your results.

How Much Do Cheek Fillers Cost?

We provide cost information, as well as details about our financing options after your consultation with Dr. Lewen.

Dr. Lewen is one of the few plastic surgeons in the Miami and Aventura, Florida area who specializes in plastic surgery of the eyes, including cheek fillers. Contact us today to schedule a comprehensive consultation to learn more about our services.