The Best Filler Technique for Cheek Augmentation

Dermal filler injections have been among the most popular non-invasive treatment options for patients looking to rejuvenate their aging skin. However, there are limited Bovine collagen releases due to its short-term results and reports of allergic reactions. The emergence of hyaluronic acid (HA) as a facial filler in 2003 revolutionized the world of dermal fillers. Experts have developed cheek augmentation techniques.

So what is the best filler technique for cheek augmentation? The dual-plane procedure is an injection technique based on anatomical logic. Because the subcutaneous layer of two different tissues is infused, they refer to the procedure as a dual plane technique.For a natural outcome with potential side effects, types of fillers can be used depending on the injection plane and their rheology.

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Injection Technique During a Cheek Augmentation

Because fat and bone aging advance in a fairly predictable pattern, the goal of facial volumetric restoration must follow a simplified series, helpful in targeting the various areas of progressing atrophy, to achieve full face volumetric regeneration in multiple treatment sessions.

The injection sites are carefully chosen based on the anatomical structures. The technique depends on deep infusions to the periosteal layer followed by superficial injections in the subcutaneous plane in a dual plane method. Typically, 3 to 5 monthly sessions are necessary for the entire treatment plan.

The compositions of cheek fillers distinguish them. The most important considerations are the dermal filler’s cohesivity and viscoelasticity. Viscoelasticity characterizes the softness or hardness and is categorized by gel suppleness (elastic modulus).

It defines how the facial filler retains its form whenever a force is applied and viscosity (viscous modulus), determining how the injectable fillers withstand slow deformation by shear stress. The sum of their attributes identifies the viscoelastic modulus.

The greater the viscoelastic modulus, the greater the resilience to deformation; and the ability to maintain form, resulting in a significant lifting effect. Cohesivity refers to the ability of a gel to cling together even when external pressure is implemented. A filler gel with greater cohesivity penetrates the facial tissues evenly and is not partitioned by motions.

In attaining an optimum anterior representation with a minimal filler, the deep malar plane is infused with hyaluronic acid filler gel with a high viscoelastic modulus that can deliver a significant lifting outcome. In this specific order, the lateral tear trough fat, deep medial cheek fat, and medial suborbicularis oculi fat are injected.

A long blunt-tipped cannula is required to reach the bone, in which tiny boluses are placed in every chamber. In every compartment, an estimate of 0.3/0.4 mL of gel is distributed in two different deposits. In preventing lymphatic vessel compression, less than 0.1-0.2 mL is distributed per bolus.

Vertical pillars are formed on the bone by this injection technique to support and lift the malar region. The medial to lateral injection pattern helps acquire a tenting effect and requires less substance in the medial compartment.

Deep medial cheek fat augmentation enhances the anterior projection not handled entirely by lateral redraping, lessens the nasolabial fold, and regenerates a natural youthful cheek appearance. The deep orbital plane is similarly infused with high viscous gels as profoundly as possible, straight on the periosteum and the peritoneum..

An expert injector uses 25 G 40 mm long microcannula to avoid bleeding and partly undermine the parotid cutaneous ligament. The first entry site is situated lateral to the lateral orbital thickening. The cannula is shifted inferomedially to aim at the palpebromalar groove; the second is positioned anteriorly to the zygomatico cutaneous ligament.

The needle is channeled superomedially, cephalad to the tear trough to address the trough ligament. The average percentage of gel ejected in the palpebromalar groove is 0.3/0.4 mL and 0.1/0.2 mL in the tear trough. The gel is distributed in tiny aliquots rather than continuously in both areas to prevent the sausage effect of overfilling.

Facial Anatomy Considerations

Since the face has many layers, cosmetic surgeons compare it to an onion. The bony layer develops skeleton reabsorption with age, most notably in the orbital, submalar, periorbital, malar, and mandibular regions. The fat compartments deplete in a reasonably predictable manner.

Most facial volume loss in the deep plane in the subperiosteal layer occurs in the medial and lateral suborbicularis oculi fat. It also happens in the chin fat compartments and the deep medial compartment.

The majority of volume loss in the superficial subcutaneous layer occurs in the lateral compartments, including their preauricular and temporal districts, and, to a lesser degree, in the center and the shallow cheek fat pad. It’s fascinating that volume loss has little effect on the nasolabial compartment and the inferior and superior jowl compartments.

They tend to move medially given the lack of lateral support induced by volume reduction in the lateral fat regions and weak fibrous fixation points. The lateral malar position is formed by the malar bone and overlying subcutaneous tissue. High cheekbones help to create a youthful appearance on the arc.

A few patients with mid-face age-related volume loss have fat compartments of the lateral malar prominence known as the malar mound. The orbital retention and zygomatic cutaneous tendons are responsible for the triangular presence. The midface’s zygomatic malar partition is located inferior to the tear trough and horizontal to the infraorbital nerve.

The zygomatic malar region is augmented to increase the natural volume of the cheekbones. Cosmetic surgeons may use a more superficial injection to conceal the malar mound or deep volumes injection along the zygomatic arch infraorbital rim. CaHA or HA can be administered for this indication. Even though it’s a safe injection site, it’s advisable to avoid injecting fat into the malar plane as it may cause the fat pad to swell.

An ice pack can be applied if necessary, but the facial plastic surgeon must warn the patient not to sleep on the injected site or press it hard for a few days. It can prevent the cheek fillers from flattening. Bruising may happen, and the most challenging aspect of performing these cosmetic procedures is guaranteeing facial symmetry.

What to Expect After a Cheek Augmentation With Fillers

Before the treatment, individuals will have a consultation with a board-certified plastic surgeon. The specialist will assess the medical history and health concerns to guarantee a safe treatment. The surgeon will evaluate the anatomy and desired aesthetic goals throughout this time to determine the appropriate percentage of filler to be infused.

It’s best to relax while the face and initial treatment location are prepared and cleaned. The injection site and angle are critical for providing beautiful and natural-looking effects. Restylane’s lidocaine, a topical numbing agent and a cold compress will keep you comfortable throughout this stage.

The top priority is to make patients feel at ease and confident to the best of their abilities. Generally, they are adopters of the cannula method for fillers, which is the popular option for this cheek filler procedure at aNu Aesthetics. The cannulas reduce pain, bruising, and increase accuracy during fat injections.

Also, there is a significant advantage and less danger of puncturing surrounding a facial artery and structures. Individuals may notice immediate effects and lifts following the cheek filler injections. Following treatment, there may be bruising or swelling, which will go away in a few days. An ice pack or Arnica can reduce the discomfort.

It’s also critical to keep the injection sites clean to reduce the possibility of infection. After a few days, the filler product will begin to settle in wonderfully, and patients are pleased with the improved appearance. Most often, individuals will observe effects almost immediately.

Learn More: Side Effects of Juvéderm and How to Deal With Them

Find Out the Facial Filler Injection Suited for You at aNu Aesthetics

pretty woman showing results of dermal fillers

We always work to maintain the safety and effectiveness of our procedures at aNu Aesthetics. Our skilled aesthetic practitioners produce ideal results for our clients through careful and precise techniques, as well as years of training and state-of-the-art technologies. After the treatments, most patients notice an instant improvement. Not to mention the average treatment session only lasts 45 to 60 minutes. What you’re left with are amazing results that your friends and family will surely love. aNu Aesthetics has locations in Kansas City, and we serve patients from all over the country.

Enjoy the highest level of comfort, expertise, and privacy only at aNu Aesthetics. If you want to learn more about our cheek augmentation treatments, please call us at (816) 359-3310 or (816) 359-3310 to schedule an appointment. We are always delighted to help you achieve your dream look.

The Perfect Filler For The Perfect You

What is your perfect cosmetic filler? Whether in your lips, cheeks, or anywhere else, our providers know exactly how to make you look your best. Call us today to learn more.

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