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As we age our faces 'deflate' like a balloon. A combination of tissue loss, ligament laxity and bone structure changes leads to hollows, most obviously seen in the cheeks and under the eyes (also called the midface). This is what we mean as in cosmetic terminology as 'volume loss'. As the volume of the midface gets less, the structures of the lower face get more saggy.

By re-contouring areas such as the cheeks, we can reverse volume loss and provide a better 3-D structure to support the face. To reverse the giveaway signs of ageing, we don't just simply fill the cheeks with filler. A natural and youthful cheek needs particular structure and so we use fillers in strategic anatomical zones. The net result is improve the contour of the cheek bones whilst adding subtle plumpness to the front of the cheek for more youth.


How are cheek fillers done?

Dr Jake may use a combination of needle and cannula techniques to treat the midface (cheek) area. A cannula  is special blunt device that significantly reduces the chances of tissue injury and bruising when used to inject the face. Whatever method is used, the majority of filler is placed deep to avoid an unnatural look and give you the most natural-looking outcome.

If you're considering treating the  tear trough areas, the vast majority of patients wil lalso need their lateral and anterior cheeks treated. Tear troughs are a sign of volume loss in the mid-face and need support from the surrounding tissues. Filling the tear trough areas without addressing the cheek is very commonly done by inexperienced injectors. It can lead to problems such as over filling, swelling, puffiness and a blue-tinge to the skin called the 'Tyndall effect'.


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