As we age or lose weight, the natural fat and collagen that supports the architecture of the face diminishes. When it occurs in the cheek area, the face will look drawn downwards increasing the prominence of the nasolabial folds. Additionally, the jowls can start to sag.

Many will try to fix the prominent nasolabial folds by filling them, however, this tends to not have a natural appearance because the problem is not in the nasolabial folds themselves, but in the cheeks not supporting the nasolabial folds. Additionally, tightening the skin over this area does not have a very natural look either because it produces a flat cheek.

The best and most natural solution is to replace the lost volume in the cheek area with an appropriate filler or your own fat.  Unfortunately, replenishing the tissue with fat involves quite a bit of downtime, and it is very difficult to adjust the outcome once the fat is injected.

If downtime is not an option, and flexibility to adjust the volume of the cheek area is important to you, then Radiesse® filler is the perfect solution.

Radiesse® was originally developed as a filler for people who had lost large amounts of fatty tissue. For this reason, it is very well- suited for the purpose of replenishing the natural volume of the cheeks. The result is a lift of the entire face without a lumping or hardening underneath. Dramatic results are even seen in the jowls.   Adjustment of the volume is easy even after a few weeks to get perfect, natural results.

Additionally, Radiesse®’s formulation is unique because it stimulates the production of collagen which we lose as we age and is the main reason we have sagging wrinkled skin. Because of the collagen stimulation,  Radiesse® results can last up to 1 ½ years.

Radiesse can also be used to smooth the appearance of hands, acne scars and cellulite dimples.

Prices start at $900 per syringe

What can I expect from the treatment? I encourage all of my patients to bring in a photo of themselves from the past that they like so that I have a reference point of what level of volume naturally existed before it got to the point where the face was starting to droop. We will go over the photo and your face to make sure that the replenishment is appropriate.

Then I will mark the face with white pencil at the areas where the volume has been lost. Typically 1-3 injections are made in each cheek filling underneath your existing cheek tissue which I find has the most natural results with the least risk of visual bruising. Due to the bit of anesthetic in the filler, there is little discomfort. Once the right amount of filler is injected, I will mold the filler under the cheek tissue with gentle pressure from my hands. Lastly we will both look in the mirror at the results and decide if any adjustments are necessary. Lastly, a little time is spent with an ice pack and then you are on your way. Most people go back to work afterwards.

I don’t want to look like all those puffy cheeked people I’ve seen? I don’t do puffy cheeks. I work with you and your photographs to produce a very natural look. Most friends, family, and acquaintances just think you look well rested like you went on a relaxing vacation. My approach is very conservative, because I can always put more in. If the volume is too much after the swelling diminishes, we can always mold it down to get the result you are most comfortable with.

Do I have to do anything special afterwards? Using cool packs to reduce the swelling is helpful as is taking a supplement that diminishes swelling called Bromelain which we will provide for you. We recommend that you not do any treatments over the area for at least 6 weeks so as not to diminish the results.

Will I be bruised or swollen? As always with injections there may be bruising or swelling. Everyone experiences mild swelling which diminishes within 2-3 days. Bruising is much less common and is generally mild.  Swelling and bruising may not be equal on both sides and therefore it is best to wait a full 2 weeks before fixing any slight asymmetry that results immediately after the treatment because it is likely temporary.

I am already asymmetrical, can that be corrected? Everyone has at least a bit of asymmetry. I do try to correct any asymmetry that I feel is possible and will result in a natural appearance. We will discuss how much I think can be corrected and if it is a good idea to attempt correction when you come in for consultation.

I am thinking about getting a facelift, should I do this before or afterwards? I think you should do it before because the results are so naturally rejuvenating that you may just feel like you don’t need one.

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