How to inject filler for sunken cheeks? Which filler is suitable? Frequently asked questions.

Review of filler for sunken cheeks.

My first time getting filler injections, and I'm feeling confident.D' Lovevery Clinic

Can fillers really help with sunken cheeks?

Many people have looked in the mirror and thought, "Why does my face look so tired?" Especially when they notice sunken cheeks, making their face look older even though they feel vibrant inside. But did you know that the sunken cheeks you're worried about can be caused by several factors, and each requires a different solution?

What can cause sunken cheeks?

The causes of sunken cheeks in Thai and Asian people, from most common to least common, are as follows:

Causes of sunken cheeks

1. Genetics/Heredity – Facial structure and high cheekbones characteristic of Asians.
2. As we age, our body naturally loses fat and collagen.
3. Orthodontic treatment or tooth extraction – can alter facial structure.
4. Rapid weight loss
5. Skin damage from UV radiation.
6. Diseases and disorders of the body
7. Side effects of Botox injections for jaw reduction.

The difference between genetically sunken cheeks and those caused by aging.

หัวข้อ	Sunken cheeks due to genetics.	Sunken cheeks due to age.
Visible characteristics	– High, prominent cheekbones – The area under the cheekbones appears sunken inwards in a elongated line. - The skin still looks firm and toned.	– Sagging cheeks – Sagging skin – There is a deep, long indentation in front of the ear-cheek area.
Location of birth	Directly below the cheekbones.	All over the cheeks and the middle of the face.
Age range found	It can be found starting at a young age (20+).	It is often more noticeable in people aged 40 and older.
change	Constant, not changing much.	It gradually increases with age.
Effects on the face.	It makes your face look gaunt and unhealthy.	It makes the face look tired and older.

Let's look at a comparison image for a clearer understanding:
The image above clearly shows the difference between the two types of sunken cheeks. The left side shows genetically sunken cheeks with high cheekbones, while the right side shows the changes that occur with age, including skin sagging and loss of facial volume.

How do sunken cheeks hinder beauty?

The makeup application challenges for women with chubby cheeks are something that frustrates many.

Problems with applying foundation.

• The foundation settles into the creases of my cheeks.
• Makeup tends to slide off, especially around the cheeks.
• I have to add flour frequently because it tends to look oily.
• The foundation doesn't blend well; the seams are clearly visible.

Blush application problems

• The blush doesn't hold its shape and spreads unevenly.
• Applying blush will only emphasize the lines around your cheeks.
• It's difficult to create the rosy cheeks of a Korean girl.
• The blush fades quickly, so I have to reapply it often.

Problems with highlighting and contouring.

• Highlighting makes the cheeks look sunken.
• Contouring makes the face look tired and older than its actual age.
• Shading makes the face look thinner than it actually is.
• It's difficult to create dimension in a face.

Confidence problems

• I often don't look good in photos because the lines around my cheeks are too prominent.
• No matter how much makeup I put on, I don't look radiant.
• Some camera angles make her face look very tired.
• Be careful of the lights that might cast shadows.

Makeup setting problems

• Makeup doesn't stay in place during the day.
• Spraying mineral water and then applying foundation causes it to separate and become patchy.
• Powder settles into the creases of the cheeks.
• Makeup easily melts into the creases of the cheeks.

Things that girls with chubby cheeks need to do more.

• It takes more time than usual to prepare the skin.
• You need to find special techniques for applying makeup.
• Invest in higher quality products.
• I have to check and reapply my makeup more often than usual.

How can cheek fillers help you look younger?

Why do cheek fillers help you look younger? Naturally, as we age, our face loses fat (fat atrophy) and bone mass (bone resorption), especially in the cheeks, leading to sunken cheeks, or what is medically known as malar fat pad ptosis.

When fillers are injected into sunken cheeks, it will result in:

1. Deep nasolabial folds are clearly visible.
2. The skin sags downwards, creating wrinkles.
3. Her face looked thin, haggard, and older than her actual age.

Cheek fillers can help solve this problem.

The doctor will inject hyaluronic acid into the deep fat compartments of the cheeks.

• Replenish lost volume.
• Lift and firm sagging skin.
• Create a youthful-looking facial structure.
• Reduce the depth of nasolabial folds.

The results you will get after getting filler injections in sunken cheeks.

• The face looks firmer and tighter.
• Her cheeks look naturally full and plump.
• Deep, uneven grooves will become shallower.
• Well-defined and balanced facial features.
• Look 5-10 years younger *depending on the individual.

Nasolabial folds and sunken cheeks are similar but in different locations, requiring different treatments.

Nasolabial folds

• It is a deep groove that extends from the side of the nose down to the corner of the mouth.
• It is caused by sagging skin and subcutaneous fat.
• Filler injections are administered directly into the grooves to lift and fill them in, making them shallower.

Sunken cheeks (Malar fat pad ptosis)

• It is the area of ​​the cheek in the middle of the face, below the zygomatic bone.
• This is caused by the loss of fat and the degradation of the cheekbone due to aging.
• Filler injections are administered deep into the deep fat compartments to add volume.

Why are treatments separate?

1. Different injection sites.
   • Nasolabial folds: Inject shallower, along the fold line.
   • Sunken cheeks: Deeper injection, spreading over a wider area.
2. Different injection techniques.
   • Nasolabial folds: Use Linear threading or Micro-bolus techniques.
   • Sunken cheeks: Use Bolus injection or Fanning technique.
3. The results were different.
   • Filling only the nasolabial folds: The folds will become shallower, but the cheeks will still be sunken.
   • Filling only the cheeks: The cheeks will look fuller, but the nasolabial folds may still be prominent.

If you have both nasolabial folds and sunken cheeks, the doctor recommends treating both areas simultaneously.

1. Start by filling in the cheekbones to create structure and support.
2. Followed by filling in the nasolabial folds to create a more harmonious facial appearance.

The amount of filler used will vary.

• For sunken cheeks: Use approximately 1-2 cc per side.
• Nasolabial folds: Use approximately 0.5-1 cc per side.
• In some cases, both problems may be present and can be treated simultaneously, but with different filler molecules.

What constitutes sunken cheeks, and what constitutes high cheekbones?

The doctor would like to summarize the differences between sunken cheeks and high cheekbones in a table.

หัวข้อ	sunken cheeks	โหนกแก้มสูง
Visible appearance	– Cheeks look flat and lack volume. – The face looks worn out. – There may be prominent lines on the sides of the cheeks.	– High cheekbones – Wide side profile – The protrusion of the cheeks is clearly visible.
Related structures	– Subcutaneous fat layer – Subcutaneous tissue	– cheekbone – Facial bone structure
cause	– Increasing age – Fat loss – Significant weight loss.	– Genetics – Characteristics of the ethnicity. - Congenital bone structure.
treatment	– Injecting fillers – Injecting your own fat. – Thread lift *can be done in some cases.	– Cheekbone reduction surgery – In some cases, Botox may be used to reduce the size of the masticatory muscles. – Filler injections to conceal prominent cheekbones *(depending on individual circumstances)
Assessment	– Judging from the sunken appearance of the cheeks. - Palpation of the fat layer.	– Judging from the protrusion of the bone. – An X-ray may be required.
Duration of occurrence	– Occurs with increasing age. – I noticed a change.	– It has been like this since birth. – This becomes clearer in adulthood.
Effects on perceived age.	– Makes you look older than your age. – Your face looks tired.	Some people may like, and some may not like, this face shape style. – It is a characteristic feature of the face.
Temporary fix	This can be done by using fillers. (Can live for 12-18 months)	It's difficult and requires permanent surgery. Or, if you get fillers, you'll need continuous refills.

Note: Some people may have both sunken cheeks and high cheekbones simultaneously. Therefore, treatment must consider both factors together and be tailored to each individual.

How long do the effects of filler injections on sunken cheeks last?

The technique for injecting filler into sunken cheeks and the duration of the filler's effect starts with the skin layer where the filler is injected, from shallow to deep.

1. The skin layer (Dermis)
2. Subcutaneous fat layer
3. Muscle layer
4. Supraperiosteal layer

For sunken cheeks, the doctor will inject filler deep into two layers.

• Deep layer: Supraperiosteal injection → Lasts 18-24 months.
• Middle layer: Injected into the subcutaneous fat layer → Lasts 12-18 months.

Why does depth affect duration?

Deep layer (close to the bone)

• There was little movement.
• Less blood supply.
• Decomposes more slowly.
  → Therefore, fillers last longer.

Shallow-middle layer

• There is a lot of movement.
• More blood supply.
• Decomposes faster.
  → Fillers last longer.

Factors affecting the duration of filler results.

Types of fillers

• ความเข้มข้น
• molecular linkage
• Size of the gel beads

Patient behavior

• strenuous exercise
• Frequent facial massage
• Lying face down
  → Causes the filler to break down faster.

Skin and body condition

• age
• Metabolism
• Immune system
• hormone

Tips for making filler last longer.

1. Choose high-quality fillers.
2. Get the injection from a specialist doctor.
3. Follow the post-injection care instructions.
4. Avoid behaviors that cause rapid breakdown.
5. It may be administered in 2-3 injections to accumulate the required amount.

Generally, the effects of filler injections for sunken cheeks last approximately 12-24 months, depending on the factors mentioned above. Doctors recommend follow-up appointments every 12-18 months to maintain consistently beautiful results.

Which type of filler is suitable for filling sunken cheeks?

The doctor would like to summarize information on each filler brand suitable for cheek augmentation in a table format.

Brand	รุ่น	Minimum Requitrement	Suitable for those with sunken cheeks.
restylane	Lyft/Perlane	– High HA concentration – Tight molecular linkage. – Large gel beads	Very good – ideal for adding volume to the cheeks, especially in deep layers.
restylane	Defyne	– Highly flexible – Good distribution	Good – Suitable for filling the middle layer.
Juvederm	Voluma	– Maximum viscosity – Vycross technology – Staying for 18-24 months.	Very good – ideal for adding volume to both the deep and middle layers of the cheeks.
Juvederm	Volift	– Good flexibility – Good distribution	Good – Suitable for filling the middle layer.
Ultra V Hyal	Plus	– BDDE crosslink technology – Good distribution	Good – Suitable for mid-to-deep layer filling.
Belotero	Volume	– CPM technology – Even distribution	Good – Suitable for filling the middle layer.

Molecular linkage

• It should be highly cross-linked.
• Highly stable.
  → Helps it last longer and maintain its shape well.

For cases with very sunken cheeks, a lot of volume is needed.

• Juvederm Voluma
• Restylane Lyft
  → Because it provides high volume and lasts a long time.

For cases of moderately sunken cheeks.

• Restylane Defyne
• Ultra V Hyal Hard
• Belotero Volume
  → Because it has good flexibility and even distribution.

If you need to add multiple layers.

• Deep layer: Use a high-viscosity product.
• Middle layer: Use a model with good flexibility.
  → For a natural result.

How many cc of filler are needed to inject into sunken cheeks?

A question I get very often is, "Doctor, how many cc of filler do I need for cheek injections?" Actually, there's no one-size-fits-all answer, because everyone is different, just like clothes aren't one-size-fits-all.

Factors affecting the amount of filler used.

• Facial structure
• Severity of sunken cheeks
• age
• Past vaccination history
• Desired goal

But to give you a general overview, the doctor has a preliminary schedule to recommend.

Sunken cheek level	Amount per side	Total quantity	Note:
a little	0.5-1cc	1-2cc	Suitable for those aged 25-35, when cheeks are starting to look sunken.
Moderate	1-1.5cc	2-3cc	It is most common in the 35-45 age group.
very	1.5-3cc	3-5cc	It is often found in those over 45 or those who have experienced significant weight loss.

Instructions for cheek filler injection.

It is not necessary to inject all of it at once.

• It can be administered gradually.
• Let's review the results step by step.
• Customizable as needed

First injection

• It's usually best to start with a small amount.
• Wait and see the response for 2-4 weeks.
• Add more if needed.

Next injection

• Use a smaller amount.
• Because it has a foundation from the first time.
• Focus on maintenance rather than build-up.

Special techniques from the doctor.

• Some people may have different levels of satiety.
• It's possible to adjust the left-right proportions to be uneven if the face is not symmetrical.
• Before and after photos should be taken to track progress.

Caution

• Too much of a quantity may make it look unnatural.
• Too little; the results may not be noticeable.
• The overall balance of the face must be considered.

Cheek filler injection VS Cheek fat injection

I get this question very often. Many people are hesitating between filler injections and autologous fat grafting to correct sunken cheeks. Both methods have their own advantages and disadvantages. Today, I want to share some information to help everyone make an easier decision.

Comparison topics	Filler injection	Injecting your own fat
Procedures	– It takes 15-30 minutes. – Do it only where necessary. - Local anesthetic	– It takes 1-2 hours. – You need to have liposuction done first. – Anesthesia may be required, depending on the doctor's assessment.
feeling	– Less pain – No wounds.	– Pain in the area where liposuction was performed. – There are small incisions at the liposuction site.
Recovery	- less – There may be some minor bruising. – You can go home immediately.	– 7-14 days – The swelling lasts longer. – Requires recovery time, wound care, and bandaging.
result	– Immediate results. – Precise quantity control. – Easy to fix if you're not satisfied.	– The doctor needs to give you extra injections; your face will be swollen at first. – Results are clearly visible after 3 months. – It cannot be fixed immediately.
Durability	– They can live for 12-18 months. – Must be repeated. – The results are predictable.	– Permanently present (30-70% of surviving fat) – Do it only once. – The results may be uncertain.
Expenses	– 15,000-30,000 THB per session – Repeat every 1-2 years.	– 30,000-100,000 THB – Do it only once.
Placed above the muscle, this method reduces postoperative pain but increases the likelihood of silicone detection and potential adhesions. There is also a higher risk of the breasts having a block-like appearance and sagging post-surgery.	– No surgery required. – Rapid recovery. – Easy to customize – Precise control.	– Permanent results – Using your own tissue. – Observe nature. – Worth the long run.
ข้อด้อย	– Must be repeated. – Accumulated expenses – Beware of fake fillers.	– Requires a long recovery time. – Difficult to control the quantity. – The results are uncertain.

Filler injections are suitable for...

• Want to see results quickly.
• There's no time for a long recovery.
• I want to try the results first.
• I'm afraid of surgery.
• We need to control the quantity precisely.

Fat injection is suitable for...

• I want permanent results.
• There is time for recovery.
• Requires a high degree of naturalness.
• There is excess fat that needs to be eliminated.
• Consider long-term cost-effectiveness.

The procedure for injecting filler into sunken cheeks. D' Lovevery Clinic

• Consult with a doctor for an assessment. Dr. Tar will inquire about your medical history and evaluate your facial skin problems before providing service to every case.
• Cleanse your face. Cleanse your skin with a cleansing product and remove makeup before beginning the treatment.
• For skin comfort, our staff will apply a numbing cream to the patient's skin before the service and leave it on for approximately 30-45 minutes.
• The doctor began the treatment, with staff explaining that the correct type of medication was being used, as per the doctor's instructions. The filler could be inspected, and the treatment itself was quick, lasting only 20-30 minutes.
• Take medication as prescribed by your doctor. The doctor will prescribe medication (if applicable) and provide self-care instructions.
• Follow-up: You should attend your scheduled appointments with your doctor to monitor the treatment outcomes and ensure you receive the desired results.

Where is a good place to get filler injections for sunken cheeks?

With so many beauty clinics to choose from, it's crucial to make a sound decision. Don't be swayed by cheap prices or tempting promotions, because safety and results are paramount. Taking the time to research and verify a clinic's standards is far more worthwhile than having to deal with problems arising from a wrong decision. Read a detailed article on choosing a filler injection clinic here.

Standards for medical facilities offering filler injections.

• The clinic must be properly licensed to operate as a medical facility.
• The doctor's license and professional certifications were clearly displayed.
• It maintains high standards of cleanliness and safety.

Qualifications of a physician performing filler procedures.

• The physician must be certified and specialize in cosmetic medicine.
• I have experience specifically in filler injections.
• There should be verifiable work samples.

How to do a preliminary check before choosing a filler injection clinic.

• Clinic licenses can be checked through the website of the Legal Division, Department of Health Service Support.
• You can inquire about the doctor's background and experience.
• A consultation and skin assessment are conducted prior to the procedure.

Preparing for cheek filler injections.

Preparing for cheek filler injections is an important step that helps minimize bruising and allows you to better understand the treatment process. Here's how:

Preparation should be done 1-2 weeks in advance.

• Avoid taking anti-inflammatory medications such as aspirin.
• Avoid supplements that affect blood clotting, such as vitamin E and fish oil.
• Refrain from drinking alcohol.
• Avoid facial massages or treatments that harshly irritate the skin.

Preparation 1-3 days before the procedure.

• Get enough rest.
• Drink more water.
• Avoid strenuous exercise.
• Avoid using skincare products that contain acids.

The day of the procedure

• Arrive at the clinic at least 15 minutes before your appointment.
• Wash your face thoroughly, and avoid wearing makeup. If you do wear makeup, the clinic will cleanse and disinfect your face before the procedure.
• Inform your doctor about any drug allergies or pre-existing medical conditions.

Self-care after cheek filler injection.

Post-injection care for nasolabial folds (smile lines) isn't very complicated. Those who have had it done before are likely familiar with these steps. However, for first-timers or those with particularly sensitive skin, it's recommended to strictly follow your doctor's instructions.

Instructions after filler injection for nasolabial folds.

• After the injection, swelling and bruising may occur, which should improve within 3 days. If the symptoms worsen, please contact the clinic immediately.
• For the first 48 hours, apply a cold compress to reduce swelling and bruising.
• Be careful to avoid bumping or hitting your face, and avoid strenuous facial movements during the first two weeks.
• Avoid all heat-related activities such as facial laser treatments, steam rooms, and saunas for at least 2-4 weeks.
• Avoid facial massages or any other treatments for 2 weeks.
• Refrain from consuming alcoholic beverages and all fermented foods for 2 weeks (if necessary, refrain for at least 48 hours).

How much does it cost to get filler injections for sunken cheeks?

The price for cheek filler injections ranges from approximately 15,000 to 40,000 THB per session. The price varies depending on several factors, including:

Amount of filler used

• Typically, about 1-2 cc per side is used.
• The more you use, the higher the price will be.

Brand and quality of filler.

• Popular brands include: JuvedermRestylane will be more expensive.
• Other brands will be cheaper and offer alternatives.

Service location

• Standard beauty clinic
• Private hospital
• Specialty medical clinic

My first time getting filler injections, and I'm feeling confident.D' Lovevery Clinic

Why choose D' Lovevery Clinic?

Choosing a reputable and trustworthy clinic is of utmost importance. Therefore, we are committed to providing you with the best possible experience in every aspect.

• Private and attentive. No long waits, no crowds, doctors provide detailed, case-by-case consultations, and are not rushed.
• Relaxed and free from pressure. There are no salespeople trying to close sales, and no pressure to buy courses.
• Convenient payment options, choose your preferred method. We offer deposit and installment payment options, including Shopee PayLater and 0% interest installments via credit card.
• Continued care by the same doctor. Follow up directly with the treating physician.
• Genuine reviews from real customers. Includes reviews from real users, not celebrities or influencers.
• Highly experienced and verifiable doctors.
• A standard clinic with convenient transportation. The clinic is certified and has free parking.
• Transparent and verifiable. Fast information, easy to check remaining course balance, all products are FDA approved in Thailand and verifiable.