HYALURONIC ACID CHEEKBONE FILLER

Cheekbone hyaluronic acid injections help restore volume to the upper third of the face, redefine contours, and provide a natural lifting effect without surgery. With aging, the cheekbones gradually lose their support and projection, leading to facial sagging and a tired appearance.
Hyaluronic acid injections are the reference solution for replumping and enhancing the cheekbones. This treatment is safe and very widely used.

Key information on hyaluronic acid injections in the cheekbones

  • Non-surgical and reversible medical treatment
  • Session duration : 20 to 30 minutes
  • Results visible immediately after the injections : natural lifting effect and improvement of facial contours
  • Duration of results : 12 to 18 months depending on the product and the patient’s metabolism
  • Anesthesia : none
  • Pain : mild to moderate, around 2 to 3/10
  • After-effects : slight swelling or temporary bruising possible
  • Social downtime : none
  • Return to work : immediate
  • Sports activity : can be resumed after 24 to 48 hours
  • Number of syringes : varies depending on the anatomy and the desired result, generally 1 to 4 syringes
  • Price : 600 CHF per syringe

Data from clinical studies on hyaluronic acid injections in the cheekbones

  • Les études publiées dans le Plastic and Reconstructive Surgery Journal montrent que la restauration des volumes du tiers moyen du visage par acide hyaluronique améliore significativement l’harmonie faciale et la perception de jeunesse du visage.
  • Selon les données de l’American Society for Dermatologic Surgery, les injections d’acide hyaluronique au niveau des pommettes présentent un taux élevé de satisfaction grâce à leur capacité à restaurer les volumes sans chirurgie.
  • publications scientifiques consacrées au vieillissement facial confirment que la perte de volume malaire constitue l’un des mécanismes majeurs du relâchement du visage, expliquant l’intérêt des injections des pommettes dans les stratégies modernes de rajeunissement facial.
  • National Institutes of Health souligne la biocompatibilité et la sécurité de l’acide hyaluronique lorsqu’il est injecté selon les règles anatomiques et médicales adaptées.

Contents

The different types of cheekbones

The ideal cheekbone is centered on the malar bone, neither too high nor too low, and forms a gentle curve that runs from the nose to the upper attachment of the ear.
There are five types of cheekbones, which are often characteristic of a specific face shape.

  • The high cheekbone is characteristic of elongated and oval faces; it starts at the temple and narrows downward, curving near the orbit.
  • The low cheekbone is characteristic of square, round, and triangular faces; it forms a curve that runs from the corners of the mouth to the earlobes.
  • Central cheekbones are common in oval, long, round, and heart-shaped faces ; they are centered on the malar bone.
  • The broad cheekbone is characteristic of square and round faces; it is midway between the high and central cheekbone.
  • Small cheekbones may occur on any face shape.
photo origin cheekbones

Why don't I have cheekbones ?

There are several reasons why you may not have prominent cheekbones.
The first is genetics : bone structure and the distribution of facial fat vary from one person to another.
Another reason may be related to age-related volume loss : over time, collagen and elastin production decreases, leading to a loss of firmness and volume in the cheekbone area. In addition, the distribution of facial fat changes, which can contribute to a flatter or hollow appearance of the cheekbones.
Finally, environmental and lifestyle factors may also play a role. Excessive exposure to the sun, poor lifestyle habits, smoking, and lack of hydration can accelerate skin aging and alter the contour of the cheekbones.

Why get hyaluronic acid injections in the cheekbones ?

Injection of hyaluronic acid into the cheekbones is an increasingly popular aesthetic procedure because it is effective for rejuvenating the face and redefining its contours. This technique restores volume lost with age and harmonizes the face without the need for surgery.
The advantages of this type of procedure are :

  • Improved facial symmetry : well-proportioned cheekbones balance the face.
  • Facial rejuvenation : added volume reduces wrinkles and hollows, restoring youthful fullness.
  • Quick and effective procedure : results are visible immediately without side effects or social downtime.
  • Natural results : this treatment enhances the face safely when performed by an experienced doctor.

How to lift the cheekbones without surgery ? Cheekbone lifting with injections

Cheekbone augmentation and lifting are performed using hyaluronic acid injections.
In the case of a patient presenting sagging cheekbones, volumetric augmentation is preceded by the medical lifting technique developed by Doctor Mauricio di Maio. This is one of the variations of the MD Codes.
The injection is performed with a needle. The hyaluronic acid used is very firm and injected in contact with the bone. The injection points are strategic and adapted to each patient’s anatomy.
Cheekbone lifting immediately gives a more rested and youthful appearance and lifts all sagging tissues. The face appears slimmer (facial slimming), the jawline is better defined, and the jowls disappear or are reduced.

How to achieve high cheekbones ? Hyaluronic acid for flat cheekbones

Hyaluronic acid injection in the cheekbones is a common aesthetic procedure aimed at restoring volume and improving cheekbone definition.
In young patients who do not have sagging cheekbones, the injections are volumizing.
The goal is to create harmonious and natural cheekbones by giving them the projection and shape (see above the five types of cheekbones) most suited to each face’s morphology.
The injection is performed with a cannula or a needle depending on anatomical requirements. Dr. Romano prefers the sandwich technique, which combines a very deep injection with a deep injection.
For the very deep injection, the product is placed against the bone. The hyaluronic acid used is very firm and has lifting properties.
For the deep injection, the product is injected into the deep malar fat. The hyaluronic acid used is firm and volumizing.
Depending on the patient’s anatomy and wishes, these two techniques can be combined.

photo cheekbone filling

How does a cheekbone injection session work ?

A preliminary consultation is carried out to assess the patient’s needs, discuss their expectations, and examine their morphology. Doctor Romano then develops a personalized treatment plan.
The area to be treated is carefully disinfected and pencil markings are drawn on the skin to indicate the injection points specific to the patient’s facial morphology.
For the injections, Doctor Romano uses fine needles or cannulas. The precise technique will depend on the patient’s anatomy and the desired results.
The injected volume is adjusted progressively (during the injection, Doctor Romano discusses the desired final volume with the patient) in order to achieve a symmetrical and natural result.
Doctor Romano massages and shapes the injected area to ensure that the product is evenly distributed.

How to prepare the skin before cheekbone injections ?

To prepare your skin before hyaluronic acid injections for the cheekbones, it is good to follow a few tips.

  • Avoid certain medications and supplements : one week before the injections, it is recommended to avoid medications that may thin the blood, such as anti-inflammatory drugs, and certain dietary supplements such as omega-3, vitamin E, ginkgo biloba, and turmeric. This helps reduce the risk of bleeding and bruising after the injections. Anticoagulant and antiplatelet medications should only be discontinued after consulting the prescribing physician.
  • Avoid alcohol and tobacco : avoid consuming alcohol at least 24 to 48 hours before the treatment, as alcohol can dilate blood vessels and increase the risk of swelling or bruising. 
  • Clean your skin : ideally, on the day of the injections, arrive at the clinic without makeup or skincare on the face. If not, appropriate cleansing will be done at the clinic.
  • Protect your skin from the sun : avoid excessive exposure to the sun and UV rays in the days preceding the injections, as irritated or sunburned skin is more sensitive to treatments. Use a broad-spectrum sunscreen to protect your skin.
  • Inform your doctor about your health : if you have any medical conditions, allergies, or take medications, inform your doctor before the session.

What precautions should be taken after hyaluronic acid injections in the cheekbones ?

Specific instructions are provided for post-treatment care to optimize results and minimize the risk of side effects.

  • Avoid touching or massaging the treated area: for at least 24 to 48 hours, do not touch or massage your cheekbones, unless Dr. Romano has specifically advised you to do so. This allows the product to settle properly and prevents any migration.
  • Avoid heat exposure : during the first few days, avoid intense heat sources such as saunas, steam baths, hot baths, and prolonged sun exposure. Heat can cause blood vessels to dilate and lead to swelling or bruising.
  • Avoid alcohol and tobacco : avoid consuming alcohol and smoking for at least 24 hours after the treatment. This is strongly recommended but not mandatory.
  • Avoid intense physical exercise : do not engage in physical activities for 24 to 48 hours after the injections. Physical exertion can increase blood flow to the treated area, causing additional swelling or discomfort.
  • Sleep on your back : try to sleep on your back for the first few days to avoid pressure on the cheekbones. However, a different sleeping position will not displace the product.
  • Do not schedule other aesthetic treatments immediately: avoid other facial aesthetic treatments, such as chemical peels, microdermabrasion, or lasers, for at least three weeks after the injections, unless Dr. Romano has given you other instructions.
  • Monitor for side effects : although side effects are rare, watch for any excessive redness, unusual swelling, severe pain, or signs of infection. If in doubt or if concerning symptoms occur, contact the injecting doctor immediately.

What are the side effects and aftercare of cheekbone injections ?

Cheekbone injections, although generally safe and well tolerated, can cause some side effects. These effects are usually mild and temporary, but it is important to be aware of them to be well prepared before undergoing the treatment.

  • Mild swelling.
  • Redness around the injection sites.
  • Bruising.
  • Pain or sensitivity : some patients may experience mild pain, tingling, or increased sensitivity in the treated areas.
  • Small bumps or irregularities under the skin: immediately after the injection, it is possible to feel small bumps under the skin. These are due to inflammation and the presence of the product. They disappear within two weeks, once the product is fully integrated.
  • Temporary itching.
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Hyaluronic acid cheekbones injection before/after

After the injections, the cheekbone is contoured and prominent, and the face appears more rested. The lifting effect of this injection refines the lower third of the face and reduces the nasolabial folds.
The volume created respects the patient’s request. Even if some patients request large amounts, Dr. Romano always recommends a natural result; the goal is not to inflate the face but to enhance and soften it.

Female cheekbone injections before/after

Cheekbone injections in women feminize the face. Before the injections, the cheekbones are often flat or hollow. After the injections, the cheekbones are fuller, more defined, and rejuvenated, and the face appears more harmonious and balanced. 

What results can be expected from hyaluronic acid injections in the cheekbones ?

The results are visible immediately after the injections, but a progressive improvement in the volume and contour of the cheekbones develops over three weeks.
This procedure makes it possible to obtain prominent, well-defined cheekbones and to restore the volume lost over time, which improves the facial contour and provides a natural lifting effect.
Cheekbone enhancement through injections also helps reduce cheekbone wrinkles and correct skin laxity.
Cheekbone reshaping restores a more youthful appearance to the face.
This treatment makes it possible to correct sagging cheekbones, compensate for volume loss, or simply enhance the beauty of the cheekbones.

How long do cheekbone injections last ? 

Depending on the product used and the injection technique, the duration of the effect varies.
Dr. Romano exclusively uses very firm and highly cross-linked products: the results last between eight months and one year, depending on the skin quality, lifestyle, and patient metabolism.
The effects of Sculptra last approximately two years.

Price of hyaluronic acid injections for the cheekbones

The price of cheekbone augmentation can vary depending on several factors, including the technique used, the type of product, and its quality.
How much does cheekbone augmentation cost ? A quote will be provided on the day of the consultation. The price of a hyaluronic acid injection for the cheekbones is 600 CHF per syringe.
The price of a poly-L-lactic acid injection for the cheekbones is 900 CHF per vial.
The choice between these two products depends on the desired effect, the skin quality, and the treatment strategy defined during the consultation.

Hyaluronic acid for the cheekbones : why is it the best choice ?

Hyaluronic acid is considered the best choice for several reasons.

  • Its effectiveness in creating prominent cheekbones and harmonious contours while preserving a natural and fresh appearance.
  • Its immediate and reversible results.
  • Possibility of filling the cheekbones by restoring volume where it is lacking.
  • Hydrating effect that improves skin quality.
  • Subtle yet visible cheekbone lifting.
  • Creation of a cheekbone lifting effect without surgery.
  • Customized cheekbone reshaping : depending on the desired result, it is possible to choose the concentration and viscosity of the hyaluronic acid.

Hyaluronic acid or Radiesse for the cheekbones : which product to choose ?

Hyaluronic acid is a naturally occurring substance in the skin. Hyaluronic acid injections are the most common technique for customized cheekbone volume augmentation (the shape and volume of the cheekbone will depend on the patient’s wishes), for subtle reshaping, and for lifting the cheekbones and face.

Radiesse is a filler product based on calcium hydroxyapatite, a substance not naturally present in the skin.
Radiesse is mainly used for patients seeking a more structured result and wishing to correct more pronounced signs of aging.

The choice between hyaluronic acid and Radiesse depends on the desired effect and the patient’s skin characteristics.
Dr. Romano does not use Radiesse, noting that the results are quite variable, temporary, and less natural.

Hyaluronic acid or polylactic acid for the cheekbones : which product to choose ?

The choice between hyaluronic acid and poly-L-lactic acid for cheekbone injections depends on the aesthetic goals and desired outcome.
Hyaluronic acid provides immediate and natural results.

Poly-L-lactic acid, Sculptra, a biocompatible and biodegradable product, works by stimulating collagen production in the skin. It does not provide immediate results, but progressive ones.
This option is ideal for patients seeking more gradual and longer-lasting results in cheekbone enhancement, overall skin quality improvement, and cheekbone lifting.

How to plump the cheekbones ? Sculptra and hyaluronic acid are two effective solutions with different characteristics.

Cheekbone injections for men : why and how ?

photo injection mesotherapy hair

Cheekbone injections are gaining popularity among men. More and more men want to enhance their appearance while maintaining a natural and masculine look.
The benefits of cheekbone augmentation in men are: facial masculinization, definition of features, and correction of asymmetry or age-related volume loss.
Cheekbone remodeling in men is done using specific techniques designed to enhance features and give a more structured face without feminizing it.

At what age should you start cheekbone injections ?

There is no specific age to start hyaluronic acid injections for the cheekbones; it primarily depends on the individual needs and aesthetic goals of each patient.
In general, the first injections are considered as soon as signs of aging begin to appear, usually from the thirties or forties, when cheekbone volume starts to decrease and slight sagging of the facial oval is observed.
However, some younger patients in their twenties undergo this treatment to correct asymmetries or achieve more prominent and well-defined cheekbones.
It is important to note that this procedure is recommended as a preventive measure to anticipate sagging and fat loss. The advantage of this approach is achieving a natural and gradual effect without waiting for signs of aging to become too pronounced.

Asymmetric cheekbones : how can injections correct facial asymmetry ?

Asymmetrical cheekbones can disrupt the balance and harmony of the face and cause discomfort.
Hyaluronic acid injections for the cheekbones are an effective solution to correct asymmetrical cheekbones in a subtle and non-invasive way.

  • Restoration of balanced volume: by injecting hyaluronic acid into the cheekbone that lacks volume, it is possible to create perfect symmetry between the two sides of the face and restore a more harmonious appearance.
  • Precise cheekbone reshaping: cheekbone reshaping is customized, targeting the areas that require more volume or definition to restore facial symmetry.
  • Cheekbone lifting: by slightly lifting the lower or less prominent cheekbone, injections create a natural lifting effect that balances the facial features and also improves the facial oval.
  • Treatment adaptability: the use of hyaluronic acid allows precise adjustment of volumes according to the needs of each side of the face, for an ideal harmonization of features.
  • Non-surgical solution to correct cheekbone asymmetry.

Cheekbone injection and swelling

Swelling after a cheekbone injection is a normal and temporary reaction. It is due to the introduction of hyaluronic acid into the skin tissues, which can cause a mild inflammatory response.
Key points about this swelling.

  • Duration of swelling  : swelling is most pronounced within the first 24 to 48 hours after injection. In most cases, it begins to subside after a few days and disappears completely within a week.
  • Factors influencing swelling : several factors affect its intensity and duration, including the injection technique, type of product used, quantity injected, and each patient’s individual response.
  • Managing swelling : to reduce swelling, it is advisable to apply cold compresses (not ice) to the treated area during the first 24 hours and take any medications prescribed by doctor Romano.
    Avoid touching or massaging the treated area unless specifically recommended by doctor Romano.
  • Avoid aggravating factors : during the first few days after injections, it is best to avoid exposure to intense heat sources, as this can worsen swelling. Similarly, it is advisable not to engage in intense physical activities that would increase blood flow to the injected area.

Botched cheekbone injections

Cheekbone injections have become very popular, but they also carry risks if performed by non-doctors. It is essential to choose an experienced doctor who masters this technique.
Causes of botched cheekbone injections include : poor injection technique, use of an inappropriate product, a quantity of product not suited to the patient’s needs, poor assessment, or incorrect injection depth.
Poorly executed injections can result in unaesthetic outcomes :

  • Asymmetrical cheekbones.
  • Excessive volume.
  • Irregular appearance.
  • Visible and/or palpable lumps.
  • Disruption of facial harmony and features.
  • Alteration of facial contours.
  • Loss of natural cheekbone beauty.
  • Worsening of tissue sagging.
  • Unsatisfactory results.
  • Short-lived effects.


Serious medical complications include :

  • Cutaneous necrosis : obstruction of a blood vessel, causing tissue death.
  • Persistent pain.
  • Granulomas.

Why have more defined cheekbones ?

Over the years, the shape and projection of the cheekbones change, and the cheekbones sag. Cheekbone aging progresses through several stages.
In the early stages, generally starting in the thirties, a slight decrease in cheekbone volume is observed due to reduced collagen and elastin production. The cheekbones begin to appear less full and flatter.
Around the forties and fifties, subcutaneous fat loss becomes more pronounced, causing significant sagging of the cheekbones, the appearance or worsening of dark circles, and tear troughs. The face appears hollow and tired.
In the advanced stages of aging, generally from the sixties, the skin becomes looser and the cheekbones continue to sag. This loss of facial tissue structure and support exacerbates existing wrinkles and folds, particularly the nasolabial folds and marionette lines, making the face look older.

Five stages are described:
Stage 0: prominent cheekbone.
Stage 1 : slightly sagging cheekbone.
Stage 2 : moderately sagging cheekbone.
Stage 3 : severely sagging cheekbone.
Stage 4 : very severely sagging cheekbone.

How to enhance cheekbones naturally ? Facial exercises for cheekbones

For patients who want to naturally enhance their cheekbones, there are simple techniques such as facial exercises and self-massage. These methods can help slightly tone the facial muscles and improve blood circulation, providing a gentle lifting effect. However, the results are very subtle and do not replace injections.
Here are some facial exercises and self-massage techniques to slightly lift the cheekbones.

  • Big “O” exercise : open your mouth into the largest “O” shape possible. Hold this position for a few seconds, then relax. Repeat this exercise 10 times. This exercise works the muscles around the cheekbones and may help tone them.
  • Big “O” with massage : after forming a big “O” with your mouth, use your fingers to gently massage the cheekbones in small upward circular motions.
  • The cheek-lifting smile  : smile while keeping your lips closed and try to lift your cheekbones as high as possible. Hold for 5 seconds, then release. Repeat this 10 times to strengthen the muscles supporting the cheekbones.
  • Smile with the lower lip tucked in : smile widely while keeping your lower lip pressed against your teeth. Hold for 5 seconds, then release.
  • Tongue-to-nose smile : smile while trying to touch your nose with your tongue. Hold the position for a few seconds, then release. Repeat 10 times.

Cheekbone Injections – Reviews

Overall, reviews of cheekbone injections are very positive. Hyaluronic acid injections for the cheekbones are often recommended to address volume loss, rejuvenate the face, and correct sagging or asymmetrical cheekbones.
Patients appreciate this non-surgical cheekbone reshaping technique.
For patients wondering how to increase cheekbone volume without surgery, reviews confirm that hyaluronic acid injections are a good choice in terms of safety, effectiveness, and providing harmonious results.

Questions fréquentes sur es pommettes à Genève  

What is cheekbone treatment in aesthetic medicine ?

Cheekbone treatment in aesthetic medicine involves improving or restoring the volume and shape of the cheekbones.

Cheekbone treatment redefines the contours of the face, gives a more youthful appearance, corrects volume loss due to aging, and improves facial balance and symmetry.

The most commonly used product is hyaluronic acid, renowned for its safety and effectiveness. Other options include collagen stimulators such as Sculptra or Radiesse.

The cost varies depending on the amount of product used, the type of product, and the experience of the doctor. During the initial consultation, a personalized quote is provided.

To lift the cheekbones, hyaluronic acid injections are performed using a lifting technique rather than a filling technique.

Patients can resume their normal activities immediately after the treatment. There is no recovery period.

Cheekbone injections are generally well tolerated. The filler products contain lidocaine, a local anesthetic. After the injection, it is possible to feel slight discomfort, which disappears within a few days.

It is important to choose a trained and experienced doctor, as the result will depend on the doctor’s expertise.

Yes, it is common to combine cheekbone augmentation with other procedures such as medical face lifting or botulinum toxin injections.

The best technique to enhance flat cheekbones is hyaluronic acid injection. This filler is ideal for restoring volume and sculpting the cheekbones in a natural and harmonious way. Hyaluronic acid injections allow precise reshaping of the area.

For successful cheekbone injections, it is crucial to choose an experienced doctor who has full mastery of the injection technique and who will use high-quality hyaluronic acid tailored to the specific needs of each patient.

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