HOLLOW CHEEKS AUGMENTATION WITH HYALURONIC ACID

Dernière mise à jour : 08 July 2026

What are cheek wrinkles ?

In aesthetic medicine, two cheek concerns prompt consultations : hollow cheeks and cheek wrinkles.
Cheek volume mainly depends on cheek fat, better known as the buccal fat pad.
Cheek wrinkles are vertical lines crossing the whole cheek, initially appearing when smiling before becoming permanent.

Session duration
Around 15 to 45 minutes, depending on the areas
Number of sessions
1 initial session; touch-up if necessary
Time to results
Immediate; assessed once swelling has subsided
Usual after-effects
Swelling and bruising may last a few days
Duration of effects
Around 6 to 24 months, depending on the gel and area
Price
CHF 600 per syringe
Contents
  1. Key points
  2. Hollow cheeks : hyaluronic acid fillers in Geneva 
  3. Why are my cheeks becoming hollow ?
  4. How can cheek wrinkles be removed ?
  5. Filling hollow cheeks with hyaluronic acid
  6. What happens during a cheek hyaluronic acid injection session
  7. Before the session
  8. During the session
  9. After the session
  10. How can cheek wrinkles be removed ? Skinboosters
  11. How can cheek skin be tightened ?  Mesotherapy for crepey cheeks
  12. How can cheeks be plumped ? Sculptra
  13. How can crepey cheeks be smoothed ? PRX-T33 peel
  14. How can cheek skin be tightened ? Fractional laser
  15. Before/after results of cheek filling with hyaluronic acid
  16. Prices of treatments for hollow and crepey cheeks
  17. Frequently asked questions about hollow cheeks in Geneva
  18. Articles about cheeks

Key points

Hollow cheeks : hyaluronic acid fillers in Geneva 

Filling hollow cheeks with hyaluronic acid is a quick, effective, safe procedure that rejuvenates the face.
How can hollow cheeks be filled naturally ? Highly moisturising creams and water retention temporarily compensate for this concern.
Non-invasive aesthetic medical techniques produce visible, lasting results, avoiding surgery such as cheek fat transfer.

Why plump the cheeks ? This procedure aims to :

  • Tighten skin, improving fine cheek lines and creating a tightening effect in the middle and lower thirds of the face.
  • Restore facial volume, whether genetically absent or lost through medical conditions or significant weight loss.
  • Brighten the midface.
photo causes of hollow cheeks

Why are my cheeks becoming hollow ?

Hollow cheeks may be genetic or secondary to disease, extreme thinness or ageing. Over time, fat diminishes and shifts, hollowing the cheek.
Cheek wrinkles result from skin ageing. Responsible factors are :

  • Loss of some cheek fat.
  • Reduced skin thickness.
  • Skin laxity.
  • Skin dehydration.

Certain factors aggravate this : smoking, sunlight, insufficient hydration and sleeping on your side.

How can cheek wrinkles be removed ?

Several aesthetic medical techniques can work synergistically to treat cheek wrinkles, also called crepey cheeks, and hollow cheeks. Hyaluronic acid is the reference treatment. Other methods, such as Sculptra injections, mesotherapy, PRXT33 peel and laser, usefully complement this filler.
These non-invasive techniques are indicated for patients avoiding surgery or wanting to see the result before considering surgery.

Filling hollow cheeks with hyaluronic acid

Hyaluronic acid's volumising properties create cheek volume, replacing lost or constitutionally absent fat.
Dr Romano injects with a cannula to reduce bruising and distribute hyaluronic acid evenly. A moderately firm volumising product is used to integrate into tissues without shifting during movement.
Filling must be conservative, with two stages preferable to puffing up the face. An unsuccessful injection distorts the face (squirrel-like swollen cheeks) and causes visible product lumps, particularly during expressions.

photo hollow cheek filling with hyaluronic acid

What happens during a cheek hyaluronic acid injection session

Before the session

At the first consultation, Dr Romano assesses facial volume, skin quality and cheek volume loss. This defines injection points, the most appropriate hyaluronic acid and a personalised plan respecting overall facial harmony. Before injections, make-up is carefully removed and the skin disinfected.

During the session

Hyaluronic acid is precisely injected to restore cheek volume, improve facial contours and achieve natural results. Sessions generally take between 20 and 30 minutes, with comfort enhanced by products containing local anaesthetic.

After the session

Patients can resume usual activities immediately afterwards. Slight redness, moderate swelling or bruising may occur at injection sites ; these temporary reactions resolve spontaneously within days.
Avoiding intense exercise, substantial heat (sauna, steam rooms, hot baths) and massage of the treated area for 24 to 48 hours after injections is recommended to support optimal product integration.

photo cheek wrinkle treatment with skinbooster

How can cheek wrinkles be removed ? Skinboosters

Skinbooster injections are the reference treatment for improving cheek wrinkles.
This hyaluronic acid, designed exclusively for skin, thickens the dermis.
Unlike traditional fillers adding volume, Skinboosters improve skin quality, elasticity and radiance without adding volume.
They restore suppleness and firmness and effectively treat wrinkles.
Injections use a cannula, placing product in the superficial dermis. Session number depends on crepey cheek severity.

How can cheek skin be tightened ?  Mesotherapy for crepey cheeks

Mesotherapy effectively treats cheek wrinkles.
This injected mixture of vitamins, minerals and non-cross-linked hyaluronic acid hydrates the superficial skin layer.
It revitalises skin from within, stimulating collagen and elastin, essential for firmness and elasticity.
The initial protocol comprises four to six sessions three weeks apart, followed by maintenance every three months.
This non-invasive treatment has few side effects, allowing a quick return to daily activities with radiant, rejuvenated skin. Mesotherapy is therefore ideal for patients wanting a gentle but effective approach to signs of cheek ageing.

photo of hydration of crepey cheek skin with mesotherapy
photo of hollow cheeks plumped with Sculptra

How can cheeks be plumped ? Sculptra

Sculptra is a significant advance in treating cheek wrinkles and volume loss.
Unlike traditional fillers, Sculptra stimulates collagen production.
This biostimulation gradually strengthens dermal structure, fills wrinkles and restores subcutaneous volume durably.
Results develop gradually over the following weeks and months and may last up to two years.
It is particularly effective for deep wrinkles and hollow cheeks. Results are subtle and natural : the face is rejuvenated and revitalised.

How can crepey cheeks be smoothed ? PRX-T33 peel

The PRX-T33 peel is an innovative skin rejuvenation treatment, particularly effective for cheek wrinkles.
It combines 33 % trichloroacetic acid (TCA), hydrogen peroxide (H2O2) and kojic acid, stimulating cell regeneration and collagen production. Unlike traditional chemical peels, PRX-T33 penetrates deeply into the dermis without damaging the skin surface.
Skin is visibly smoother, firmer and brighter after only a few sessions. Treatment is quick, virtually painless and requires no downtime.

photo peel treatment for wrinkled cheeks
photo laser for cheek wrinkles

How can cheek skin be tightened ? Fractional laser

Fractional ablative laser produces visible cheek wrinkle results and is a powerful skin rejuvenation tool.
It creates micro-ablation channels in skin, stimulating collagen production and cell renewal.
Skin becomes smoother, firmer and more toned, with improved quality and elasticity.
Results are gradual. Between two and four sessions are needed.

Before/after results of cheek filling with hyaluronic acid

Hyaluronic acid injections restore lost volume, making cheeks full and plump, rejuvenating the face and brightening skin. Midface hollowing is the most evident age-related change.
The volumising effect is immediate, with quickly improved skin quality and firmness.
Although visible quickly, results improve over three weeks and last a year.
Bruising is rare. Product can be felt for a few weeks but is not visible.
Activities can resume immediately.

Prices of treatments for hollow and crepey cheeks

Several medical approaches treat cheeks according to hollowing, laxity or reduced skin density.
Hollow cheek filling mainly uses volumisers such as hyaluronic acid or Sculptra. Hyaluronic acid costs CHF 600 per syringe. Usually between one and five syringes are needed, according to volume loss. Sculptra costs CHF 900 per vial, with one often sufficient. Product choice depends on skin quality, desired volume and result type (immediate with hyaluronic acid, gradual with Sculptra).
For thin, lax or crepey skin without marked volume loss, skin revitalisation is preferred.
Mesolift costs CHF 300 per session. Skinboosters, injected deeply to hydrate and increase skin density, cost CHF400 per syringe (two syringes per session). Depending on skin condition, one to three sessions may be recommended.
The PRX-T33 peel costs CHF 250 per session. Several sessions are needed for optimal results. Fractional ablative laser, often indicated for substantial laxity or severely damaged skin, costs CHF 700 per session.
Total cheek treatment cost depends on approach, protocol (syringes, vials or sessions) and combined techniques. Medical consultation assesses needs, establishes a precise indication and provides a personalised quotation according to aesthetic priorities.

WHAT THE STUDIES SAY
01

In a study involving 61 patients with volume loss in the cheeks and cheekbones, 84% of those assessed at twelve months reported being satisfied with the result. The majority also noticed an improvement in facial appearance. Nearly half had received an additional injection. These results therefore concern treatment tailored to each patient, sometimes delivered over several sessions.

Source: Correction of Age-Related Midface Volume Loss With Low-Volume Hyaluronic Acid Filler — Monique Vanaman Wilson, Sabrina Guillen Fabi, Ryan Greene. JAMA facial plastic surgery, 2017.

02

In a study involving 60 adults, hyaluronic acid injections were performed using a microcannula to correct volume loss in the cheeks and cheekbones. At eight weeks, all patients assessed showed an improvement according to the scale used. Satisfaction was high and results remained visible at sixteen weeks, at the end of follow-up.

Source: Microcannula Injection of Large Gel Particle Hyaluronic Acid for Cheek Augmentation and the Correction of Age-Related Midface Contour Deficiencies — Derek H Jones, Jill Hessler, Anne Chapas et al. Dermatologic surgery, 2020.

03

In a multicentre study involving 60 participants, the hyaluronic acid gel was selected according to the intended correction: treating cheek wrinkles or adding more volume. All participants showed an aesthetic improvement at four and eight weeks. These results highlight the value of selecting the gel according to each patient’s needs.

Source: Effectiveness of hyaluronic acid fillers for cheek augmentation using a treatment guide to choose between products — Andreas Nikolis, Vince Bertucci, Shannon Humphrey et al. Journal of cosmetic dermatology, 2024.

Frequently asked questions about hollow cheeks in Geneva

Which facial exercises help reshape hollow cheeks ?

Facial exercises do not change hollow cheeks. Specific exercises can slightly tone this area : cheek pumping and repeated broad smiles.

How important is hydration for preventing hollow cheeks ?

Hydration plays a modest preventive role. Well-hydrated skin is plumper and denser, with this thickness slightly improving cheek hollowing.

What benefits does lymphatic massage offer hollow cheeks ?

Lymphatic massage supports toxin drainage and lymphatic circulation. It revitalises facial skin but does not fill cheeks.

How can hollow cheeks be filled naturally ?

Hollow cheeks cannot be filled naturally except through weight gain.
Maintaining skin hydration plumps the skin, creating fuller-looking cheeks.

What causes hollow cheeks and cheek wrinkles ?

Several factors cause hollow cheeks and wrinkles : natural ageing, subcutaneous fat loss, reduced collagen and elastin, dehydration, lifestyle (such as smoking or excessive sun exposure) and genetics.

What treatments fill hollow cheeks ?

Treatments include hyaluronic acid injections, mesotherapy and Sculptra.

How does hyaluronic acid help hollow cheeks ?

Hyaluronic acid volumises and hydrates. It replaces lost cheek fat and plumps skin.

How does Sculptra differ from other fillers for hollow cheeks ?

Unlike traditional fillers adding immediate volume, Sculptra stimulates collagen production. Results are gradual and lasting, potentially up to two years.

Are hollow cheek treatments painful ?

Most hollow cheek treatments, such as hyaluronic acid or Sculptra injections, are virtually painless.

How long do hollow cheek and cheek wrinkle treatment results last ?

Duration depends on treatment. Hyaluronic acid lasts between 9 and 12 months, Skinboosters 6 months and Sculptra up to two years.

Are there side effects or risks with hollow cheek and cheek wrinkle treatments ?

Side effects are generally mild and temporary : redness, swelling and bruising at injection sites.

Who can benefit from hollow cheek and cheek wrinkle treatments ?

Treatments suit anyone wanting to improve hollow cheeks or reduce cheek wrinkles. Patients must have no contraindications.

Articles about cheeks