Filler in the cheek area is one of the most common procedures that we perform here at Fillers & Frowns. As the face ages a number of changes occur, such as the gradual loss of underlying bone mass, volume loss and migration in the superficial and deep fat pads of the midface, and an increase of skin laxity in the overlying skin. This results in the deepening of pre-existing folds (nasolabial), the development of new folds (marionette) and the loosening of structure at the jawline with jowl formation. Cheek filler can replace some of the volume that has been lost, thereby reducing the effects of ageing in the cheek area. Furthermore, adding volume to the cheek has a lifting effect on the lower face, reducing the appearance of deepened folds such as the nasolabial and marionette lines.
However, cheek filler is not just for clients with ageing-related concerns. Younger clients with good cheek volume can benefit from cheek filler, as it can be used to shape and contour the cheekbone.
Who can get cheek filler?
You can get cheek filler is you are:
Not pregnant or breastfeeding
We would also like to be aware if you are taking any anticoagulant, or antiplatelet, medication, although this does not prevent you from having treatment. You will also have to make us aware if you have an allergy to local anaesthetic, as the majority of filler contains lidocaine and we will have to choose a product that does not contain this if you do in fact have an allergy.
What should I expect if I come for a filler treatment?
When you arrive at Fillers & Frowns you will be greeted, invited to take a seat and you will be asked to complete a detailed medical questionnaire if you have not completed this electronically prior to your arrival. You will then be called in at your appointment time, at which point you will have an in-depth consultation and examination process, by which we will get to understand what you are hoping to achieve through the cheek filler procedure. Numbing cream is not usually required due to there being only a small number of injections that are not usually painful, but options available will be discussed during the consultation process.
Facial mapping will be performed during the examination, which will look to identify the areas in the cheek that would benefit the most from placement of filler product. These areas will then be demarcated prior to the filler being prepared. Injections will be carefully placed to sculpt the shape and volume that you desire, followed by a thorough massage to ensure that the filler has been placed evenly and it is smooth before you leave.
The overall appointment will take around 30-45 minutes, with plenty of time being allocated for questions you may have regarding the treatment. After care advice will be provided and you will also receive an email with after care advice following your visit to the clinic.
Complications and side effects
The most common side effect of cheek filler treatment is mild bruising. Arnica cream will be provided following the treatment, as part of your post-treatment pack, in order to increase the speed at which any bruising resolves (typically 5-7 days, up to 2 weeks for deeper haematomoas). Cheek filler is slightly different from most other fillers with regards to swelling, as it tends not to swell considerably due to it being placed in a deeper plane. The filler itself is made from hyaluronic acid and this attracts water, so a degree of swelling is unavoidable for around 1 week after treatment, but this does not tend to be noticeable.
As with all procedures there is a small chance of infection, which is reduced even further due to our extensive preparation of skin using chlorhexidine. If infections do develop, despite best efforts to cleanse the skin prior to treatment, Fillers & Frowns is doctor-led and so a prescription for antibiotics will quickly be dispensed.
As with any filler procedure there is a small risk of a vascular occlusion, whereby an underlying blood vessel can become blocked. In this rare event we are prepared with a product called Hyalase, which is used to dissolve the filler and restore the blood supply to the skin. It is for these reasons that our recommendations are to ensure that you are treated by experienced healthcare professionals within the industry when getting aesthetic treatments performed. All of our treatments are performed by a GMC-registered doctor who has extensive training and experience in delivering these treatments in the safest possible manner.
How long does it last?
Cheek filler will usually last for 9-12 months, but up to 18 months in some cases. Cheek filler tends to last longer than some other types of filler because we use a more cross-linked product that is thicker and it is placed in an area that does not have much overlying dynamic movement.
Does it hurt?
Having a cheek filler treatment is one of the lesser painful dermal filler treatments that we offer. If you are particularly sensitive to pain, or are anxious about the treatment, then there are plenty of options at our disposal to reduce any discomfort associated with the injections.
What does it combine well with?
Filler placed in the cheek area combines perfectly with a number of treatments. For clients who have experienced ageing of the face cheek filler will often combine well with lower face volumization treatments such as nasolabial and marionette line fillers. For younger clientele who are looking for a contoured appearance then the addition of jawline and chin filler is often considered.
Yes, cheek filler can be placed in larger volumes than in some other areas in the face. Here at Fillers & Frowns we will not perform more than 2ml of cheek filler at a time, with us recommending that you return for a review after two weeks to assess the efficacy of the treatment and formulate a further treatment plan.
Your cheeks will be massaged prior to you leaving the clinic to ensure that any lumps and bumps from the treatment are gone. The filler remains quite soft for the initial 48-72 hours and can be moved slightly if firm pressure is applied, therefore we do not recommend massaging the area yourself afterwards.