Cheek volume loss at 23 years old? (Photos)
Actual RealSelf Patient Comment: Hello, I am only 23 but I seem to have some significant volume loss in my cheeks. My nasolabial folds have been prominent since I was a teenager, but are worse now. My cheeks have a saggy, jowly appearance. Underneath my cheekbone my cheeks have a hollow, and this hollow becomes very obvious whenever I open my mouth, giving me a gaunt appearance. Do you think these issues are from volume loss? Would fat grafting be a good option? Or filler? Would filling the cheek hollows be a good idea? Thanks.
Dr.Persky’s Reply: I would treat you with a small amount of Sculptra, a bio-stimulatory volumizer. Sculptra is more predictable than fat. Fat transfer in young patients is not prudent. The other filler that you may consider is RHA-3. The most important aspect of your treatment is making sure to choose your injecting physician very carefully. Feel free to contact me with any other questions or concerns, or to schedule a virtual or in-person consult. Good luck and be well.
