Answer: Injectable fillers would be good for you. Yours is a great indication for non-surgical options such as fillers. For augmenting the cheeks, we do use surgical and non-surgical procedures somewhat more often to correct aging changes; however for those who naturally have poor cheek projection and shape these techniques can provide equal or even greater improvement. In my practice, the surgical options would include fat transfer, cheek implants or a mid-face lift. Among the injectable fillers, I prefer either Radiesse or Sculptra for cheek augmentation.

Answer: When comparing fat transfer with injectable fillers for facial rejuvenation, the benefits of fat transfer are: it is autologous tissue and not a synthesized product; it can provide large volumes at a more reasonable cost; the results should be longer lasting and even permanent. The downsides of fat transfer are: there is a risk of visible or palpable nodules or lumps if injected too superficially or in certain areas like the lips; it may be most comfortably performed under IV sedation for anesthesia. Fat transfer is best indicated for correction of deep facial wrinkles or folds and for restoring volume to the cheeks and other areas of the face, which has been lost as a result of aging and or weight loss.