You’ve seen the big cheeks, and you’re wondering what that’s all about.  Welcome to the cheek straight talk you’re not finding anywhere else.

We See What You Did There

Photo Credits:; Dailymail; EPA; Splash;

Let’s get down to business with cheeks.  Injections, augmentation… choices many people are making to perk up their faces and sometimes compliment a facelift.  But a quick Google search… ok, not so quick, I SCOURED the internet (literally, over an hour of very skilled online plastic surgery spelunking) and I could not find any major celebrity sex symbol who admits to cheek augmentation, or even injectable fillers used to plump their cheeks.  What the…?  Do you mean to tell me that all these celebrities think we’re buying that they’ve suddenly sprouted high cheekbones with shiny plump skin in their 50’s?

Look, I get it.  Stars maintain popularity with their physical perfection, but also, the illusion that they naturally fell out of their middle aged beds with it.  As a doctor, I think looking and feeling great while aging, is a wonderful feature of modern medicine.  Pretending that its unavailable to the non-celebrity?

Now there’s the problem.  I don’t know why it’s OK for so many famous faces to admit to Botox, but not to dermal fillers, face lifts or implants.  I’m not sure how one can keep a straight face and credit all that ageless vitality to ‘cutting back on coffee’.

Would You Like To See a Menu?

Your options for youthful cheeks are as follows:

1.    Injections

Dermal Fillers such as Sculptra and Radiesse were specifically designed to plump areas such as the cheeks.  They add volume that lasts, sometimes even for several years. Fillers should be placed with precision, by a skilled injector, and can look subtle or dramatic.  Fillers used excessively to fill in very loose skin will cause a face to look very puffy.

2.    Augmentation

An implant can be attached to the cheek bone via an incision inside your lip.The volume created by an implant is permanent and stationary on the face.  Cheek augmentation is powerful. It has the potential to restore your youthful face structure, especially when used in conjunction with a face lift.  But it can also render you unrecognizable, so take every precaution when choosing a competent surgeon.

3.    Make-up / Skin Care

Old Faithful.  Of course contouring makeup application can enhance the cheeks you’ve already got.  So can firming the skin with exfoliating skin care products and procedures.  Blush has been a staple of makeup users since the beginning of time, for good reason.  (Pro tip: don’t be afraid of bright pink.  A biological embarrassment blush, is practically neon.  As I always delicately say: ‘Better to look pink than embalmed.’)

Faces Are 3-Dimensional

Think of your face as a boob.  Just do it.  Because it’s easy to understand that tightening the skin on a breast will not add volume.  Nor will implants lift the sagging skin.

The same is true for your face.  When patients try to reverse facial aging by merely pulling the skin back, the face appears stretched, and while it may be tight as a drum, there is nothing youthful about its appearance.  Same deal for adding volume.  You can pump fillers into a face until the skin is bloated like a pillow (“pillow face”) and hey! no wrinkles!  But it’s the anti-youth. Yikes.

Often, a good natural looking facial rejuvenation requires balancing both the addition of volume and the tightening of skin.

And The Cheeks Shall Set You Free

Look no further than the cheeks for the truth. Smooth, high, plump cheeks are both beautiful, and unnatural in women over the age of 40.  Let this be instructive to you.  Remember this rule as you evaluate the truth of surgery deniers – and as you determine what rejuvenation to pursue for yourself.

Facial cosmetics are a custom job.  No two women start the same, age the same, or benefit the same from any procedure.  The right doctor can help you find the balance that will keep the attention on YOU, and not your premature aging or excessive facial alterations.

Should you desire more information, or want to schedule an appointment, please contact my Patient Care Coordinator at, or call the office at 415-362-1846.

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