Sunken Cheeks

The fat compartments underneath your skin dictate the shape and fullness of the face. When volume loss occurs in the face (this is usually due to age), the cheeks and midface are two of the most obviously affected areas.


The fat compartments underneath your skin dictate the shape and fullness of the face. When volume loss occurs in the face (this is usually due to age), the cheeks and midface are two of the most obviously affected areas. Loss of facial and skin volume gives the appearance of hollow and sunken cheeks. Whilst there is nothing wrong with sunken cheeks, many people seek treatment. This is because fuller cheeks are associated with a more youthful and less tired appearance. Cheek enhancement can also help lift up the mid and lower face to reduce the appearance of sagging and wrinkling. Non-surgical treatments like dermal fillers permit plumping up of cheeks as well as contouring and sculpting for higher and better-defined cheekbones.


The main cause of sunken cheeks is the loss of facial volume due to ageing. Ageing causes diminishing fat compartment size which leads to the appearance of hollowness in the cheeks. Furthermore, ageing reduces the amount of collagen and elastic generated by the skin. This leads to thinner and less pliable skin which is more prone to wrinkling and sagging. Aside from ageing, other common causes for sunken cheeks include rapid weight loss and chronic illness. Of course, some people are also born with a greater disposition to having sunken cheeks or reduced facial volume in the first place.


Cheek enhancement is the process of sculpting or augmenting the cheeks by increasing the underlying volume. This can be performed through a number of processes which may aim to increase the thickness of the skin, tighten or lift sagging skin or by implanting a substance or implant underneath the skin to enhance volume. The result achieved depends on the technique used and the experience of your doctor. Cheek enhancement can yield fuller, smoother and more defined cheeks if performed correctly.


There are a number of treatment options for enhancing and augmenting your cheeks whilst maintaining a natural-looking appearance. The most popular ones include:

Cheek enhancement using Juvederm dermal fillers can help restore volume, lift the midface and sculpt the cheeks. You can combine these with tear trough fillers if you have volume loss around the eyes. They can also work with Botox® injections if there are upper or lower face wrinkles or folds caused by over active muscles.

Professional skin treatments in the form of chemical peels and collagen induction therapy can also smooth out and thicken the skin on the face. These can be used alone or in combination with cheek fillers to restore lost volume to the midface. In addition, at home prescription anti-ageing skincare can also help. Treatments like Tretinoin used either alone or in combination with Hydroquinone can improve the appearance of lines, wrinkles and age spots. Tretinoin also stimulates collagen and elastin production as well as enhances blood supply to the skin. This improves the overall texture and elasticity of the skin hence reducing the impact of sunken cheeks and potentiating the effects of any injectable treatments.

At City Skin clinic, we are committed to the concept of personalised skincare. Our virtual skin clinic offers safe and effective skin treatments like Tretinoin and Hydroquinone. Our doctors can help treat skin conditions like acnehyperpigmentationmelasma and skin ageing all from the comfort of your home. Start your virtual consultation to begin journey towards great skin starts today.

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Authored by:

Dr Amel Ibrahim
Aesthetic Doctor & Medical Director
Founder City Skin Clinic
Member of the Royal College of Surgeons of England
Associate Member of British Association of Body Sculpting GMC Registered - 7049611

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