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Cheeky Business™ — Dermal Cheek Filler overview


As we age, our cheeks lose volume, the bone and soft tissue dissolves, leaving us with reduced structural support in that area, creating loss of volume, folds and wrinkles. Dermal cheek fillers are one Esteem Aesthetics’ most requested treatments. The midface is a very important area on the face for age appearance and for beauty. Beauty can be created and enhanced by injecting dermal fillers for cheeks. When the face is ageing, one of the first areas to show the loss of volume associated, is the cheeks. Most beautiful faces have high cheekbones and this is an area where this look can be achieved by skilled doctors with advanced injecting techniques. Filling the cheek area with dermal filler is an effective treatment with minimal downtime.


Frequently asked questions


What Can Dermal CHeeK Filler Improve?

Dermal filler for cheek enhancement can improve:

  • Size of cheeks: Often patients present with flat / underdeveloped cheeks to be enlarged. This is very easy.

  • Skin of cheeks: The wrinkling on cheek skin, especially from smiling can be improved with dermal filler or skin boosters.

  • Shape of the cheeks: Some patients need more volume in the front of their cheeks and some patients need more volume at the side of their cheeks, and some just need more volume at the high point of their cheeksThe patient will be assessed and the doctor at Esteem Aesthetics will have a discussion with the patient about their anatomy, and how it can be improved.

  • Cheek ageing: As we age, we lose volume in the cheeks and hence structural support of the overlying tissue. This can be replaced.

  • Symmetry of the cheeks: asymmetry of the cheeks is very common, and can be improved with dermal filler treatment.

  • Smile lines: of the lower cheeks can also be treated with dermal filler.

What is the rifght amount of filler to use for the cheeks?

The dosage required for cheek enhancement is variable. Some patients will be satisfied with 1ml, while others will require 5-6mls to achieve the outcome that they’re after. Your doctor at Esteem Aesthetics will assess your face and decide on the best dose after taking your history, examining your facial anatomy, and understanding your desired result. If you have a history of complications with dermal fillers, or if your budget is small or you are wanting a more subtle result, then a smaller dose might be chosen to start with.

A typical way to plan cheek enhancement is to inject them 2mls at a time, injecting them every month until they reach the size where you are satisfied. Typically, your doctor at Esteem Aesthetics will inject 2mls at a first treatment then review your results in a month. If you say that you “liked the swelling after the last treatment and was disappointed when it went away” then we would recommend that you have a further 1-2mls injected.

IS there Pain relief during cheek filler treatment?

  • A topical numbing cream (eg EMLA or LMX ) may be applied to the area prior to the treatment (45 minutes prior is ideal). Glad wrap may be used over the numbing cream to increase its effect.

  • If a cannula is used, local anaesthetic may be used prior to the cannula being introduced into the skin.

  • Ice is always used to decrease pain and to reduce the risk of bruising.

What Happens During The Procedure?

The face will be cleaned with alcohol. Ice will be applied to the area briefly before treatment Your doctor at Esteem Aesthetics will inject using a very fine needle. Then pressure with gauze will be applied. If a cannula is used, a small injection of local anaesthetic is injected into the skin and then a fine needle makes a small hole in the skin where the cannula is inserted.

How will I look straight after?

There may be redness and swelling. The cheeks may have a more “sharp” look about them, but when the swelling goes down after 2 days, the sharpness will reduce and give way to a more natural appearance. Patients often like the swelling in the first couple of days. Most of the swelling from the dermal filler will have resolved by 2-3 days after the procedure. There may be a small amount of swelling for even 2-4 weeks after the procedure.

What Are The Side effects/risks ?

As it is a medical procedure, there are risks associate with cheek fillers. These include:

  • Bruising occurs in a significant number of cases.

  • Swelling in the injection area will occur. This will laser for 48 hours.

  • Asymmetry: sometimes one side is better treated than the other, this is usually because the patient is asymmetrical to start with.

  • Infection is a very rare complication, but always a possibility when the needle goes into the skin.

  • Necrosis (blood vessel being blocked, interfering with blood supply to the skin) is very rare. This could lead to scarring.

  • Blindness due to a blood vessel being blocked is a rare but catastrophic risk of dermal filler.

  • Need for further treatment: Often with cheeks, it will take multiple treatments to achieve the patient’s desired look.

What DO I Do After Treatment?

After treatment, please avoid the following:

  • Makeup for 4 hours

  • Heavy exercise that day

  • Acid face products for 24 hours

  • Spas, saunas, hot yoga for 1 week post treatment

How long will the treatment last?

The answer to this is very individual and depends on the patient’s anatomy, metabolism, the dose, the placement, the product etc. If the patient is happy with the results at 1 month (ie there has been adequate fill) they should be treated at 6 months, then at 6 months and then once yearly. At 1 month, if the patient is not satisfied with the results (ie more dermal filler is required to obtain the results that they desire), then further dermal filler should be injected every 1-3 months until the desired appearance has been reached, and then the patient should have treatment at 6 months, then 6 months, then once yearly.


PricIng & Availability


How much does Cheek enhancement Cost?

  • Price: $450/ml Premium Filler

  • Price: $650/ml Ultra-Premium Filler

* All prices stated above are average estimates only and are subject to change based on your individual requirements.


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N.b. The Esteem Aesthetics website provides general information about surgical and non-surgical cosmetic procedures. General information is not a substitute for professional medical advice and treatment, and should not be accepted in place or in preference to a consultation with one of our qualified doctors.

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