Hautmedizin Westend – Dermatology | Laser | Aesthetics

Cheek Augmentation

With age the midface loses fat and supporting tissue. Precisely placed hyaluronic acid restores the contour of the cheek – and indirectly lifts the lower third of the face as well.

Why the midface ages

Facial ageing is not only a question of the skin. Beneath the surface lie defined fat compartments that shrink over the years and migrate downwards; at the same time bone substance is lost at the cheekbone. The result: the cheek looks flatter, a hollow forms beneath the eye (the tear trough), and because the supporting structure is missing, the tissue above it descends – nasolabial folds and an early loss of jawline definition are often a consequence of this loss of volume rather than of the skin itself.

Procedure and aftercare

After photographic documentation and planning in an upright position, the treatment takes about 30 minutes. The preparations used contain a local anaesthetic, which makes them well tolerated. You can see the result immediately, but should allow for swelling in the first few days.

  • No sport, sauna or alcohol for 24 hours
  • No facial massage and no cosmetic treatments for two weeks
  • Small bruises are possible and disappear within a week
  • Follow-up check after two weeks, with fine correction if needed

Also medically relevant

Besides the aesthetic indication, we carry out cheek augmentation in cases of lipodystrophy, for example in the context of HIV therapy – an area that forms part of our focus on infectious diseases.

Costs

Cheek augmentation is billed according to our general hyaluronic acid price structure – from €420 for one millilitre, from €690 for two millilitres; two millilitres are usually appropriate. As a self-pay service (IGeL) it is billed under the GOÄ private fee schedule; all amounts are final prices including 19 % VAT. See the full price list

Frequently asked questions

What does cheek augmentation cost?
We bill according to our general hyaluronic acid price structure: from €420 for one millilitre, from €690 for two millilitres. Two millilitres are usually appropriate; how much is needed is something we determine together in the consultation.
How long does cheek augmentation last?
Twelve to eighteen months. Because the material sits deep and in a region that moves little, it lasts longer there than, for example, in the lips.
Does it look artificial?
Not with anatomically correct placement and a restrained amount. The overfilled look comes from too much material placed too superficially – we work deep, and across several sessions where a lot of volume is missing.
Is the treatment reversible?
Yes. Hyaluronic acid can be dissolved completely within a few days using the enzyme hyaluronidase.
What are the risks of fillers in the midface?
The most significant complication is a vascular occlusion caused by inadvertent injection into an artery. That is why the treatment belongs in the hands of doctors who know the course of the vessels and keep hyaluronidase available as emergency medication.
Can I go back to work straight afterwards?
Yes. Expect mild swelling for two to three days; small bruises are possible but easy to cover.

Source: Prescribing information for the hyaluronic acid preparations used; DGBT recommendations on the management of complications