15th June 2018

How Do Cheek & Tear Trough Fillers Work?

As you age, you might find that you no longer recognize the face you thought you knew so well. But it's not just the aging process that takes a toll on how your skin behaves. Exposure to the sun and other harsh elements and genetic tendencies can alter your fresh-faced appearance.

As you age, the skin covering your cheekbones and the tissue that lies beneath begins to recede. You may notice a lack of tone or an overall thinning of the tissues. Your cheeks might start to lose their suppleness and become more prone to gravity.

As your cheeks move downward toward your mouth, your tear troughs between the lower eyelid will also start to droop. This movement can result in the development of dark circles under your eyes.

Mid-face volumizing treatments and tear trough fillers are popular cosmetic procedures for adding new volume and fullness. When your skin loses volume you can look older than you feel.

This common cosmetic procedure uses a bio-friendly dermal filler to increase fullness where it's lacking. It's added to the cavities under the eyes and around the cheeks help to support their new position.

Typical Patients

Patients with mid-face cheek lifts are usually 40 years of age or older and have heavy lines or sagging skin that they are unhappy with. Others are women who simply want a more youthful appearance or the look of higher cheekbones.

Sometimes this procedure is paired with an eyelid lift surgery to help correct that "tired" look that no amount of sleep will cure.

Patients should be in good physical health with realistic goals for their surgery. They should also understand what to expect from the procedure and its limitations.

Patients who smoke will likely be asked by their surgeon to stop many months in advance before undergoing these surgeries.

Though both men and women can seek a mid-face cheek lift, there are some things to be aware of. For example, men who are balding won't be able to hide the scars behind the hairline as easily as the typical female patient.

The Mid-Face Volumizing Procedure

There are many ways which your surgeon might go about performing this cosmetic procedure. Well trained surgeons can do a lot to the face with the help of filler injections.

Hyaluronic acid is one such filler which is nearly identical to the naturally occurring substance found within the body. When injected, this gel-like filler can help to create volume where there wasn't much. It can be used to restore the curve of the cheek or to camouflage dark circles in and around the tear trough.

Fillers can restore fullness under the lower eyelids, along the jawline, and in deep lines and wrinkles around the eyes, mouth or forehead. They are used in mid-face volumizing procedures to lift jowls that are drooping and add firmness to crepe-like neck skin.

Multiple injections will be used in each site to make sure the filler is evenly distributed into the tissue. The volume of the filler is small though the total amount injected will vary patient to patient.

Patients in their 30s and 40s are more likely to seek injections to add some extra volume or raise the position of their cheeks.

Patients in their 50's and 60's are often concerned with reducing sagging skin and heavy lines. In these situations, a combination of fillers and surgery might be required.

When surgery is involved alongside fillers, a small incision is made behind the patient's hairline above the temples. From these small incisions, the surgeon can reach far down to grasp tissue below the cheeks and pull them gently upward.

Potential Risks

Dermal fillers are considered to be a very low risk procedure. However, there have been some rare incidences where a patient has had a negative reaction.

The most common reaction to any injection is some bruising at the site of the injection. With any surgery, there's a risk of some infection or bleeding. Other risks might include heavy scarring or a slow healing process.

In some situations there is the patient might find that their results don't match what they envisioned. There's also a risk of partial paralysis to the patient's face due to nerve damage.

Talk to your doctor beforehand to discuss the risks and your concerns before undergoing any cosmetic procedure. You'll lessen your chances of an incident by choosing a surgeon with lots of experience.


The large majority of patients are very satisfied with their results after a mid-face cheek lift. A key component to overall satisfaction comes from educating the patient beforehand.

During the initial evaluation, the patient and surgeon need to discuss goals and realistic expectations. Patients who have reasonable expectations paired with expert surgeons equals satisfaction.

Recovery Time

Almost every patient who has dermal filler injections can return to work the very next day. If there's any bruising, cold ice packs can speed up the recovery process. If you don't want anyone to know you've had a procedure done, you can remain at home for a few days until the minor bruising or swelling has gone down.

Patients will notice that their tear troughs show an improvement almost immediately and will continue to improve in the following couple of weeks. To avoid puffiness in the area, your surgeon will be conservative with the amount of filler added to this delicate region.

Recovery from minimally invasive mid-face volumizing is much less than intense than surgical recovery. After undergoing a surgical procedure, patients should plan to take at least a week off of work. If you work in manual labor, you may have to take a longer break.

Schedule Your Consultation

If a mid-face volumizing procedure sounds like something you'd be interested in pursuing, we encourage you to contact our offices today to schedule a consultation.

During your consultation, you and your doctor will discuss what you kind of results you can expect. You'll also have a chance to go over all your questions and concerns.

We look forward to helping you on your journey of self-improvement!

Book Your Treatment Today

Dr Aesthetica offers professional Botulinum Toxin and Dermal Filler treatments in the Birmingham area. We aim to solve your cosmetic related issues with non-surgical interventions.
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We want to empower everyone who walks through our clinic doors, to be able to look in the mirror and see a happier, brighter version of themselves.
Dr Aesthetica, Unit 1, 1431 -1433 Bristol Rd S, Birmingham, B31 2SU
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