Cheek augmentation with hyaluronic acid: procedure, quantity, durability & risks

The cheek build-up with Hyaluronic acid is one of the most elegant methods of modern aesthetic medicine for restoring lost cheek volume and giving the face a new freshness. While surgical procedures such as autologous fat transplants involve a surgical intervention with corresponding risks and a longer healing time, the Hyaluronic cheek injections a gentle alternative without scars and with immediate socialising potential. This gentle injection is perfect for anyone who wants to inject their cheek area and wants a natural look without surgery.

The philosophy of Medical NOVA is based on the conviction that true beauty comes from the balance of body and soul. This holistic approach is also reflected in our approach to cheek augmentation. We understand that every Unique face shape and therefore carefully analyse your individual anatomy before each treatment. Only through this detailed preliminary analysis can we create a customised treatment plan that leads to harmonious and natural results - without the risks of surgical interventions.

In recent years, the modern cheek build-up has become one of the most most popular aesthetic treatments developed. Especially people who have lost cheek volume due to age or who have a naturally flatter cheek contour. Cheek area benefit from the volumising effect of hyaluronic acid. The method offers a Scientifically sound solution for sunken cheeks and tired-looking faces without losing the natural look.

What is cheek augmentation with hyaluronic acid?

The Cheek augmentation with hyaluronic acid is a minimally invasive method for restoring lost cheek volume and harmonious modelling of the facial contour. This treatment is based on the targeted placement of hyaluronic acid fillers in various tissue layers of the cheek region. These high-quality fillers - especially the deeper-acting, more viscous hyaluronic acid preparations - are strategically placed to create both structural support and natural contours.

In contrast to superficial wrinkle treatments, cheek augmentation works at different anatomical levels: from the deep supraperiosteal layer for structural support of the zygomatic arch to more superficial layers for smooth transitions and natural contours. These Multi-layer technology requires a deep understanding of facial anatomy and years of experience to achieve optimal results.

The method differs fundamentally from surgical procedures such as autologous fat transplantation or surgical lifting procedures. While surgical methods are more invasive and require a longer healing time, the Hyaluron treatment only with biocompatible, resorbable fillers. The result is a gentle, natural volume build-up without visible traces on the face. In addition, the healing time is completely eliminated - a decisive advantage for working people.

Who is cheek augmentation with hyaluronic acid suitable for?

Cheek augmentation with hyaluronic acid is suitable for a Broad patient groupThe individual analysis during the consultation is crucial. The ideal candidates are people who suffer from loss of volume in the midface or who want a more harmonious facial contour. Patients between the ages of 30 and 60 who are looking for a natural facelift are particularly likely to come to us.

• Age-related sunken or flattened cheeks due to loss of collagen and volume
• Genetically determined flat cheek area
• Asymmetries in the cheek region or uneven facial proportions
• Tired facial appearance due to loss of volume and diminishing elasticity in the midface
• Reinforcement of Nasolabial folds due to lack of cheek support
• Desire for defined but natural-looking facial contours through targeted injections

In particular, people who have experienced significant weight loss or have lost facial volume due to age often develop sunken cheeksthat make the entire face look tired and older. Professional cheek injections can not only bring about aesthetic improvements, but also contribute to increased self-confidence and well-being. Targeted injections support the skin's natural elasticity and restore the youthful volume of the cheeks.

Ideal candidates for cheek injections

The treatment is particularly effective in patients between the ages of 25 and 65 whose skin is still Sufficient elasticity has. The best and most natural results can be achieved in this age range. Hyaluronic acid integrates optimally into the tissue and ensures long-lasting, harmonious results.

Younger patients with genetically caused flat cheeks or older patients can also benefit from the treatment, especially in combination with other procedures such as Mesotherapy or RF microneedlingto achieve even more comprehensive rejuvenation effects.

Contraindications and exclusion criteria

Cheek augmentation is not for every patient suitable. The following circumstances rule out treatment or require special precautions:

• Pregnancy and breastfeeding - for precautionary reasons, hyaluronic acid treatments are generally not used during this time
• Acute infections or inflammation in the treatment area - treatment is postponed until the infection has subsided
• Known allergies to hyaluronic acid or local anaesthetics
• Coagulation disorders or taking blood thinners without consulting a doctor
• Autoimmune diseases with skin involvement in the active stage
• Unrealistic expectations - if the desired results cannot be achieved with this method

Treatment procedure at Medical NOVA

The treatment of a cheek reconstruction at Medical NOVA follows a structured, multi-stage processwhich guarantees the highest quality standards and optimum safety.

Step 1: Detailed consultation and precise facial analysis

Every cheek augmentation treatment begins with a comprehensive consultation. Dr Tukezban Huseynova and her team analyse not only the current cheek contour, but also your overall facial proportions, skin quality and personal aesthetic goals. High-resolution photos are taken from various angles to document the initial condition and determine the optimal treatment areas.

During this analysis phase, we also discuss the desired filling quantity, realistic expectations and the optimum treatment concept. It will be clarified whether a local anaesthetic is required - modern hyaluronic fillers already contain a mild local anaesthetic, which makes the treatment more comfortable. significantly more comfortable is performed. This low-pain treatment method is a major advantage over surgical procedures that require extensive anaesthesia.

Step 2: Professional preparation and precise mapping

After the consultation, the face is thoroughly cleansed and disinfected. All make-up must be removed to ensure Sterile working environment to ensure that the The Injection sites are precisely marked, taking into account various anatomical landmarks: the zygomatic arch, the nasolabial fold, the natural cheek contour and the individual facial proportions. This careful preparation is crucial for the precision of the subsequent treatment.

Step 3: Precise multi-layer treatment technique

The actual treatment takes about 30-45 minutes. Using various cannulas and needles, the Hyaluronic acid placed in different layers of tissue:

• Deep supraperiosteal depots for structural support of the zygomatic arch
• Middle layers for volume build-up and contouring
• Superficial fan technology for smooth transitions and natural contours

The dosage is customised - a decisive factor for natural-looking results. This minimises the risk of side effects and maximises the effectiveness of the treatment.

Step 4: Immediate visibility and professional aftercare

After the treatment, the result is immediately visibleand you are immediately fit for socialising again. Slight swelling or redness at the injection sites usually disappears within a few hours. The final result can be seen after 10-14 days, when any swelling has completely subsided.

An important part of our treatment is the Follow-up appointment after 10 to 14 days. At this point, we can assess the result together and, if necessary, make fine corrections or treat asymmetrical areas to ensure a perfectly symmetrical and natural appearance.

How much hyaluronic acid is useful for cheek augmentation?

The required filling quantity is highly individualised and depends on various anatomical and aesthetic factors. We deliberately start conservatively and can make adjustments after the healing phase if necessary. This gradual approach to cheek injections ensures natural results and avoids over-treatment.

Guide values for filling quantity according to treatment goals

Factors that influence the filling quantity requirement

The optimum filling quantity is determined by various individual factors:

• Output proportions: Natural face shape and existing cheek contour
• Degree of volume loss: Age-related or genetic cheek flattening
• Skin quality and thickness: Thin skin requires more careful dosing
• Aesthetic goals: Natural refreshment vs. clear contouring
• Combination treatments: Simultaneous treatment of other facial regions

We discuss these individual aspects in detail during the consultation and draw up a Customised treatment planthat perfectly matches your wishes and your anatomy.

Shelf life & retouching plan: 9-15 months optimum effect

The durability of cheek injections depends on various factors and shows Remarkable individual variations. While the result is immediately visible, the final appearance develops over 10-14 days, when any swelling has completely subsided and the hyaluronic acid is optimally integrated into the tissue.

Factors that influence durability

The duration of action is influenced by several biological and external factors:

• Hyaluronic acid quality: Highly cross-linked fillers last longer than less cross-linked ones
• Injection depth: Deeper placement leads to longer durability
• Individual metabolism: Rapid metabolism shortens the duration of action
• Facial expressions: Very expressive patients have a shorter shelf life
• Lifestyle: Sport, sauna and UV exposure can accelerate degradation
• Age and skin quality: Younger skin with better collagen structure holds filler longer

Scientific findings on durability optimisation

The latest studies show that Regular, moderate refreshments are not only more cost-effective, but also lead to longer-lasting results. The skin "gets used" to the additional volume and produces more of its own collagen around the hyaluronic acid, which leads to natural long-term stabilisation.

Aftercare checklist & timeline for optimal results

Proper aftercare is crucial for optimal healing, minimised side effects and long-lasting satisfaction with your results.

First 24 hours: Critical integration phase

In the first 24 hours after treatment Special care is requiredas the hyaluronic acid is not yet fully integrated into the tissue:

• No make-up on the direct puncture sites for at least 4-6 hours
• Gentle cooling with soft cooling pads for swelling (not directly on the skin)
• Keep your head slightly elevated when sleeping to minimise swelling
• Drink plenty of water to support hyaluronic acid hydration
• No rubbing, massaging or strong pressure on the treated cheeks
• Avoid extreme facial expressions and heavy laughing or chewing

24-48 hours: Protection for optimal healing

In this phase, the integration of the hyaluronic acid into the tissue begins. The following restrictions are important:

• No intensive sport or physical exertion that leads to heavy sweating
• Avoid sauna, steam bath, solarium and hot baths
• Limit alcohol consumption considerably, as alcohol can increase swelling
• Avoid extreme temperature fluctuations (extreme cold or heat)
• Be careful when brushing your teeth - gentle movements without pressure on the cheeks

48-72 hours: Protection of the cheek region

The hyaluronic acid is increasingly stabilising, but there are still Further precautionary measures necessary:

• No professional facial massages or cosmetic treatments
• Do not lie on your side when sleeping to avoid pressure sores
• Only apply make-up gently, do not rub in or rub in vigorously
• Postpone dental treatment for a week
• Take care during sports activities with ball contact or risk of falling

Long-term care for optimum durability

After the initial healing phase, you can resume all normal activities. For Maximum durability we recommend:

• Consistent UV protection with a high sun protection factor
• High-quality skin care with moisture and antioxidants
• Regular professional skin treatments to maintain quality
• Healthy lifestyle with sufficient sleep and hydration

Managing risks safely: Expertise for all eventualities

Thanks to our many years of experience and precise application technique, complications during cheek augmentation are Extremely rare. Nevertheless, we attach great importance to an honest and complete explanation of all possible risks so that you can make an informed decision.

Frequent, harmless reactions (normal and temporary)

Most of the side effects are completely normal and show that your body is responding to the treatment:

• Slight swelling for 2-5 days - especially for first-time treatment
• Minimal redness at the puncture sites - usually disappear within hours
• Slight sensitivity to touch - normal with freshly placed hyaluronic acid
• Occasional small haematomas - occur in about 15 % of patients
• Temporary asymmetry - due to different swelling processes

Rare complications: Prevention and professional treatment

Long-term complications and quality assurance

With high-quality hyaluronic acid and professional application Long-term complications extremely rare:

• Granuloma formation: Less than 0.1 % when using CE-certified fillers
• Persistent nodes: Mostly due to improper use or inferior products
• Allergic reactions: Extremely rare with pure hyaluronic acid without additives
• Infections: Are prevented by sterile technique and aftercare

Comparison of alternatives to hyaluronic cheek augmentation

Although hyaluronic cheek augmentation is the ideal solution for most patients, depending on the individual situation, there are also Other methodswhich can be useful. At Medical NOVA, we offer a comprehensive range of aesthetic treatments and give you honest advice on which method promises the best results for you.

Autologous fat transfer: a long-term but more invasive alternative

Autologous fat transplantation offers Very long-lasting results (several years), but is more invasive and requires two surgical areas: fat harvesting (usually abdomen or thigh) and injection into the cheeks. The major advantage is the use of the body's own material and the long-term effect. The disadvantages are the longer downtime, higher costs and the risk of uneven healing.

Bio-stimulators: Collagen build-up for natural volume formation

Substances such as poly-L-lactic acid or calcium hydroxyapatite stimulate the the body's own collagen production instead of adding volume directly. The result develops over weeks to months and looks very natural. The shelf life of 12-24 months is longer than with hyaluronic acid, but the final result is less predictable and not immediately visible.

Combination treatments for synergistic effects

Often are Combinations of different methods most effective:

Possible combinations: Utilising synergy effects

Cheek augmentation can be Excellent with other aesthetic treatments to achieve even more comprehensive and harmonious results. At Medical NOVA, we have extensive experience with such combination treatments and can offer you customised treatment plans.

The combination with Hyaluronic acid lips or Chin augmentation. These treatments complement each other perfectlyas they address different areas of the face and together ensure a harmonious, balanced overall appearance. Treating several areas in one session is not only more efficient, but often also more cost-effective than separate treatments.

The supplementary treatment of the Dark circles with hyaluronic acid strengthens the rejuvenating effect considerably. While cheek contouring adds volume and definition to the mid-face, hyaluronic fillers can also conceal dark circles under the eyes and give a fresher, more rested appearance.

A further synergistic effect results from the combination with Anti-ageing treatments like Botox for forehead wrinkles or Thulium laser for skin quality. These can improve the radiance of the entire face and optimally complement the effect of cheek contouring.

Frequently asked questions (FAQ)

Based on our many years of experience, we have Frequently asked questions from our patients compiled. These should help you to make an informed decision and dispel any uncertainties.

How natural is the result of cheek augmentation with hyaluronic acid?

When properly applied by experienced physicians, the result is extraordinarily natural and harmonious. The aim is always to gently restore volume without the typical "puffy" or artificial effect that is unfortunately sometimes seen with improper applications. Most people around you will simply notice that you look fresher, more radiant and more vital without realising why.

How long does cheek augmentation with hyaluronic acid last and how often does it need to be retreated?

The duration of action is typically 9-15 monthsindividual factors such as metabolic rate, facial expression activity and lifestyle play an important role. Interestingly, with regular treatments, many patients find that the effect lasts longer over time as the skin "gets used" to the extra volume and produces more of its own collagen. The optimal treatment frequency is usually 1-2 treatments per year with occasional touch-ups.

How many ml of hyaluronic acid do I need for cheek augmentation?

For a subtle contour enhancement, 1-2 ml per side is often sufficient; for a noticeable volume increase, most patients plan for 2-4 ml. For more severe volume loss, 3-5 ml may be required, often split over two treatment sessions for optimal, natural results. The We determine the exact quantity according to your individual facial analysis, your aesthetic goals and the initial situation. We deliberately start conservatively and can readjust if necessary.

When can I start doing sports and normal activities again?

Light activities and normal everyday life are already the day after the treatment possible. You should pause intensive training with heavy sweating for 48 hours, as increased blood pressure and heavy sweating could affect the integration of the hyaluronic acid. After this short period of rest, you can resume all your usual activities without any restrictions.

What can I do if I don't like the result?

A major advantage of hyaluronic acid is its Complete reversibility. Using the enzyme hyaluronidase, we can dissolve the filler in a targeted and complete manner if the result does not meet your expectations. At Medical NOVA, a follow-up appointment after 10-14 days is a standard part of the treatment. If corrections are necessary at this point, they can usually be carried out without any problems.

Is the method suitable for sunken cheeks after weight loss?

Yes, hyaluronic cheek augmentation is Ideally suitedto replenish sunken cheeks after weight loss and give the face new fullness and youthfulness. Through targeted, layered volume build-up at different tissue depths, we achieve natural, harmonious results that restore the original proportions of the face. In cases of pronounced volume loss, we often work with a staggered treatment plan over several sessions.

Can I have other areas of my face treated at the same time?

Of course, we can combine cheek augmentation with other hyaluronic acid treatments. Popular and useful combinations are lip volume, jawline contouring or chin augmentation for a harmonious overall result. Anti-ageing treatments such as Botox for the forehead or mesotherapy for skin quality can also be excellently combined. We will discuss the optimal combination strategy in detail during your individual consultation.

What side effects are normal and when should I be worried?

Slight swelling, minimal reddening and occasional small bruises are common. completely normal and subside within a few days. These reactions show that your body is responding to the treatment and optimally integrating the hyaluronic acid. However, the following are worrying: increasing severe pain, whitish skin discolouration, persistent severe swelling after a week or loss of sensation. In such rare cases, we are available around the clock.

Do I need an anaesthetic for cheek injections?

Most modern hyaluronic fillers already contain a Mild local anaestheticThis makes the treatment much more comfortable. We can also apply an anaesthetic cream if required. Most patients find the treatment easy to tolerate - comparable to a vaccination. Our gentle injection technique and the use of blunt cannulas further minimise discomfort.

Are there any age restrictions for cheek augmentation?

A lower age limit is around 25 yearsas there are usually no volume changes requiring treatment beforehand. There is no strict upper limit - the individual skin quality and realistic expectations are decisive. From around the age of 65, skin elasticity decreases, meaning that surgical procedures may be more effective. We will give you honest advice on whether you would benefit from the treatment and which alternatives may be more suitable.

Dr Tukezban Huseynova, MD
Medical Director Medical NOVA GmbH
Specialist in ophthalmology and optometry | ophthalmic surgeon | specialist in aesthetic medicine
Over 15 years of international experience | 10,000+ successful eye operations
Further information about the author | Our team | About Medical NOVA

The Cheek augmentation with hyaluronic acid is a proven, safe and highly effective method of restoring lost facial volume and enhancing natural radiance. The treatment is suitable for anyone who wants a natural and gentle refreshment of their facial contours without having to undergo the risks and downtime of surgical procedures.

At Medical NOVA, we combine state-of-the-art aesthetic medicine techniques with a deep understanding of natural beauty. This combination of medical expertise and aesthetic flair enables us to develop individual solutions for each patient that are not only effective, but also completely harmonious.

Our central location in the Zurich lowlands makes us ideal for patients from Zurich, Winterthur and the entire region. easily accessible. Each treatment is planned and carried out individually so that you feel completely comfortable in your skin and can go through life with renewed self-confidence.