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All About Cheeks

All About Cheeks and Cheek Lifting Surgery

 

The cheeks are a key structural component of the mid-face, contributing to facial proportion, contour and support. Changes in bone structure, fat distribution and soft tissue position can alter mid-face volume and the relationship between the cheeks, lower eyelids and jawline.

 

At Prèface Cosmetic, cheek assessment forms part of a comprehensive facial evaluation, considering skeletal support, soft tissue position, skin quality and overall proportions before discussing suitable surgical and non-surgical pathways.

Cheeks Preface Cosmetic

When Is Cheek Lifting Considered?

In some patients, mid-face soft tissue descent, also known as cheek ptosis, affects the position of cheek fat pads and facial contour. Where appropriate, surgical lifting techniques may be discussed as part of a broader treatment plan.

Recommendations are based on clinical findings and patient preference following informed consultation.

Cheek Lifting Techniques at Prèface

Prèface offers several surgical approaches to address mid-face descent, selected according to individual anatomy and treatment goals:

• Mid-face lifting surgery using Endotine® anchors
• Mid-face lifting surgery using ribbon techniques
• Mid-face lifting procedures using suspension threads
• Lipofilling (fat transfer) procedures

 

Each technique differs in approach, fixation method and suitability. A detailed consultation is required to determine whether a lifting procedure is appropriate and to discuss potential risks, recovery considerations and expected outcomes.

Preface Cosmetic Cheek Lifting Procedures

How does cheek contouring and lifting work?

 

Dr Hollenbach offers several surgical techniques for cheek lifting. Mid-face lifting can follow a vertical vector (straight up) or a superolateral vector — often called “up and out,” where the cheeks are lifted toward the temple rather than straight up.

 

The most suitable technique depends on your facial configuration. Both approaches use Endotine anchors, placed beneath the cheek muscles and sutured in place. As with brow lifts, these anchors are absorbed by the body over time.

Learn more about Endotine implants here.

What are the risks and recovery involved with cheek lifting surgery?

Like all surgical procedures, Cheek Lift surgery carries risks. It’s important to be aware of common risks so you are able to weigh up the benefits, risks and limitations of the surgery. Below is a list of possible complications and specific risks for Cheek Lift surgery. General risks and complications of surgery can be found here. There may be complications that are not listed here and some lifestyle factors and medical conditions can cause greater risks.

 

Risks of Cheek Lifting Surgery:

  • Hematoma
  • Scarring
  • Nerve injury or paralysis
  • Hair loss around scars
  • Skin loss
  • Bruising and swelling
  • Numbness around operated sites
  • Post-operative asymmetry

Are there less invasive options?

For those who would like a less invasive procedure, threadlifting can be an appropriate technique in the cheeks, using a combination of both anchoring and free-floating Aptos PCL threads.

 

For other options, cross-linking thread techniques can be combined with other treatments such as lipofilling, where a foundation of collagen is encouraged in the cheek area to form a collagen platform. In time, usually 6-12 months, this area can be lifted as a unit using more traditional threadlifting techniques. This then becomes a two-stage procedure.

Adjunctive procedures for cheek lifting.

Mid-face or cheek lifting surgery can be combined with lipofilling, using fat from the abdomen, which is described in great detail on our lipofilling page on this website. Lipofilling can also be performed as a standalone procedure.

Discover whether cheek lifts are right for you.