As we age we loose facial volume and fat in a nonuniform manner. Our cheeks loose volume as well as the area around our eye, temples, and jaw line. This contributes greatly to the aging process. When you were younger you probably had decent facial volume which blended better with the cheek implants. Since you are now loosing more volume around the cheeks, such as in your temples, under eyes, and lower cheek and jawline area, it makes the cheek implants appear more obvious and fake.

You have a couple of choices: one would be to enhance your facial volume around the cheek area, including your temples, under eye area, and brows. This will put your face into greater balance and harmony again.

Your other option is to take out the cheek implants, but then you will be faced with more hollowness and a more aged appearance. Your cheeks will no longer look fake, but instead might look deflated and older. At that point you can decide whether you want to enhance your facial volume. Your choices for doing that include fillers such as Radiesse, Restylane, and Juvederm, or your own fat.

Dimple surgery is permanent. It is possible that the dimple might become slightly less deep with time as we age, but it should be permanent. Dimple creation surgery takes only a few minutes to perform. It will be a bit swollen and not 100% natural for several days. After this time, you might still have a dimple present even when you are not smiling. This phase lasts anywhere from several days to several weeks, after which the dimple should only be present when you are smiling or animating your face.

You can read more about dimple surgery at our Dimple Creation Surgery Page

There are 4 types of rosacea, with one of them being the type to have more redness and erythema. A non approved treatment that I have recomended to some of my patients with good success is using a topical decongestant solution on the red areas. This tends to work with in an hour or two to reduce the redness substantially.

In general, young men are not the ideal candidates for forehead reduction or hairline lowering surgery. This is because in men the natural hairline might recede with age making the scar potentially more visible. It is still possible to perform hairline lowering surgery in men, as long as they know that they might have to have some hair grafting performed in the future, or they can choose to have a small amount of hair grafting performed the same day as their hairline lowering surgery.

Usually dark brown spots start to appear as we age, especially in people with darker skin types. Using a bleaching cream can help. Lasers can help as well, but tend to be a more pricey option for most people. You want a bleaching cream that has as an active ingredient of hydroquinone, kojic acid, or both. hydroquinone is slightly irritating to the skin and can cause redness and pealing at least initially.