Using filler in the cheeks is one of the most common uses for fillers. The problem is that even though the cheeks themselves might look good after the injections--and that's a big if-- your new cheeks might be out of balance and out of harmony with the rest of your face. For example, a person who has volume loss in the cheeks and thinks they need bigger cheeks has most likely lost volume in the temples, under eyes, and right below the cheek as well. If these issues are not corrected at the same time, your new cheeks will look out of proportion to the rest of your face and might look fake.

The key to using fillers, or fat, or any other facial cosmetic surgery is to achieve facial harmony and balance.

So what are your options? Well, if you truly just want your cheeks to go back to what they used to, you can maybe have the filler dissolved, as long as a hyaluronic acid based filler was used (like juvederm, restylane, perlane). Your other option is to fill in those other areas a bit to bring your face into greater balance and harmony. Just a little filler in your temple, or under eye area might all of a sudden make your face look great and balanced again.

To enhance the jaw line there are 3 options:

1. Jaw implants, or what's called angle of the mandible implants. These are placed through incisions on the inside of the mouth. The implants are made out of a solid silicone material which sits on the bone. It does not move around or float in the tissue.

2. Fat injections to the jaw line. Fat injections can be used to help define the jaw line. It does not provide the same structural support as the jaw implants do, but will give you a stronger looking more defined jaw line.

3. Filler agents such as Radiesse or Juvederm. These fillers can be used to define the jaw line as well. They are not permanent and hence there will need to be some touch ups every so often to maintain the look. The nice thing is that this is a fairly simple in office procedure which can be done in minutes with no downtime.

If a filler agent such as juvederm or restylane is placed too superficially in the skin, it could cause this bluish effect you are describing.

The only way to reverse it is to dissolve the juvederm, which is possible, which will get rid of the bluish color. Afterward if you would like you can have the filler placed again but at a deeper level so it does not cause the blue effect again.

Non Surgical Rhinoplasty or Non Surgical Nose Job usually entails using a filler such as radiesse or juvederm or perlane to augment or change the shape of your nose. In the bridge, the filler tends to last a fair amount of time. I err on conservative estimates and tell patients it will need to be redone every 6 months or so, but I have had many patients for whom it has lasted for over a year.

Initially, there is some swelling associated with the injection, especially if it is your first time. You might need a small touch up once the swelling subsides about 14 days after the first injection.

You can read more about non surgical rhinoplasty by visiting our non surgical rhinoplasty page