Wangenaufbau mit Hyaluron-Filler Stuttgart | VMAesthetics

What is Cheek Augmentation?

A surgical or non-surgical **Cheek Augmentation** (Wangenaufbau) is a highly foundational and transformative facial rejuvenation treatment. As we age, the cheeks naturally lose their essential fat volume and bone density, descending downwards. This volumetric loss often results in a tired, sunken, and hollow appearance of the mid-face.

By using advanced, high-density hyaluronic acid fillers, we can restore lost structure and volume, which:

• Exquisitely defines and projects the cheekbone structure
• Makes the entire face look instantly younger, fresher, and more vital
• Indirectly softens the nasolabial folds (creating a beautiful liquid lifting effect)
• Re-establishes a beautifully balanced, harmonious facial contour

Why Do Cheeks Lose Volume Over Time?

• Fat Depletion: Deep and superficial mid-face fat pads shrink with age
• Bone Resorption: The malar (cheekbone) bones naturally flatten and recede
• Collagen Depletion: The skin loses structural elasticity and firmness
• Gravitational Descent: Loose facial tissues shift downwards

The collective clinical result: A tired, hollow mid-face accompanied by deep, sagging nasolabial folds.

How does the Cheek Augmentation Work?

Highly cohesive, high-viscosity hyaluronic acid is precisely injected into the malar and submalar region across multiple anatomical layers:

• Supraperiosteal Injection: Placed deeply directly on top of the bone to provide maximum structural support and projection
• Subcutaneous Injection: Delivered into the superficial fat layers to smooth out transitions and build soft volume

We strictly utilize advanced clinical techniques such as the **MD Codes** – strategically researched injection points designed to deliver optimal structural lift and natural symmetry.

The Treatment Procedure

1. Expert Consultation & Analysis
Detailed evaluation of your facial proportions, bone structure, and customized planning of your ideal cheek profile.

2. Preparation
Sanitizing, mapping of the target MD Codes injection points, and application of local numbing or ice packs.

3. The Injection
Precise placement of the premium filler using ultra-fine needles or blunt micro-cannulas. The session takes 30–45 minutes.

4. Harmonious Sculpting
Gentle, manual molding of the gel by the clinician to achieve a completely smooth, symmetric result.

Core Advantages of Cheek Augmentation

• Liquid Lifting Effect: Subtly elevates the entire mid-face and jawline
• Indirect Wrinkle Reduction: Smooths out nasolabial and marionette lines naturally without injecting them directly
• Youthful Rejuvenation: Restores the beautifully defined cheekbones of your youth
• Balanced Symmetry: Restores or creates a gorgeous, classic "triangle of youth" contour
• Outstanding Longevity: Results endure beautifully for 12 to 24 months
• Fully Reversible: Can be immediately dissolved using hyaluronidase if required

Cheek Augmentation as the Foundation Treatment

In full-face aesthetic mapping, cheek augmentation is almost always prioritized as the **very first step** in a comprehensive rejuvenation plan:

1. Cheek Augmentation › Lifts and anchors the descending facial tissues
2. Nasolabial Fold Filler › Addressed subsequently if needed (usually requires far less product!)
3. Marionette / Jawline Filler › Implemented as needed for lower-face balance
4. Botox Rejuvenation › Relaxing the upper face (forehead, glabella, crow's feet)

› The gold standard clinical approach: Treat from top-to-bottom, and from the inside-out!

Essential Post-Treatment Guidelines

• Mild swelling is expected for 24–48 hours (often more prominent than in other regions)
• Avoid intensive sports, workouts, and heavy lifting for 48 hours
• Refrain from applying face makeup for at least 4 hours post-treatment
• Do not sleep on your stomach or sides for the first night (sleep flat on your back)
• Apply cool compresses gently to minimize temporary swelling

Safety & Potential Side Effects

• Mild swelling (common, resolving in 3–7 days)
• Minor bruising at the entry points (resolves in a few days)
• Mild local pressure tenderness or soreness on touch
• Temporary asymmetry due to uneven swelling (resolves within 2 weeks)
• Extremely rare: temporary numbness or localized vascular issues (highly preventable with micro-cannula techniques)

Who is this Treatment Best Suited For?

Ideal for:

• Individuals experiencing loss of volume or flattening of the cheeks
• Patients wishing to define soft, unprojected cheekbone structures
• Those seeking a non-surgical alternative to a traditional facelift
• Anyone aged 30+ showing the first signs of mid-face sagging

Contraindications:

• Very young patients showing no natural volume depletion
• Pregnancy and breastfeeding periods
• Active skin infections or cold sores in the facial area