Quickly Rejuvenate Deep Lines and Sunken Cheeks

Expert Inland Empire plastic surgeon discusses rejuvenation options-Juvederm, Restylane, Sculptra, fat transfer and cheek implants.

Sculptra Before and After photo available from Dr. Brian Machida, facial plastic surgeon Inland Empire CA

Rejuvenation tools for faces with deep lines and sunken cheeks include fillers like Juvederm, Restylane and Radiesse, the collagen-stimulating injectable Sculptra as well as facial fat grafting (fat transfer) and cheek implants.  Is one of them your best option?

Dr. Brian Machida is a double board certified facial plastic surgeon in Inland Empire in metro Los Angeles. He has an exceptional level of experience, having performed more than 5,000 facial rejuvenation procedures in his career.  Dr. Machida served for years as a clinical professor at the University of Southern California’s Keck School of Medicine.  He is now in private practice at STC Plastic Surgery in Ontario, California.

A face with the right amount of fullness projects an air of youthfulness, vitality and health.  Sunken cheeks and hollows under the eyes can make a person look old, stressed and tired.  At a time when jobs, favor and attention are preferably given to young people, this can cause real problems for mature adults who are skilled, seasoned and energetic.  Fortunately, there are several treatments available to quickly restore a youthful appearance and allow people to look as young and energetic as they feel.

Americans are rightly concerned with losing fat.  And while time seems to deposit it in places where we don’t want it, we often lose fat in areas where we need it most.  In youth, normal fat deposits under the skin gives your face pleasing rounded contours.  As we age, these natural fat pads shrink.  This can leave you with hollowed cheeks and sunken eyes.

You may have special events on the horizon where you’ll want to look your best.  If your company’s busy season starts when summer vacation season ends, a rejuvenated face can be a real asset to help you capitalize on opportunities (see “Improving Your Appearance – Could it Improve Your Income?” in the LookYounger.News Lifestyle section).

You can quickly improve your appearance with minimal downtime this summer and make a great impression this fall (or sooner).  How?

Juvederm, Restylane, Radiesse and other fillers

Restylane silk Before and After photo - available from Dr. Brian Machida, facial plastic surgeon, Inland Empire California
Carol – before and after Restylane Silk

If time, precision and cost are primary concerns, a facial filler like Juvederm, Restylane and Radiesse can provide an immediate, less expensive solution.  Results can be seen right away.  A skilled facial plastic surgeon can inject fillers exactly where they’ll have the greatest impact on a sunken face.  This precision is not as easy to achieve with other treatments.

Fillers last about a year.  Most administered by board-certified specialists are based on substances your body naturally produces, like hyaluronic acid.  Because of this, your body will gradually absorb fillers over time.  This is great, since any undesired effect is sure to disappear.  But to maintain the great new look a skilled physician can deliver, fillers must be injected on schedule.   If you want a quick, highly affordable solution, fillers may be your best option.


Sculptra is an injectable treatment to restore volume to cheeks and fill deep lines and wrinkles in the nasolabial folds and marionette lines.  (Nasolabial folds run from the corners of the nose to the corners of the mouth; marionette lines extend from the corners of the mouth to the jawline) – see the Before & After Sculptra photo featured at the top.

Sculptra’s results often last two years, twice as long as fillers.  Unlike fillers, though, improvements do not appear instantly, but gradually.

Sculptra Before and After photo - available from Dr. Brian Machida, facial plastic surgeon, Ontario, California
Franca – before and after Sculptra

Sculptra works by stimulating your body to produce collagen, the building blocks of firm, healthy skin and tissues. So, while treatment with fillers will give you an instantly younger look, no one will know you used Sculptra unless you tell them.  Your face will gradually improve in the course of a few months.  Your younger look will last for two years before you’ll need another treatment.

Fat Grafting (Fat Transfer)

Fillers like Juvederm, Restylane, and Radiesse as well as the collagen-stimulating injectable Sculptra are excellent, but shorter-term solutions for people with thinner frames.  Fat Grafting is a longer-lasting solution for those with available fat on other parts of their body that can be moved to where it’s needed most.  Fat transfer requires no facial incisions.  It is a minimally-invasive procedure that can provide a long-lasting younger look.

If your body weight is where you want it to be, fat grafting can be an excellent option.  If you’re losing weight, it’s best to wait until you’ve reached your goal, because reducing fat in your body will shrink it in your face as well.

Only about 50% of the fat cells transferred to your face will remain in place.  So, more than one fat grafting treatment may be necessary to achieve optimal results.  But if you’d like an attractive, younger look and have some fat cells to spare, this could be the right option for you.

Cheek Implants

This is the longest-lasting way to get the rounded, youthful new look you desire.  Cheek implants will bring immediate results that can last a lifetime.

Because no one’s face is perfectly symmetrical, implants must be trimmed by your surgeon.  An experienced facial plastic surgeon is a must – implants often need to be trimmed to prevent an uneven look.  In rare cases, implants can slip or cause deterioration in the facial bones.  Your surgeon can tell you if you would be a good candidate for this option, which will provide an instantly noticeable improvement.


Research shows that a younger-looking, more attractive face can increase your confidence, happiness and income.  Why not meet with an experienced facial plastic surgeon in your area who can help you determine the best way to restore your good looks and the benefits they can bring.

Want to learn about your best personal options to improve your appearance?

Speak with an expert in your area:

In your email to the doctor, please include your name and best contact information. Their office will get in touch to schedule a free consultation.

To find an expert in another location, click here.

About Dr. Brian Machida, MD, FACS

Dr. Brian K. Machida, MD, FACS is a double board certified facial plastic surgeon. He has an exceptional level of experience, having performed ( read more )

Articles by Dr. Brian Machida, MD, FACS

How Can I Best Improve my Double Chin and Turkey Neck – with or without Surgery?

In Inland Empire, California where I practice, many find themselves looking for [Read More]

Renuvion / J-Plasma Skin Resurfacing – Best in Treating Acne Scars, Upper Lip Lines and Deep Facial Wrinkles

Article with video: Renuvion/J-Plasma beats CO2 laser skin resurfacing and microneedling for treating acne scars, deep wrinkles and upper lip lines. [Read More]

Is Juvederm, Restylane, Radiesse or Bellafill Best for Wrinkles, Deep or Fine Lines or Restoring Volume? – by Inland Empire Expert MD

What fillers are best for fine lines and wrinkles, deep lines or restoring volume to facial hollows? Should you use Juvederm, Restylane, Radiesse or Bellafill? Inland Empire expert facial plastic surgeon Dr. Brian Machida, a skilled injector who taught for years at USC’s Medical School, provides his expert guidance. [Read More]

Can Food Fight Wrinkles and Aging Skin?

Research shows that what we eat can have a real impact on how we look. Which delicious food helps the most? [Read More]

The Safest Facelift Provides Great, Natural-Looking Results

Many who want to look younger get a facelift. People from Inland [Read More]

Is Rhinoplasty or a Non-Surgical Nose Job with Bellafill Best for You?

Is surgical rhinoplasty or a non-surgical nose job best for you? Inland Empire expert Dr. Brian Machida discusses a standard nose job and liquid rhinoplasty, considering the advantages and disadvantages of both procedures. [Read More]

Best Treatment for Your Wrinkles – Botox, Fillers, Microneedling, Laser or Renuvion / J-Plasma Resurfacing?

If you have wrkinkles, you have a lot of options. Botox, fillers like Juvederm, Restylane and Bellafill, microneedling, laser resurfacing and Renuvion / J-Plasma skin resurfacing all work well. Inland Empire, CA expert facial plastic surgeon Dr. Brian Machida considers which one might be right for you. [Read More]

Cut Cost of College, Reduce College Debt with Good Planning and Cosmetic Surgery

Every year we hear that the cost of college and college debt [Read More]