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 to Make a $16,000 Beverly Hills-Quality Facelift Cost Much Less

How much should an outstanding facelift cost? A highly experienced facial plastic surgeon, who performed 4,000 facelifts and taught at the University of Southern California, shows how the right surgeon using the right methods can make a great facelift much more affordable. [Read More]

Battling Lines and Wrinkles – From Microneedling to Laser to Renuvion – What’s Best for Your Skin?”

Wondering if microneedling, fractional laser or Renuvion can best treat your wrinkles? Inland Empire, California expert Dr. Brian Machida has some excellent advice on which treatments work best for different skin conditions. [Read More]

Facial Plastic Surgery Innovations Lead to the Best Facelift Results

If you’re considering facial plastic surgery, such as a facelift, you want the best results. Expert Dr. Brian Machida, who has practiced in Beverly Hills and Inland Empire, California shows how small innovations can make a big difference in getting you the best facelift. [Read More]

Safer Pain Management After Plastic Surgery – Avoid the Opioid Crisis with Exparel

Plastic surgery can improve your looks and your life. But it can expose you to the dangers of the opioid crisis, since opioids are often prescribed to control post-surgical pain. Could a new surgical pain medication, Exparel, help reduce that risk? Inland Empire, CA expert facial plastic surgeon tells how it could. [Read More]

Bellafill vs. Fat Grafting, Juvéderm, Voluma, Restylane, Radiesse and Sculptra – Which Filler NOW Provides the Longest Lasting Great Results?

Bellafill is an FDA approved filler to improve nasolabial folds, marionette lines and wrinkles for up to 5 years. Inland Empire, CA expert facial plastic surgeon shows how it compares with fat transfer, Juvederm, Voluma, Restylane, Radiesse and Sculptra. [Read More]

Better Fat Grafting to Restore Facial Volume and Improve Nasolabial Folds – Look Beautiful Again with BeautiFill

As we age many of us start to lose volume in our faces. Marionette lines and nasolabial folds start to appear. Inland Empire expert facial plastic surgeon describes a revolutionary fat grafting improvement, BeautiFill. Is it a better option than Juvederm and Restylane? [Read More]

Do I Really Need Facial Plastic Surgery?

Many who want to look younger wonder if they really need facial plastic surgery. Inland Empire, California facial plastic surgeon Dr. Brian Machida, who taught for years at USC’s Medical School provides some key factors in determining whether you need a surgical procedure. [Read More]

Rhinoplasty: Getting the Right Nose Job for You

Considering rhinoplasty? Before you choose a surgeon for your nose job, you’ll want to consider advice from an expert facial plastic surgeon Dr. Brian Machida, who taught facial plastic surgery for years at the University of Southern California’s medical school. [Read More]

Why experience makes such a difference in facial plastic surgery results

If you’re considering plastic surgery or facial plastic surgery, your surgeon’s level of experience in your procedure can make a big difference in your results. An expert facial plastic surgeon from Inland Empire in metro Los Angeles explains how. [Read More]

Improve or Eliminate Acne Scars with No Downtime – Look Better in Any Season with Bellafill

Many would like to get rid of acne scars, but want to avoid the discomfort, sunlight restrictions and downtime of laser resurfacing. A new, FDA-approved treatment, Bellafill, can get great results with no downtime in any season. [Read More]