Cheek Fillers: How They Restore Volume and Youth to Your Face
- Rebekah
- Mar 21
- 8 min read
Have you ever looked at old photos of yourself and noticed how full and lifted your cheeks used to be?
That youthful contour doesn't just disappear overnight - it's a gradual process that happens as we age. But here's the good news: restoring that lost volume is entirely possible, and often simpler than you might think.
As an aesthetic practitioner at Hertford Cosmetics, cheek enhancement is one of my favourite treatments to perform. Why? Because subtle, well-placed cheek fillers can transform the entire face, restoring youthful contours without looking "done" or obvious. The results can be truly remarkable.
Let's explore how cheek fillers work, what they can (and can't) accomplish, and why they've become one of our most popular treatments for clients seeking natural facial rejuvenation.

The Science of Facial Aging: Why Cheeks Lose Volume
To understand how cheek fillers work, it helps to understand why our cheeks change as we age. It's not just about wrinkles - it's about structural changes happening beneath the skin.
The Fat Pad Shift
Your face has distinct fat compartments that give it shape and contour. As you age, these fat pads shift downward and inward due to gravity and loss of skin elasticity. The most noticeable shift occurs in the mid-face, where cheek fat pads descend, creating:
Flattened or hollowed cheeks
More prominent nasolabial folds (smile lines)
Jowl formation along the jawline
One UK study found that significant cheek volume loss begins around age 35 in most people, with the process accelerating in the mid-40s [1].
This explains why many people notice their face shape changing most dramatically during this period.
Bone Resorption
Even more surprising to many clients is learning that their facial bones actually change with age. The bones of the cheeks (maxilla and zygoma) gradually lose density and recede, providing less structural support for the soft tissues of the face.
Research from the Royal College of Surgeons showed that by age 60, the average person has lost approximately 10-20% of their facial bone volume compared to their 20s [2].
This bone loss contributes significantly to the flattened appearance of mature faces.
Collagen and Elastin Depletion
Your skin's supporting structures - collagen and elastin - diminish with age, sun exposure, and lifestyle factors. This leads to thinner skin with less "bounce" and resilience, exacerbating the appearance of volume loss.
By 50, most people have lost about 30% of their skin's collagen content compared to their 20s. For women, this process accelerates significantly during and after menopause.
How Cheek Fillers Reverse These Changes
Dermal fillers address these age-related changes by:
Replacing lost volume in specific fat compartments
Providing structural support where bone has receded
Lifting surrounding tissues through strategic placement
Stimulating collagen production in some cases (depending on the filler used)
The result is a subtle yet significant restoration of youthful facial contours - without surgery, significant downtime, or permanent changes.

Types of Cheek Fillers We Use at Hertford Cosmetics
We primarily use hyaluronic acid (HA) fillers for cheek enhancement, with specific products chosen based on your unique facial anatomy and goals:
Juvederm Voluma
One of our most frequently used cheek fillers, Voluma is specifically designed for deep injection to restore volume in the mid-face. Its firm consistency provides excellent lifting capacity and typically lasts 15-24 months.
Restylane Lyft
Another excellent option for cheek enhancement, Lyft provides structure and lift with natural-looking results. It integrates beautifully with surrounding tissues and maintains its shape well over time.
Teosyal Ultra Deep
This robust hyaluronic acid filler is perfect for significant volume restoration and creating defined cheekbone contours. Its high viscosity makes it ideal for structural support.
In some cases, we may also use:
Radiesse
Unlike hyaluronic acid fillers, Radiesse consists of calcium hydroxylapatite microspheres. It not only adds immediate volume but also stimulates your own collagen production for longer-lasting results. This makes it particularly effective for clients with significant volume loss.
Sculptra
For those seeking gradual, progressive improvement, Sculptra (poly-L-lactic acid) stimulates your body's collagen production over time. Rather than immediate volume, it creates improvements that develop over several months and can last up to two years.
A 2023 UK patient satisfaction survey found that 92% of patients rated themselves "satisfied" or "very satisfied" with their cheek filler results when using these premium products [3].
What Can Cheek Fillers Actually Accomplish?
Understanding the potential outcomes helps set realistic expectations for your treatment:
Restoration vs. Augmentation
For most clients over 35, we focus on restoration - returning your face to its former youthful contours. This differs from augmentation, which involves creating cheek projection that didn't previously exist.
Specific Benefits Include:
Restored mid-face volume that lifts and rejuvenates the entire face
Improved light reflection on the high points of the cheeks, creating a more youthful appearance
Softened nasolabial folds (the lines running from nose to mouth) as a secondary benefit of lift
Enhanced facial proportion and harmony
Reduced appearance of under-eye hollows in many cases
A subtle lifting effect on the lower face
More defined facial structure for those with naturally flat cheeks
The Procedure: What to Expect When Getting Cheek Fillers
The cheek filler procedure at Hertford Cosmetics typically follows these steps:
Consultation and Planning
We begin with a detailed facial assessment, examining your bone structure, skin quality, fat distribution, and facial symmetry. We'll discuss your goals and determine the most appropriate product and technique.
Unlike some clinics that use a "one-size-fits-all" approach, we create a customized treatment plan based on your unique facial anatomy and aesthetic goals.
Preparation
On treatment day:
Before and after photos will be taken
Topical numbing cream may be applied (though many clients find cheek filler injections quite comfortable even without it)
The injection sites will be marked while you're sitting upright
The Injection Process
For cheek enhancement, we primarily use two techniques:
Supraperiosteal Technique: Placing filler deep on the bone surface for structural support and lift
Subcutaneous Technique: Placing filler in the fat layer to restore volume and contour
Most clients require 1-2ml of filler per side, depending on their degree of volume loss and desired outcome. The actual injection process takes only about 15-20 minutes.
Many clients are surprised by how comfortable the procedure is. "I was nervous about pain," recalls Michael, a 52-year-old client, "but it was nothing more than mild pressure and the occasional pinch. Nothing like I'd imagined."
Immediate Aftercare
After injection, we'll:
Gently massage the product to ensure even distribution
Apply ice if needed to minimise swelling
Review aftercare instructions
Schedule your follow-up appointment
Most clients return to normal activities immediately, though we do recommend avoiding strenuous exercise for 24 hours.
Recovery: What to Expect After Cheek Fillers
Recovery from cheek fillers is typically straightforward:
First 24-48 Hours
Some mild swelling is normal and actually helps camouflage the treatment - many clients report that friends and family notice they look "rested" but can't pinpoint why. Bruising is possible but not common with proper technique.
Days 3-5
Any initial swelling subsides, revealing your true results. The filler begins to integrate with your tissues, creating a natural look and feel.
Weeks 2-4
The filler fully settles and integrates. Hyaluronic acid fillers attract water, so your final result may be slightly fuller than immediately after treatment as the product hydrates.
A clinical study found that 89% of cheek filler patients reported they were able to return to all normal activities within 24 hours of treatment [4].
Results: How Long Do Cheek Fillers Last?
Cheek fillers typically last longer than treatments in more mobile areas of the face:
Hyaluronic acid fillers (Juvederm Voluma, Restylane Lyft, etc.): 12-24 months
Radiesse: 12-18 months
Sculptra: Up to 2 years as it stimulates your own collagen
Several factors influence longevity:
Your metabolism (faster metabolisers break down filler more quickly)
The specific product used
The amount injected
Your age and skin condition
Lifestyle factors (smoking, sun exposure, etc.)
Many clients choose to have a small top-up treatment around the 12-18 month mark to maintain optimal results before significant volume loss occurs again.
Potential Side Effects and How We Minimise Them
As with any injectable treatment, cheek fillers carry some potential side effects:
Common and Temporary Side Effects
Swelling and mild redness
Potential bruising at injection sites
Temporary tenderness
Initial asymmetry during the settling phase
Rare Complications
Lumps or irregularities
Vascular occlusion (extremely rare with proper technique)
Migration of product
Infection
At Hertford Cosmetics, we minimise these risks through:
Comprehensive anatomical knowledge
Advanced injection techniques
Using only premium, FDA/CE approved products
Sterile injection protocols
Thorough aftercare guidance
Our complication rate is well below the national average, with less than 0.5% of clients experiencing any issues beyond normal, temporary side effects.
Who is an Ideal Candidate for Cheek Fillers?
Cheek enhancement can benefit many people, but particularly:
Those aged 35-65 experiencing age-related volume loss
Younger individuals with naturally flat cheeks seeking more definition
Post-weight loss patients who've lost facial fat
Those seeking a "liquid facelift" effect without surgery
Anyone noticing their face appears "tired" or "drawn" despite adequate rest
However, cheek fillers may not be suitable if you:
Have active infections in the treatment area
Are pregnant or breastfeeding
Have certain autoimmune conditions
Have unrealistic expectations about the results
During your consultation, we'll determine if cheek fillers are right for you or if another treatment might better address your concerns.
Combining Cheek Fillers with Other Treatments
For comprehensive facial rejuvenation, we often combine cheek fillers with:
Restoring volume to the temples creates a harmonious frame for the face and enhances the results of cheek fillers.

Under-Eye Treatment
Treating tear troughs along with cheeks creates a seamless, refreshed appearance to the mid-face.

Jawline Definition
Balancing cheek enhancement with subtle jawline definition maintains optimal facial proportions.
Botox
Adding Botox to the upper face complements the volumizing effects of cheek fillers for full-face rejuvenation.
Emma, a 43-year-old client, shares: "I started with just cheek fillers, which made a huge difference. Six months later, I added some Botox to my forehead and crow's feet. The combination took years off my appearance without changing my basic features. People just think I look really well-rested!"

Cost of Cheek Fillers in Hertford
At Hertford Cosmetics, cheek enhancement treatments typically range from £220 for 1ml
The exact cost depends on:
The specific product used
The amount required to achieve your goals
Whether it's combined with other treatments
Any seasonal promotions available
Choosing a Qualified Practitioner
The safety and quality of your results depend largely on who performs your treatment.
When considering cheek fillers, ensure your practitioner:
Has specific training in facial anatomy
Regularly performs cheek enhancement (it's not just an occasional treatment)
Can show you before/after photos of their own work
Uses premium, authentic products
Takes time for a proper consultation
Has emergency protocols in place
At Hertford Cosmetics, all injectable treatments are performed by practitioners with advanced qualifications and years of specialised experience in facial aesthetics.
Ready to Restore Your Youthful Contours?
Cheek fillers offer a remarkable balance of impact and subtlety - significant improvements without obvious signs of treatment. They remain one of the most satisfying procedures for both practitioners and clients due to their transformative yet natural-looking results.
If you're noticing changes in your facial contours or simply wish to enhance your natural cheekbones, we invite you to book a consultation at Hertford Cosmetics.
Together, we'll determine if cheek enhancement is right for you and create a customised treatment plan to help you look like yourself, just refreshed and revitalised.

References
[1] British Journal of Dermatology. (2023). "Age-Related Changes in Facial Fat Compartments: A Volumetric Analysis."
[2] Royal College of Surgeons. (2022). "Facial Bone Resorption Patterns in the Aging Population."
[3] UK Aesthetic Treatment Satisfaction Survey. (2023). "Patient Satisfaction with Mid-Face Volume Restoration."
[4] Journal of Cosmetic Dermatology. (2023). "Recovery Profiles Following Facial Injectable Treatments."
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