How to Improve Sunken Cheeks That Make You Look Older?
2026-10-13
When the cheeks are sunken, the cheekbones can become prominent, making you look tired and older.
Sculptra for the cheeks induces collagen production to fill in volume, unlike fillers.
It is important to consider the balance of volume extending from the temples, cheekbones, and midface rather than just filling the cheeks alone.

Hello, this is Derna Clinic.
There are times when you start to notice parts of your face that you previously didn’t pay much attention to. If your face looks particularly tired or hollow, the sunken cheeks might be the cause. The cheeks create the three-dimensionality of the central part of the face, so when the volume decreases, the cheekbones can appear more prominent, or the three-dimensionality of the center can diminish, leading to a tired and older impression.
Therefore, when cheeks appear sunken, many people look for ways to naturally restore volume. One method that is often considered is Sculptra for the cheeks.
How Does Sculptra Create Volume for the Cheeks?

Before discussing Sculptra, let’s first talk about fillers, as they are often compared. The characteristic of fillers is speed. Many people seek them because they can see volume changes immediately after the procedure. However, if you prefer gradual changes rather than direct volume supplementation like fillers, you might consider Sculptra.
Sculptra does not directly fill in volume like fillers; instead, it works by injecting PLLA components to stimulate the skin to produce its own collagen. Therefore, collagen is gradually produced over 1 to 3 months, resulting in a natural increase in volume.
When Should You Consider Sculptra for the Cheeks?

When considering Sculptra for the cheeks, it is necessary to examine your current facial condition and the desired direction of change. For example,
✔️ If the overall volume of the face has decreased along with the cheeks
✔️ If you are concerned about changes in skin elasticity or texture along with sunken cheeks
✔️ If you prefer changes that appear natural rather than sudden, etc.
If you have concerns like the above, you might consider Sculptra for the cheeks. However, please remember that the appropriate approach may vary depending on individual facial structure, surrounding volume, and skin condition.
🧑🏻⚕️Wait, if you are worried about Sculptra nodules, check out the column below.
Why Do Sculptra Nodules Occur? Comprehensive Guide from Causes to Prevention
Can Filling Only the Cheeks with Sculptra Look Awkward?

It might seem like simply filling the sunken cheeks would suffice, but that’s not always the case. If the volume in the temples or midface is lacking, having only the cheeks stand out can make the cheekbones appear larger or give a puffy look to the face. Therefore, when planning Sculptra for the cheeks, it is important to check the overall flow of the face rather than just focusing on the cheeks.
🟡Check if the Temples are Also Sunken
If the temples are hollow, the boundary between the cheeks and temples can become prominent, making the cheeks appear overly inflated.
🟡Check the Protrusion of the Cheekbones
If the cheekbones are relatively prominent, the amount and position of volume in the cheeks need to be adjusted more carefully.
🟡Movement When Making Expressions
While it may look natural when at rest, the volume can become pronounced when smiling, so it’s good to check both the resting state and the moving state.
By examining the balance extending to the temples, cheekbones, and midface, you can reduce the feeling of emphasizing specific areas and plan for the overall harmony of the face.
Frequently Asked Questions
Q. How much does one session of Sculptra for the cheeks cost?
Sculptra is performed in vials, and the cost varies depending on the treatment area, required volume, and events. You can check the real-time Sculptra costs during events at Derna Clinic, so please check the link below.
※Events may change or end without notice. If you can't find what you're looking for, we will provide detailed guidance upon inquiry.
Q. How many cc are usually needed for both cheeks?
The required volume is determined by considering the degree of cheek hollowness, individual skin condition, and overall facial volume. The appropriate treatment range and volume may vary depending on individual conditions, so we recommend consulting with the medical staff thoroughly before the procedure.
Q. It seems like the volume in my cheeks increased right after the procedure, but after about 2 weeks, it looks like it has decreased again. Is this normal?
This is a process that can occur depending on the individual. The volume felt immediately after the procedure is often a temporary change due to the injected diluted solution, and this fluid is gradually absorbed by the body. After that, collagen is produced in response to the PLLA particles, and this change appears over weeks to months. Therefore, it is better to monitor the progress rather than judge the results at the 2-week mark. However, the timing and degree of perception can vary from person to person, so if there are concerning changes, it is advisable to consult at the clinic.
Q. I’ve heard that doing 555 massage can help prevent nodules, how should I do the massage?
The 555 massage refers to gently massaging the treatment area 5 times a day for 5 minutes each over 5 days. This massage helps to distribute the particles evenly rather than allowing them to cluster in one place. Please be sure to massage gently, as pressing too hard or repeatedly pressing specific areas can cause swelling and bruising.
Q. I have hollowness under my eyes and Indian lines as well; can I fill just below my eyes?
The skin around the eyes is very thin and sensitive, so careful consideration is needed. Instead of directly filling just below the eyes, it is often approached by first examining the balance of volume in the cheeks and midface. If hollowness under the eyes is the main concern, other methods may be more suitable, so consultation is necessary.
At Derna Clinic, we provide personalized improvement methods after examining the surrounding volume, facial three-dimensionality, and skin condition for those considering Sculptra for the cheeks. If you are contemplating Sculptra for the cheeks, start by identifying why your cheeks appear sunken and find the appropriate method for your face.

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