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Dermal Fillers

How to Tell If Someone Has Cheek Fillers

You can tell if someone had cheek fillers if the cheeks appear stiff, bruised, or swollen. Cheeks that appear younger can also be a sign that one had cheek fillers, especially with polylactic acid. Herein is everything you need to know about cheek fillers, including their benefits, risks, and the associated side effects.

A fair amount of data shows that, at 25 years, the body begins to produce less collagen. The reduced production of collagen kick-starts aging signs like wrinkles and fine lines. Notably, collagen is produced in the body for skin elasticity and structure. With less collagen, the skin develops wrinkles and becomes saggy. Medical conditions can also lead to skin sagging and volume wastage. Sunken cheeks and hollow tear troughs characterize volume wastage. Hollow tear troughs can be genetically induced. Cosmetic products and procedures are used to make these signs less pronounced, but some signs are too pronounced for cosmetic products. Using fillers is the best choice for those who want a temporal fix.

What are Cheek Fillers?

Dermal fillers are used in minimally invasive cosmetic procedures like filling cheeks and plumping thin lips. Cheek fillers are used to improve cheek volume and enhance the cheekbone appearance.

How to Tell If Someone Has Cheek Fillers

You can tell if someone has face fillers if you notice some swelling and bruising on the cheeks. The fillers will take two weeks to settle; the cheeks will look stiff.

You can tell if someone has face cheeks if the face looks younger than that person’s age. In older people, cheeks appear dropped and have sunken tear troughs. The skin tone also will appear young with fewer wrinkles and sagging. 

Types of Cheek Fillers

Polylactic Acid

Polylactic acid plumps thin lips, improve volume, and treats facial wastage. According to Christen &Vercesi (2020), polylactic is a collagen trigger; after injection, it dissolves into the body. The effect of polylactic acid takes at least two weeks; the acid must trigger collagen production before its effects manifest.

Hyaluronic Acid

According to Shirshakova et al. (2020), hyaluronic acid is found in the human body in joints, skin, and fluid surrounding the eye. The acid helps the bones to move smoothly and maintain skin hydration. It is used as a filler to treat cheek depression and facial scars and enhance cheekbone appearance. 

Polyalkylimide Acid

According to Karthik & Mohan (2017), polyalkylimide acid does not react with the body, but once injected, a collagen layer forms around it. Polyalkaylimide is good cheek filler because a single injection can deliver a large volume. Medications can also treat facial wasting, plump thin lips, and remove deep wrinkles.

Polymethyl-methacrylate microspheres (PMMA)

PMMA is used to treat deep wrinkles, folds, and furrows. PMMA is more efficient in treating deep wrinkles than collagen replacement therapy. The dermal filler is administered in low doses until you achieve the anticipated results because it is long-lasting. Cosmetic doctors can use the tunneling method to inject into the dermal and subcutaneous junction. It can also be used to improve cheek volume. 

Calcium hydroxylapatite 

According to Shirshakova et al. (2020), calcium hydroxylapatite is a mineral-like substance found in human bones. It is biosynthetically produced to reduce the risk of allergies. When used right, this filler can yield natural results. Calcium hydroxylapatite can improve cheek volume and enhance cheek fullness and other facial contours. 

Benefits of Cheek Fillers

Stimulate Collagen Production

Collagen is responsible for maintaining skin structure and elasticity. Injecting dermal fillers like polylactic and hyaluronic acids trigger collagen production, leading to smoother skin, fewer wrinkles, more volume, and less pronounced scars. More collagen in the body will give you a youthful look. 

Minimal Risks

Cheek fillers are relatively safe when done by cosmetic experts. You can experience minor side effects like swelling, which will disappear shortly. 

No Downtime

Cheek fillers yield results immediately. You do not have to wait to heal to see results. Cheek fillers take at least two weeks to heal; you can resume work immediately after doing fillers. 

Long Lasting Effect

Cheek fillers can last for a year or more, depending on the type of filler used. The hyaluronic filler can last for a year; the PMMA lasts for five years, while polylactic acid lasts for two years. It will take at least a year before redoing your cheek fillers.

How Cheek Fillers are done

The doctor evaluates your face and marks the areas to be treated. The marked area is cleaned with an anti-bacterial agent before a topical anesthetic is applied to numb the area. The process is not painful, but you will initially feel some discomfort. The cosmetic doctor will inject you with your choice’s cheek filler. The process will take, at most, 60 minutes. 

Side Effects and Precautions

Cheek fillers are quite safe when done by a professional. You can experience some infection or a blocked blood vessel if cheek fillers are done wrong. Cheek fillers should be done in a hospital and by a qualified cosmetic practitioner.

FAQs about Cheek Fillers

What Should I Do After Cheek Fillers?

You should avoid touching or massaging the area unless you are instructed to do so. Use soft cleaning agents for at least a week when washing your face.

How Long Do Cheek Fillers Take to Settle?

Cheek fillers take at least two weeks to settle. The results for cheek fillers are immediate except when polylactic acid is used. 

Can I Exercise After Cheek Fillers?

You can do simple exercises like walking but avoid heavy lifting. It is recommended that you wait for 48 hours before you resume exercising. Less strenuous exercise will reduce bruising and infection from sweat. 

Can I Look Natural with Cheek Fillers?

You can look natural with cheek fillers if you do not overdo the filling. Plumping medium-sized cheeks will not give you a natural look if you already have medium-sized cheeks.


It can be hard to tell if someone had cheek fillers without having a closer look. You can look for swelling or bruising on the cheeks. You can also check whether the skin around their cheeks matches their age. The effect of collagen will give that person a youthful look. Cheek fillers are used to improve the volume and enhance the cheekbone. How soon you will redo cheek fillers depends on the type of filler you choose; fillers like PMMA last for five years, while hyaluronic acid is short-lived. Fillers are safe and offer immediate results except when polylactic acid is used; the effect can be seen after two weeks.


Christen, M. O., &Vercesi, F. (2020). Polycaprolactone: How a well-known and futuristic polymer has become an innovative collagen-stimulator in esthetics. Clinical, Cosmetic and Investigational Dermatology, 13, 31.

Deshmukh, S. N., Dive, A. M., Moharil, R., &Munde, P. (2016). Enigmatic insight into collagen. Journal of oral and maxillofacial pathology: JOMFP, 20(2), 276.

Dovedytis, M., Liu, Z. J., & Bartlett, S. (2020). Hyaluronic acid and its biomedical applications: A review. Engineered Regeneration, 1, 102-113.

Karthik, R., & Mohan, N. (2017). Dermal Fillers. International Journal of Oral Health Dentistry, 3(1), 6-9.

Shirshakova, M., Morozova, E., Sokolova, D., Pervykh, S., &Kayumova, L. (2021). Cosmetic Syndrome Correction with Calcium Hydroxylapatite-Based Filler in Patients with Connective Tissue Dysplasia. Dermatology research and practice, 2021.

Ksenia Sobchak