Cath had noted over recent years that she had some progressive sagging of the cheek tissues with dark circles and hollows below her eyes.
Twelve months previously she had undergone tear trough injections to both sides but had recently noted a recurrent hollowing and deep crease below her left eye.
Cath was keen to see if some improvement could be made in the shape and volume of her cheeks and also requested further tear trough rejuvenation on the left side.
Cath’s experience of the change in shape and appearance of her mid-face is a very common one.
A characteristic sign of ageing is volume loss in the cheeks.
Descent of the cheek fat can produce a heavier look to the lower face as well as a tired appearance by revealing dark circles and hollows below the eyes (tear trough or periorbital hollows).