Cheek augmentation with hyaluronic acid
The cheek is the key to the whole face. When volume is missing there, the eyes look tired, the nasolabial fold looks deeper and the jawline less defined — even though nothing has happened at any of those places. With hyaluronic acid we bring the volume back to where it was lost.
At a glance
| Presentable again | after 1–2 days |
|---|---|
| Fit for work | immediately |
| Result | visible immediately |
| Final result | after 2 weeks |
| Duration of effect | 12–18 months |
| Cost | ab 460 € / ml |
The face ages downwards
In a young face most of the volume sits high up: high, full cheeks, a narrow lower third. People speak of the “inverted triangle of youth”. Over the years this triangle turns around.
The fat compartments of the cheek lose substance and sink downwards at the same time. The bone beneath them recedes. What is missing above collects below — as a cheek fold, as a deepening nasolabial fold, as a blurred jawline.
That is exactly why we often do not treat the nasolabial fold directly. Injecting the fold alone fights a symptom. Replacing the volume at the cheek lifts the tissue underneath — and the fold relaxes by itself. Usually that takes less material than patients expect.
How does the treatment work?
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01
Analysis of the midface
We look at where volume is missing — at the cheekbone, in the front of the cheek, or in both areas. In doing so we also assess whether your nasolabial fold, your under-eye circles or your jawline are actually consequences of that volume loss. Frequently the cheek is the cause and not the place where you see the problem.
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02
The treatment
approx. 30 min
After disinfection and a numbing cream we place the filler deep on the cheekbone — there it works structurally and lifts. Where needed we additionally place softer depots further forward. We work predominantly with a blunt cannula, which considerably reduces bruising.
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03
Straight afterwards
The result is visible immediately. In the first one to two days the midface may look slightly swollen — that is normal and disappears by itself. Cooling is allowed, massaging is not.
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04
A follow-up check after two weeks
Only then does the true final result show. We look together at whether to add more — deliberately in two steps, because an overfilled midface is the most common recognisable sign of a treatment that has gone wrong.
What changes
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A more alert expression
A supported midface makes the whole gaze look less tired — without anything having been done at the eye.
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The nasolabial fold relieved
If the cause is treated, the fold often relaxes entirely by itself.
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Defined cheekbones
The highlight along the cheek returns — the effect that make-up otherwise only simulates.
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Visible immediately
You see the result while you are still with us in the practice.
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Fully reversible
Hyaluronic acid can be dissolved again within minutes using hyaluronidase.
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Less material needed
Treating in the right place takes less material overall than injecting the fold alone.
The most common mistake in cheek augmentation
Too much. An overfilled midface is the giveaway that makes treatments obvious — the cheeks project unnaturally, the face looks broad and bulges form under the eyes when smiling.
That is why we work consistently in small steps and would rather invite you back a second time. Two millilitres, assessed after two weeks and topped up if needed, almost always lead to a better result than four millilitres in one session. If you come with a specific idea of the quantity that we consider too high, we say so openly.
A professional treatment requires three things
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Experienced specialists
The midface is one of the most vessel-rich regions there is. Anyone working deep on the bone here has to know where the vessels run. With us, treatment is carried out exclusively by specialist doctors with surgical training.
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Only the best products
Building up on the bone calls for a firm, shape-stable filler; the front of the cheek calls for a softer product. We select according to the region from clinically tested preparations by renowned manufacturers.
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Time for the consultation
The cheek is rarely the place where patients see their problem. We take the time to explain the connection — and prefer to treat the cause rather than the symptom.
The most frequent questions
My nasolabial fold bothers me — why do you want to treat the cheek?
Because that is usually where the cause lies. The nasolabial fold deepens because the cheek fat sinks downwards and settles over it. If the volume at the cheek is replaced, the tissue lifts and the fold relaxes — often with less material than injecting it directly would need.
How much material do I need?
One to two millilitres are often enough for both sides; with pronounced volume loss, more. We deliberately start conservatively and add more after two weeks if necessary.
Will it make my face wider?
Not with correct placement. We build up at the cheekbone, that is high and to the side — which makes the face look narrower and more defined. It only looks broad if too much material sits too far forward.
How long does the result last?
Twelve to eighteen months. The firm fillers that sit deep on the bone last longer than softer products further forward.
Will people be able to tell?
Not with conservative dosing. What stands out is overfilled cheeks. Our aim is that you look rested — not treated.
Is the treatment painful?
Hardly at all. The fillers contain a local anaesthetic, on request we additionally apply a numbing cream, and we work predominantly with a blunt cannula.
Will I get bruises?
Possible, but less frequent thanks to the cannula technique. Slight swelling for one to two days is normal. Better to schedule the appointment one to two weeks before an important occasion.
Can I have it reversed?
Yes, completely. Hyaluronic acid can be dissolved within a few minutes with the enzyme hyaluronidase.
Does this also help my under-eye circles?
Sometimes indirectly: a supported midface softens the transition to the lower eyelid. With a pronounced tear trough we treat that specifically as well — more on this on our page about <a href="/en/augenringe/">under-eye circles</a>.
When is filler no longer enough?
When it is not volume that is missing but the skin that has slackened over a large area. Additional volume then emphasises the slackening rather than correcting it. In that case a facelift is the more honest answer — we can show you that in the same building.
What do I need to bear in mind afterwards?
On the day of treatment no sport, no sauna, no solarium, and do not massage the treated region. Cooling is allowed. From the next day everything as usual.
What does the treatment cost?
We charge per millilitre of hyaluronic acid — from €460 per millilitre, including consultation, treatment and material. How much you need we tell you in advance at the introductory consultation.
Anatomically connected
One partner for everything that comes next
Very few people stay with a single treatment all their lives. At the Kuzbari Centre you have the entire spectrum under one roof — from a cosmetic treatment to major surgery, from the same doctors who already know you.
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Cosmetics & skin quality
Peelings, microneedling, medical skin care – the basis for an even complexion.
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Botox & fillers
Relax expression lines, replace lost volume. 15 minutes, no downtime.
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Outpatient facial surgery
Eyelid lifts, hooded lids, eye bags – small procedures with a great effect, under local anaesthesia.
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Facial surgery
Deep plane facelift, neck lift and rhinoplasty – when tightening needs more than an injection.
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Body surgery
Liposuction, abdominoplasty, breast augmentation and breast lift in our own operating suite.
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That is why you are always in the right place with us. We tell you honestly if Botox is not the right answer to your concern – and can show you in the same building what would be. No referrals elsewhere, no second history taking, no need to build trust anew.
The Kuzbari Centre is a hospital with beds, licensed by the Vienna provincial government, with ISO 9001 certified quality management and its own operating suite – in the middle of the Golden Quarter.
Book an introductory consultationWho will treat you
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DDr. Jessica Wittmann
Specialist in Oral and Maxillofacial Surgery · leading expert in Botox & fillers
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Dr René Draxler
Specialist in Plastic, Aesthetic and Reconstructive Surgery · leading expert in Botox & fillers
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Dr Shawqi Arafat
Specialist in Plastic, Aesthetic and Reconstructive Surgery · leading expert in Botox & fillers
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Dr Andreas Dobrovits
Specialist in Plastic, Aesthetic and Reconstructive Surgery · leading expert in Botox & fillers
Book your introductory consultation now!
At this appointment our doctors take plenty of time for you. We listen to you, analyse the areas that trouble you and show you how they can best be treated. And if you wish, your treatment takes place straight away.
We always make sure there are enough free appointments – you can reach us by phone on +43 1 358 28 77.
Our experts for Botox & fillers
DDr. Jessica Wittmann
Specialist in Oral and Maxillofacial Surgery · leading expert in Botox & fillers
Dr René Draxler
Specialist in Plastic, Aesthetic and Reconstructive Surgery · leading expert in Botox & fillers
Dr Shawqi Arafat
Specialist in Plastic, Aesthetic and Reconstructive Surgery · leading expert in Botox & fillers
Dr Andreas Dobrovits
Specialist in Plastic, Aesthetic and Reconstructive Surgery · leading expert in Botox & fillers
