Cheek is a critical facial feature that outlines our facial profile; a round, fuller facial profile delivers a younger-looking face. The collagen in our body peaks at the age of 25 and starts to decline. The loss of collagen will lead to the appearance of drooping skin and loss of tissue volume. Losing volume at the cheeks create sunken cheeks that will give the impression of tiredness and old. However, aesthetic treatment can help slow them down or even reverse them.
See our dermal fillers guide
Sunken Cheeks
Collagen is a protein and one of its essential functions is to give structural support in tissues. However, we gradually lose collagen as we age, resulting in losing volume in tissue, one of the obvious observations is the development of sunken cheeks.
Scientists recently tend to believe that the manifestation of ageing is not drooping skin but skin losing volume/skin depression. During the ageing process, our skin loses its collagen and subcutaneous fat which causes the loss of tissue volume and structural support in the skin. This change will make the skin uneven and depressed. Some common locations that show depression during ageing are forehead, temple, eye lid and cheek.
From the aesthetic point of view, a face with plump cheeks creates smooth facial contour and a younger-looking appearance. On the other hand, a face with sunken cheeks creates an unsmooth facial contour and makes the person look tired, old, sad, and mean.
Causes
Sunken skin is mainly caused by ageing. Ageing stimulates the loss of collagen which will reduce the structural support of tissues, leading to the loss of volume and plumpness of the skin and drooping skin. When sunken skin happens at the cheek, we can see cheek depression and a drooping jawline.
Other possible reasons for sunken cheeks:
- Wide zygomatic arch or high cheekbone can strength the depression appearance at the cheeks;
- Lack of fat tissue at the deep cheek layer. Some people were born with little to no fat tissue at their deep cheek layer. This condition creates unwanted shadow at the cheeks that disturb a balanced facial appearance.
- Injection Failure. Improper or excessive fat injection on the face may cause accumulation of fat on the face and drooping chin due to excessive fat injection at the jawline.
- People who are smokers or have poor sleep patterns.
Symptoms
●Mild Sunken Cheeks. Mostly happens at the age of 20+. Mild depression or concave at their cheeks are only visible at a certain angle and light.
●Moderate Sunken Cheeks. Happens at the age of 25-35+. Moderate depression at the cheeks. Starts to develop depression at other locations such as temples. Depression features are visible under light.
●Severe Sunken Cheeks. Several areas on the face including cheeks have shown depression. Cheekbones become more prominent.
Treatment
A. Hyaluronic Acid Dermal Fillers
What is it?
Hyaluronic acid (HA), also known as hyaluronate, is naturally found in tissues and cells. In aesthetic treatment, hyaluronic acid can act as a filler and is injected into the dermis layer to fill up the folds/depressions or plump certain areas such as lips, cheeks, nose and chin. The injected hyaluronic acid will smooth and fill lines and wrinkles, and add volume to the face naturally.
B. Thread lift
What is thread lift:
Thread lift is currently the most effective face lifting technique. By embedding threads to the dermis layer, which lifts the face according to the direction and interval of the threads, it stimulates the skin, and further activates fibroblasts to produce collagen. Thread lift restores skin’s lifting ability, preventing it from sagging. Therefore, embedding threads in a big V shape can instantly lift the face shape and result in a slimmer face.
C. MERZ ULTHERAPY – Face
What is ULTHERAPY:
MERZ ULTHERAPY®is a non-surgical aesthetic treatment. It enables high-intensity ultrasound to precisely focus to the SMAS layer, stimulate the self-renewal mechanism of skin tissue, and result in a series of rejuvenation effects such as tightening, increased elasticity, lifting, wrinkle reduction, whitening, and pigmentation. Apart from regaining a youthful look, the technology also helps you to reduce fat deposits.
D. THERMAGE
What is THERMAGE:
Thermage uses radiofrequency technology to heat the dermis. The tissue at the localised dermis area will be damaged and hence its self-healing process will be stimulated. The healing process promotes the formation and remodelling of collagens, which will tighten, smoothen, and lift the skin, resulting in re-contouring and slowing down the ageing process. Similar with Ultherapy,
E. FOTONA 4D PRO
What is FOTONA 4D PRO:
FOTONA 4D PRO is the new-generation non-invasive anti-aging laser system for a comprehensive facial rejuvenation treatment. The system integrates the four patented technologies: SMOOTHLIFTIN, FRAC3, PIANO and SUPERFICIAL to work on partial layers treatment and multi-dimensional anti-aging solution, while simultaneously targeting different skin imperfections. It can treat four major signs of ageing including contour, skin tone, skin texture and tissue volume in a safe and efficient way.
Improve Sunken Cheeks/Undefined Facial Profile, come to Ai Beauty Clinic,
for safe and professional medical treatment.

Ai Beauty Clinic is a CQC accredited clinic based in London, and also is strongly supported by Cynosure(the owner of Ulthreapy) and Cynosure (the owner of PicoSure).
With rich experience of treating clients of various conditions, led by a famous British medical chief trainer, practiced by doctors and nurses who are GMC/NMC-registered and worked in NHS national hospitals, Ai Beauty provides certified and safe medical beauty treatments.
Ai Beauty always puts safety first. Not only are all medical staff insured by independent medical policy, each client who comes to Ai Beauty Clinic is also insured by £5 millions medical insurance. This full insurance coverage allows clients to have a concern-free treatment experience.
Ai Beauty Clinic has served over 15,000 clients from all around the world, been covered by some famous media such as European Times and CW Television, and established trust and an excellent reputation among them.
