Too flat


Testimonial: Lips 4 from Dr Mahony Lips 4 from Dr Mahony
A nice natural shape, but the patient wanted them a little fuller. Photo taken before we had taken off the gloss (sorry)
Case study
Testimonial: Lips 2 from Dr Mahony Lips 2 from Dr Mahony
Past surgery had left these lips slightly irregularly shaped. Agent R helped even them out
Case study


At Peach, with our current treatments, the two areas of excessive structural flatness with which we can help are flat noses and flat cheeks. Of course, patients may complain of structural flatness at a number of other sites, and we are very familiar with the range of surgical options that a patient may consider for the improvement of other areas. Its worth getting an objective opinion from us in consultation.


Flat noses have been managed in the past exclusively by surgery, but there are now other options that can give a smoother and more natural finish. Injections of fillers under skin of the central spine of the nose can give smooth definition to the nose ata fraction of the cost of surgical rhinoplasty.


Fillers can also be useful in the correction of persisting irregularities after surgeons have attended, as best they can, to the underlying bony and cartilagenous structure. The malleablility of these fillers means that, even after injection, the shape can be further perfected.


Whilst corrections of asymmeties and irregularities of noses can be effected with dermal fillers, the classic situation in which they are applied is in the building up of the Asian nose. Treatments are straightforward, economical, and can be temporary or permanent depending on the filler chosen.


Flat cheeks can be corrected by a wider range of procedures, and so we are better able to choose a treatment that meets all of a patient’s requirements.


Those who have flat cheeks because they are generally thin in the face usually benefit from volume enhancement with temporary fillers, the two year filler, permanent fillers, or fat transfer. Each treatment approach has advantages and disadvantages. Those whose cheeks are hollowed out under the cheekbone respond better to Agent S, especially if the skin is thin and crepey. Those who have flat cheeks because there has been sagging of the fatty prominence in front of the cheekbone, and need to have that fat put back to where it belongs, benefit from thread lifting with Peach loop lifting.


All these procedures address soft tissue processes that give rise to flat cheeks. Occasionally someone will have flat cheeks due to bony deficiency of the skull at the maxillae, and this particular problem is best treated with silicon cheek implants with a cosmetic or plastic surgeon. This is more likely to be the case where the flatness has been life-long, and not explained by low weight alone, and then cheek implants are clearly appropriate. However, flat cheeks that are associated with ageing or weight loss can be more naturally improved by addressing the soft tissues instead of the bone. Such treatments are also generally more cost-effective. Its always wise to consider getting a non-surgical opinion from a cosmetic physician prior to proceding with permanent surgical treatments for problems such as flat cheeks.