What causes sunken cheekbones? Why do fillers sometimes look unnatural?
 Encyclopedic 
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Plump apple cheeks make one appear more refined, youthful, sweet, and elegantly poised. Thus, many women—especially younger ones—care deeply about maintaining fullness in this area. When apple cheeks appear sunken, most opt for fillers to enhance them. Yet some report their faces looking unnatural after treatment. Why is that?What causes sunken apple muscles? Let's explore this topic below.
What causes sunken apple muscles?
1. Congenital factors
Insufficient skeletal development can lead to hollow cheeks and broad, flat cheekbones. This is typically genetic and, in severe cases, cannot be corrected with fillers.
2. Natural Aging
As one ages, the face loses moisture, elastic fibers, and fat, causing cheeks to appear saggy and less firm. Cheekbones gradually diminish, making the face look aged and lackluster.
Why does the face appear noticeably unnatural after apple muscle filler?
The issue of suppressed apple muscles can be addressed through fillers, typically using fat grafting or hyaluronic acid injections. Post-filler facial unnaturalness usually stems from the following causes.
First, incorrect placement. The key to successful apple muscle filler lies in precise injection positioning.Even a slight deviation from the ideal placement can compromise the desired aesthetic outcome. If the filler is placed too far from the apple muscle, it may compress the middle and lower sections of the nasolabial folds, deepening them. This creates facial imbalance and detracts from the overall beauty.If the filler volume isn't designed and calculated based on facial features and proportions during the procedure, the cheekbones may become overly large, resulting in a "round bun face" that appears highly disproportionate. The above explains the reasons behind sunken cheekbones and why fillers may not look natural afterward. After reading this, you should have a general understanding of the issue. It's important to note that the correct cheekbone filler approach should achieve a very full appearance.
In summary, cheek filler should be "custom-tailored" to each individual. Based on the patient's facial structure, proportions, and natural contours, adjustments should be made to achieve a truly natural transformation. We hope this information proves helpful.
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