Cheeks & mid-face.
The mid-face carries the face: when volume decreases there, cheeks look flatter, the nasolabial fold looks deeper and the eyes look tired. Hyaluronic acid can give structure back – carefully dosed and after a medical examination.
Cheek and mid-face volume with hyaluronic acid: why volume is lost, how treatment works, aftercare, risks and guide prices. Practice in Essen.
Why volume is lost.
The mid-face holds several fat compartments layered on top of each other. Over the years they lose volume and shift downwards, and bone and connective tissue change as well. The result: flatter cheeks, sharper transitions, an overall more angular or tired impression.
So the treatment does not simply fill «the cheek», but targets the layer and the spot where structure is missing. Small amounts at a few points are often enough to change the overall impression – often with a positive side effect on the nasolabial fold and the under-eye area.
The material is cross-linked hyaluronic acid of a firmer type that can provide structure. Precise anatomical knowledge matters here because larger vessels run through the mid-face; a blunt cannula is often used.
The treatment at a glance.
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Ask via WhatsAppWho it is for – and who it is not for.
A good fit if …
- volume loss, contours or lines visible at rest
- a wish for a natural, reversible result
- healthy adults with realistic expectations
Rather not if …
- pregnancy or breastfeeding
- acute infection, cold sores or inflamed skin in the area
- known intolerance to hyaluronic acid products or certain autoimmune conditions
The final assessment is made in the medical examination.
How it works and aftercare.
Before: examination of the face at rest and in movement, consultation and information about the procedure. Expectations are discussed concretely – including whether treatment makes sense at all.
During: after disinfection and, if wanted, anaesthetic cream, hyaluronic acid is placed at defined points, usually deep and in small amounts. The result is checked in between with you sitting upright.
After: swelling and small bruises are possible. No sport, sauna or tanning bed for 24 hours; avoid sleeping face-down for the first few days where possible.
Durability: in the mid-face, firmer materials often last longer than in mobile areas – usually nine to eighteen months.
Possible risks and contraindications.
Swelling, redness, tenderness and small bruises are common after treatment and usually settle within a few days. Less common are nodules, asymmetry or inflammation. Very rare but serious is a vascular occlusion – which is why anatomical knowledge, technique and medical emergency competence are decisive. Hyaluronic acid can be dissolved again with the enzyme hyaluronidase if needed. The treatment is not suitable with acute infections in the area, known intolerances, or during pregnancy and breastfeeding, among others. This information does not replace the medical consultation required by German law (§ 630e BGB).
Guide prices.
All prices are non-binding guide prices and include the consultation.
Invoicing follows the German scale of fees for physicians (GOÄ), based on findings and effort. Every treatment requires a medical examination, consultation and assessment of suitability.
Frequently asked questions.
Doesn't that quickly look «overfilled»?
That depends on amount, layer and technique. The aim is small amounts at a few anatomically sensible points. A second appointment after two weeks is better than too much at once.
How much material is usual?
Often 1–2 ml per side spread over time. The actual amount follows the findings and is discussed beforehand.
Does it help with the nasolabial fold?
Often indirectly: supporting the mid-face reduces the pull on the fold. The examination shows whether that applies to you.
How long does it last?
Usually nine to eighteen months, depending on material, metabolism and area.
Is the treatment painful?
Anaesthetic cream is used if wanted, and many materials also contain a local anaesthetic. Most people describe a feeling of pressure.
Sources and further reading.
- NHS: Dermal fillers – patient information
- MPDG – German medical devices act (fillers are medical devices)
- BfArM – Federal Institute for Drugs and Medical Devices
- DGPRÄC – German Society of Plastic, Reconstructive and Aesthetic Surgeons
- § 630e BGB – duty to inform before treatment (German Civil Code)
- DGBT – German Society for Aesthetic Botulinum Toxin Therapy
- AWMF – German clinical practice guidelines
External links open in a new window; their operators are responsible for their content. Medical responsibility for this page: Katayoun Mostaghimi, specialist in general medicine. Last updated: 2026-10-05.
Book a consultation.
Book on DoctolibOr simply call: +49 1520 8367711 · info@vivaderm.de
Or start with a consultation only: consultation appointment (€50, credited against a treatment)