Cheeks
We may assess cheek projection, contour, mid-face support and how the cheek relates to the under-eye and lower face.
FACIAL AESTHETICS
Facial volume & proportion.
Facial shape changes over time — and sometimes the area that concerns you is only part of the picture.
We assess facial proportions, structural support, soft-tissue changes and the relationship between your features to develop an approach that is considered, balanced and individual to you.
WHOLE-FACE ASSESSMENT
We look at the face as a whole.
Changes in facial volume do not always occur in the place where you first notice them.
During consultation, we consider facial shape, proportion, structural support and the relationship between different features. This helps us understand whether one area — or a combination of areas — may be contributing to the change you are seeing.
We also discuss what you would like to improve, what you would prefer to leave unchanged and how much change feels appropriate for you.
INDIVIDUAL ASSESSMENT
Not every area assessed needs treatment. Recommendations are made only after considering your individual anatomy, concerns and overall facial balance.
Temples
Temple contour can influence the transition between the forehead, brow and cheek, as well as the overall shape of the upper face.
Under-eye area
We consider the under-eye in relation to the cheek, surrounding support, skin quality and the natural transition between these areas.
Lips & around the mouth
Assessment may include lip shape, proportion, symmetry and the relationship between the lips, chin and surrounding lower-face structures.
Jawline
We may assess jawline definition, lower-face contour and the transition between the cheek, jaw, chin and neck.
Chin
Chin projection, length, width and proportion can have a significant influence on lower-face balance and the appearance of the profile.
LIP ASSESSMENT
Lip assessment considers more than size — shape, proportion, movement and surrounding facial features all contribute to the final appearance.
LIPS + PERIORAL AREA
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Lip shape is about more than volume.
Lips naturally vary in shape, projection, proportion and definition — and these features can also change over time.
At Dermal Distinction, we assess the lips in relation to the nose, chin, teeth, smile and surrounding lower face. The aim is to understand what is contributing to your concern before discussing whether treatment may be appropriate.
SHAPE + PROPORTION
Every lip has a different structure.
We consider upper-to-lower lip proportions, Cupid's bow, border definition, projection and how the lips relate to the rest of the face.
VOLUME CHANGE
Lips can lose fullness over time.
Age-related changes can affect lip volume, border definition and support around the mouth. Where appropriate, these concerns may be addressed as part of an individual treatment plan.
LINES + SURROUNDING AREA
We also assess beyond the lip itself.
Fine lines, skin quality, mouth corners and changes in surrounding tissue can all influence how the lips and lower face appear.
FACIAL BALANCE
The chin and profile matter too.
Lip projection is assessed alongside the chin, jawline and facial profile so treatment planning considers proportion rather than one feature in isolation.
PERSONALISED ASSESSMENT
BOOK A CONSULTATION
If treatment is appropriate, available options, expected outcomes, potential risks, aftercare and costs are discussed with you following your individual consultation and clinical assessment.
TEMPLE ASSESSMENT
The temples sit between the forehead, outer eye and cheek, so even subtle volume changes here can influence how the upper face is perceived.
TEMPLES + UPPER FACE
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Temple hollowing can affect facial balance.
The temple is a small area, but it plays an important role in how the forehead, brow, eye and cheek relate to each other.
Over time, changes in bone, fat and soft tissue can create a more hollow or concave appearance through the temple. This may make the upper face appear less smooth and can alter the visual transition between neighbouring facial structures.
STRUCTURE
The temple supports upper-face contour.
Temple shape contributes to the contour between the forehead, brow and outer cheek, rather than being an isolated facial feature.
VOLUME CHANGE
Hollowing can become more noticeable over time.
Volume loss in the temple may create a more concave appearance and increase the contrast between surrounding facial areas.
WHOLE-FACE ASSESSMENT
We assess the temple in context.
Temple concerns are considered alongside the forehead, brow, cheek and upper-face proportions before treatment options are discussed.
TREATMENT PLANNING
Volume loss may be treated when appropriate.
If suitable, temple volume loss can be addressed as part of an individual treatment plan following consultation, clinical assessment and discussion of options.
PERSONALISED CONSULTATION
BOOK A CONSULTATION
If treatment is appropriate, we discuss the area of concern, suitability, expected outcomes, potential risks, aftercare and costs with you during your individual consultation.
UNDER-EYE ASSESSMENT
The under-eye does not exist in isolation. The transition between the lower eyelid and upper cheek can influence shadows, hollows and overall midface contour.
UNDER-EYE + MIDFACE
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Under-eye concerns are not always just about the eye.
The lower eyelid blends into the upper cheek, creating a continuous transition across the midface.
Changes in skin, soft tissue, underlying structure and cheek contour can all influence the appearance of hollows, shadows and the junction beneath the eye. This is why we assess the under-eye together with the surrounding face.
HOLLOWING
Loss of support can change the contour.
Changes in underlying structure and soft tissue may create a more noticeable hollow beneath the eye.
SHADOWS
Facial contour changes how light falls.
A hollow or abrupt transition between the lower eyelid and cheek may create shadowing that can make the area appear darker or more tired.
CHEEK RELATIONSHIP
The upper cheek matters too.
Cheek projection and midface contour are considered alongside the under-eye because neighbouring structures can influence the appearance of the area.
TREATMENT PLANNING
The cause determines the approach.
Assessment helps determine whether your concern relates primarily to skin quality, contour, volume change, underlying structure or a combination of factors.
INDIVIDUAL ASSESSMENT
BOOK A CONSULTATION
If treatment is appropriate, suitable options, expected outcomes, potential risks, aftercare and costs are discussed during your individual consultation and clinical assessment.
UNDERSTANDING FACIAL CHANGE
Volume loss is only part of the story.
The face changes at several different levels as we age.
Changes in bone support, facial fat, skin quality and soft tissues can all influence the way the face looks and how different features relate to one another.
This is why simply adding volume to the area you notice most is not always the most appropriate approach.
STRUCTURAL SUPPORT
Bone
The underlying facial skeleton provides support and proportion. Changes in this foundation over time can influence areas such as the cheeks, jawline and chin.
FACIAL CONTOUR
Fat compartments
Facial fat is distributed in different compartments. Changes in their volume and position can alter contour, fullness and the transitions between facial areas.
SURFACE QUALITY
Skin
Skin quality, elasticity and thickness also contribute to how youthful, smooth and supported the face appears.
SOFT-TISSUE SUPPORT
Facial tissues
Ligaments and other soft tissues help maintain facial position and contour. Changes across these layers can influence folds, shadows and lower-face definition.
FACIAL PROPORTION
It is not simply about adding volume.
Sometimes a small change in one area can influence how another feature appears.
Rather than looking at the cheeks, lips, chin or jawline independently, we consider how these areas work together to create facial proportion and balance.
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Cheek & under-eye
Cheek support and contour can influence the transition into the under-eye and the appearance of the mid-face.
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Lips & chin
Lip proportion is considered alongside chin projection and the shape of the lower face rather than in isolation.
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Chin & jawline
The chin can influence the appearance of the profile, jawline definition and overall lower-face proportion.
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Upper & lower face
We consider the relationship between the temples, cheeks, lower face and profile to understand the overall facial shape.
OUR APPROACH
The goal is not to make every feature larger. It is to understand where support, contour or proportion may have changed and whether treatment could improve overall balance.
YOUR CONSULTATION
Start with understanding your face.
You do not need to arrive knowing exactly what treatment you want.
Your consultation is an opportunity to talk about what you have noticed, what is important to you and the degree of change you would feel comfortable with.
Features such as the lips are considered in relation to the surrounding face — including the chin, jawline, cheeks and profile — rather than being viewed in isolation.
LISTEN
We begin with you.
We talk about the changes you have noticed, the features you would like us to assess and what you would prefer to preserve.
ASSESS
We look at the whole face.
Facial proportions, profile, skin quality and areas such as the cheeks, temples, under-eyes, lips, jawline and chin may all be considered.
PLAN
We discuss your options.
If treatment is appropriate, we will explain the options that may suit your concerns and how they could form part of an individual treatment plan.
NO PRESSURE TO PROCEED
BOOK A CONSULTATION
A consultation does not mean you need treatment. Sometimes the most useful outcome is simply understanding your face and the options available to you.
YOUR CLINICAL TEAM
Treatment begins with individual assessment.
At Dermal Distinction, your concerns, facial anatomy, medical history and treatment goals are considered before suitable options are discussed.
DR GIULIA D'ANNA
Founder · Dermal Distinction
MEET OUR TEAM
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