Sunken cheeks can be attributed to numerous factors, ranging from congenital deformities, nutritional deficiencies, physical trauma, to infections that may lead to significant alterations in facial appearance. Treatment varies depending on the underlying cause, including dietary adjustments, hyaluronic acid injections, fat grafting, and implant surgeries.
Congenital Deformities
During the process of embryonic development, bone deficiencies can impact the growth centers of the jawbone, leading to deformities that cause the cheekbone tissue to indent, manifesting as sunken cheeks. These are generally congenital and may not require specific treatment. However, if aesthetic concerns arise, one can opt for treatments such as fat grafting or implant surgery to restore fullness to the cheeks.
Malnutrition

Conditions such as picky eating, selective eating, or diseases like anorexia can lead to insufficient nutrient intake, resulting in malnutrition and a gaunt physique. Cheeks can become sunken due to a lack of fat. Proper dietary adjustments are necessary, including a higher intake of high-protein foods like eggs and milk. Patients with anorexia may be prescribed medications like sertraline hydrochloride, under a doctor’s guidance, and may also benefit from psychological therapy.
Physical Trauma

External impacts, such as a forceful blow to the cheek area, can cause local injuries leading to indentations in the facial tissue and typically come with pain. To restore volume to the sunken areas, hyaluronic acid injections or autologous fat grafting can be employed.
Infections
Facial infections caused by bacteria or other pathogens, if left untreated, can lead to inflammation that stimulates facial soft tissues and may eventually affect muscle function. This can cause conditions like idiopathic facial hemiatrophy, which presents as sunken cheeks. Excess fat from areas like the legs or abdomen can be extracted and used for fat grafting to fill the sunken areas of the cheeks, enhancing the local tissue volume.

When sunken cheeks become a cosmetic concern, it is advisable to consult a plastic surgeon. Through palpation, ultrasound, and other examinations, along with an observation of facial muscles and fat tissues, a professional doctor can devise a personalized treatment plan.
| Causes | Treatments |
|---|---|
| Congenital deformities | Fat grafting, implant surgery |
| Malnutrition | Diet adjustments, high-protein foods, medication (e.g., sertraline hydrochloride), psychological therapy |
| Physical trauma | Hyaluronic acid injections, autologous fat grafting |
| Infections | Antibiotics, fat grafting |
Understanding Congenital Deformities
Congenital deformities are structural abnormalities present at birth. In the case of sunken cheeks, these can be attributed to genetic factors or maternal exposure to certain environmental risks during pregnancy. Such deformities may not require treatment unless they impact function or aesthetics. When considering surgical interventions, it’s crucial to consult with a specialist to understand the risks and benefits (CDC).
Combating Malnutrition
Malnutrition is a condition that occurs when the body isn’t getting the right nutrients. It can weaken the immune system and lead to various health problems. A balanced diet rich in protein, vitamins, and minerals is essential to maintaining a healthy weight and appearance. For those struggling with eating disorders, professional help is vital. Treatment may include therapy, nutritional counseling, and in some cases, medications to help manage symptoms (NHLBI).
Physical Trauma and Its Aftermath
Physical trauma to the face can result from accidents or sports injuries. The immediate aftermath often involves swelling and bruising, which can lead to temporary sunken appearance. In some cases, facial bones may be fractured, requiring surgical intervention. Treating the underlying injury is essential to prevent long-term issues, such as disfigurement or nerve damage (AAFP).
Managing Infections
Infections can lead to inflammation and damage to facial tissues. Proper hygiene and prompt medical attention are crucial in preventing serious complications. Antibiotics are often prescribed to treat bacterial infections, while viral infections may require antiviral medications or supportive care. In some cases, infections can lead to chronic conditions, and early intervention is key to managing these effectively (NIAID).