
The cheeks play a central role in facial structure and support. Over time, age-related bone resorption, fat pad descent, and collagen loss can lead to flattening, sagging, or loss of contour in the midface.
As cheek support diminishes, the lower face may appear heavier and lines such as smile lines or marionette lines can become more pronounced. Genetics, weight fluctuations, and sun exposure can further influence how quickly these changes occur.