Facial Ageing

Why Do My Cheeks Look Hollow?

Hollow or sunken cheeks are one of the most consistent signs of midface ageing, and one of the most commonly misunderstood. Most people assume it is about weight. In almost every case, it is about structure. This guide explains what actually drives the hollow appearance, why it tends to worsen faster than expected, and when a clinical assessment is worth considering.

Quick summary

<p>Hollow cheeks are almost always a structural problem, a combination of fat pad loss and bone resorption in the midface, not a skin problem and not primarily a weight problem. The change happens gradually over years, which is why it often seems to appear suddenly when you notice it in a photograph or certain lighting.</p>

Is this for you?

Consider booking a consultation if

  • Adults experiencing progressive midface hollowing or sunken cheek appearance
  • People whose hollow cheeks affect their overall facial balance or make them look tired
  • Those wanting a clinical explanation before deciding whether assessment is appropriate

This may not be for you if

  • People seeking information about specific product brands or price lists
  • Anyone expecting a remote diagnosis or treatment recommendation without consultation

Suitability is confirmed at consultation. This list is general guidance, not a substitute for clinical assessment.

Written and reviewed by Corey Anderson RN, AHPRA NMW0001047575 · Reviewed 2026-05-01 · TGA & AHPRA compliant

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