Flatter or more hollow-looking cheeks

Profhilo Structura in Hale, Altrincham

Profhilo Structura helps restore the natural support beneath cheeks that have become flatter or more hollow. It works with the fatty layer under your skin, helping bring back some of your face's familiar softness and shape.

Perhaps your cheeks look flatter than they used to, or there's a hollow at the side of your face that catches your eye in photos. You want to look a little more like yourself again.

Structura is an injectable treatment designed to restore ageing facial fat - the soft layer that helps give your cheeks their shape. It uses specially formulated hyaluronic acid to work within that tissue. It isn't a conventional dermal filler used to sculpt a cheekbone or fill an individual line.

The aim is a gradual, natural-looking improvement in cheek shape. Dr Alex will look at what has changed and explain whether Structura would be a good fit.

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With Dr Alex, who presented on Profhilo and Profhilo Structura at CCR on behalf of IBSA.

Treatment cost
£350 per session
First results
Develop over weeks
Recovery
Allow for bruising or swelling
Starting course
Usually 2 sessions

What looks different?

When your cheeks seem to have lost some shape

The change may be a hollow, a flatter cheek or a fold that has become more noticeable beside it.

Your cheeks look flatter

The curve across your cheek is less obvious than it used to be. You want to recover some of that shape rather than choose a completely different face.

The sides of your face look hollow

You notice a dip towards the outside of the cheek, particularly from an angle. It can make the cheekbone look more prominent even though it hasn't grown.

Your face changed after losing weight

You're pleased with the weight loss, but your cheeks now look more hollow. You'd like to discuss that change without feeling you have to undo the weight loss itself.

The practical details

Profhilo Structura at a glance

Two appointments are usually recommended to start, with the result building gradually over the following weeks.

Treatment cost
£350 per session
The same session price as Profhilo. A usual two-session course costs £700.
First results
Develop over weeks
The result is assessed after the initial swelling settles and the course has had time to work.
Recovery
Allow for bruising or swelling
Tenderness and temporary changes in the treated cheek can occur.
Starting course
Usually 2 sessions
Commonly about a month apart, with later review of the response.
Who treats you
Dr Alex
He assesses the cheeks and existing treatments before recommending or performing injections.

The change you can see

Cheeks that look a little more like they used to

Structura can soften cheek hollowing and help restore the gentle curve across the side of your face.

You might notice that a dip beside your cheekbone looks less obvious, or that your cheeks have regained some of their softness. Folds beside the cheeks can also look softer as the surrounding area becomes better supported.

The aim is to recover some of your familiar shape. You may love your cheekbones and simply want the hollow underneath to look less pronounced. That is the kind of detail Dr Alex will want to understand.

The improvement develops gradually over the weeks after treatment, giving the result time to settle into the rest of your face.

✓

✓

A less hollow appearance in suitable cheek areas.

✓

Some of the lost cheek curve restored.

✓

A smoother transition across the side of the face.

✓

Softer-looking surrounding folds where cheek changes contribute.

Would this suit you?

What is making your cheeks look different?

Dr Alex will consider the skin, the fat beneath it and the overall facial shape, including any existing filler.

You've lost some cheek volume
Your cheeks have become flatter or more hollow with age or weight change. Structura may help when restoring the fatty layer beneath the skin would improve their softness and shape.
You want a broader cheek improvement
You're looking to soften an area of hollowing rather than add a sharp edge or precisely sculpt one feature. Dr Alex will explain the degree of change he thinks is achievable.
You're unsure whether you need filler
You know what you'd like to change but aren't sure which treatment fits. Dr Alex will explain the difference between improving your skin, restoring cheek support and adding definition with filler.

The limits of treatment

It won't lift away a heavy jowl

Structura can't remove excess skin or reliably reproduce a surgical lift. If the lower face is already heavy, adding treatment without understanding why may disappoint.

Dr Alex will explain how much of the change comes from hollowing and how much comes from loose skin. If you want a more substantial lift than injections can offer, a surgical opinion may be more useful.

How it works

Working with the natural padding beneath your skin

The fatty layer under your skin helps give your face its softness and shape. As it changes with age, cheeks can look flatter and hollows can become more obvious.

Structura is placed into this layer, where its specially formulated hyaluronic acid spreads and integrates with the surrounding tissue. It's designed to help restore ageing facial fat, improving the support beneath the skin and the shape of the cheek above it.

The shared ingredient can be confusing: hyaluronic acid is also used in many fillers, but the formulation and the job it does are different. Conventional filler can add volume in a chosen place or define a feature. Structura works across the existing fatty tissue to give a softer, broader improvement.

Original Profhilo works on the skin itself, encouraging hydration, collagen and elastin. Structura's focus is the layer beneath it. Dr Alex will explain which part of your face needs attention rather than expect one product to do every job.

Your appointment

Look at the cheek change before choosing the product

Mention any recent weight loss, previous filler or treatment that didn't give you the result you expected.

At consultation

Assess the face and your priorities

Dr Alex will examine your cheeks and surrounding skin, review your health and medicines, and discuss what you'd like to restore or keep. Existing filler may affect the recommendation.
Before treatment

Compare the options

He'll explain why Structura might suit the area, how it compares with filler or skin treatment, and what a course would cost. You'll discuss recovery and risks before deciding.
During treatment

Treat the selected cheek area

Structura is commonly placed using a cannula, a fine blunt-tipped tube introduced through a small entry point. You may feel pressure or discomfort. Dr Alex will explain the approach and comfort options.
After treatment

Review the developing result

You'll receive aftercare advice and a plan for any further session. The cheeks need time to settle and the result to develop; a worsening symptom should be assessed sooner.

Why Dr Alex

Why choose Dr Alex for Profhilo Structura?

Dr Alex has presented on Profhilo and Profhilo Structura at CCR on behalf of IBSA. He has also used Profhilo extensively, been a trainer for it and helped launch Profhilo Body.

His experience across the range helps him explain the differences in terms that matter to your face. Crinkly skin with a good cheek shape calls for a different approach from a cheek that has become hollow. If you already have filler, he'll assess that too before recommending anything more.

He'll ask what you'd like to bring back and what you'd like to keep. Softening a hollow while leaving a cheekbone just as it is can be a very different goal from wanting more prominent cheeks.

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Safety and recovery

What should you know before treatment?

Tenderness, redness, bruising and swelling can occur. The cheeks may look or feel different while the area settles.

Possible side effects

Persistent lumps or swelling, unevenness, infection and inflammatory or allergic reactions are possible. Contact SONÜ if a change is worsening or continues beyond the recovery advice you've been given.

As with other facial HA injections, an uncommon but serious risk is blockage of a blood vessel. This can damage skin and, very rarely, affect vision or cause a stroke. A cannula does not remove that risk.

When to get urgent help

Contact SONÜ immediately if you develop unusual or increasing pain, pale skin, or a dusky or mottled colour around the treated area. Don't wait for a routine review. If you can't reach the clinic, seek urgent medical care.

Any change in vision, sudden weakness or difficulty speaking needs emergency medical help. Call 999 and tell them you've recently had hyaluronic acid injections.

When treatment may be unsuitable

Structura is not used during pregnancy or breastfeeding, with an allergy to its ingredients, or in infected or inflamed skin. The manufacturer also advises against use in people with autoimmune disease.

Tell Dr Alex about your medical history, medicines and previous injections or surgery. Laser resurfacing and medium or deep peels must be planned separately rather than carried out alongside treatment.

You can compare the options and take time to decide before having treatment.

Treatment costs

How much does Profhilo Structura cost?

Profhilo Structura costs £350 per session, the same as Profhilo. A usual initial course of two sessions costs £700.

Profhilo Structura
£350per session
A usual initial course is two sessions at the session price. Dr Alex will confirm the course and total before you decide.
A consultation with Dr Alex costs £75. If you choose to have treatment within 3 months of your consultation, you can put this fee towards it, including at a later appointment. It cannot be used towards skincare products. If you decide not to have treatment, the fee covers your consultation.
Book a consultation
A new-patient Profhilo consultation costs £75 separately. Dr Alex will confirm your treatment recommendation and total cost before you decide.

Your questions

Questions about Profhilo Structura

Including how it differs from filler, natural-looking results and what to expect after treatment.

Is it just a stronger version of Profhilo?
It does a different job. Original Profhilo improves skin hydration, firmness and fine crinkling. Structura works in the fatty layer beneath the skin to help restore cheek support and shape. One isn't simply a better version of the other.
Will the result look natural?
That's the aim: softer hollows and a little more of your familiar cheek shape. Structura is designed to work within your existing facial tissue, with the improvement developing gradually. Dr Alex will discuss how much change would suit your face, including the features you want to keep exactly as they are.
Would it suit my face after weight loss?
It can be an option when weight loss has left the cheeks looking flatter or more hollow. Dr Alex will look at the skin and the tissue beneath it, and ask whether your weight is still changing. That helps him choose the treatment and timing that make sense for you.
How is it different from cheek filler?
Cheek filler can add volume in specific places or give a cheekbone more definition. Structura works within the fatty layer beneath the skin to help restore its support, with a broader, softer change across the cheek. If you're unsure which you need, start with what you'd like to look different.
Will it lift my jowls?
Some facial contour improvement may make the lower face look smoother, but Structura isn't a reliable way to lift established, heavy jowls. Dr Alex will examine the lower face separately if that is your main concern.
How many treatments will I need?
Usually two sessions about a month apart. Dr Alex will confirm the recommendation at consultation, then review the result before advising on maintenance.
When will I see the finished result?
The change builds over the weeks after treatment and continues to settle after the second session. Early swelling isn't the finished result. Dr Alex will explain when to review your cheeks so you can judge the improvement properly.
How long does it last?
The improvement can last several months. Maintenance helps keep the result going as your face continues to change naturally. Dr Alex will review your cheeks and advise when another session would be worthwhile.
Can I have it if I already have filler?
Possibly, but Dr Alex needs to assess the existing filler, the area and your treatment history first. More product may not be what the cheek needs. Bring any information you have about what was used and when.
Can I return to work afterwards?
Usually, although you may have bruising, swelling or tenderness. Allow time before an event where you wouldn't want these to show, and follow the aftercare advice about exercise, heat and pressure on the treated area.

Your next step

Wondering what would help your cheeks?

Book a consultation with Dr Alex at SONÜ in Hale, Altrincham. He'll look at the hollowing or change in cheek shape you've noticed, explain where Structura could help and compare it with the other options.

SONÜ Medical Aesthetics

34 Hale Road, Hale, Altrincham, WA14 2EX

Doctor-led treatment in a relaxed, private clinic

Close to Hale station and easy to reach from Altrincham, Manchester and Cheshire