This 27 year old male patient presented to McLain Surgical Arts in Huntsville, AL  interested in adding volume to his “sunken cheeks” that he felt made him appear tired.  During his consultation with Dr. McLain, he was able to see before and afters of similar patients and offered several cheek augmentation options.  He elected for dermal filler to the cheeks, which was performed in-office with topical and local anesthesia, allowing the application of the filler to be pain free.  He had minimal swelling and no bruising afterward.  He now appreciates his more youthful and energetic look.