The cheekbone area is very important for the volumetry of the middle third of the face .It is made up of a lateral area with a mostly osseous structure (cheekbone ) and from a frontal area formed mainly by fatty tissue ( Bichat fat). It is precisely this part of the face made up of fat that varies both sliming and the passing of the years. We see a vacuum in shadow and a sliding down of the skin with a resulting nose labial fold.
In reality, the reduction of the content (fat) leads to a displacement of the CONTAINING (skin). At a young age this area appears to be in relief (especially in those with accentuated cheekbones), reflects light and supports the skin. To restore the volume in this area you can use specific injective materials of hyaluronic acid (filler) or surgical implants. We have observed that both cases (single bolus or prosthesis) determine the formation of a kind of "ball" in the zygomatic area that becomes even more accentuated when they smile, creating an absolute unnaturalness, for not to mention the lateral (profile) of the face.
SINGLE BOWL 
PYRAMID TECHNIQUE
My technique, called "PYRAMID TECHNIQUE" provides not a single dose of product, but the insertion of a scalar quantity of absorbable filler even up to the achievement of the lateral region of the cheeks. In this way the volume is distributed evenly and in the right amounts in all the area, in this way we can obtain a lift effect of the skin associated with an attenuation of the nose -labial fold. You can see the naturalness of the treatment especially both in facial expressions and during the smile.