Sagging cheeks are created as a result of excessive accumulation of adipose tissue in jawbone area. Additionally, very often the problem is escalated by the presence of marionette lines (linear hollows/furrows) in a lower part of a face going down from a lip corner. In case of sagging cheeks the application of hyaluronic acid in the area in front of and behind a sagging cheek aims at optic levelling of a depression so as to make the jawbone line more unified. In order to get maximum effects it is recommended to precede the acid injection with the lipolysis of sagging cheeks.