Bloom Facial Plastic Surgery

A: Dysport is safe to have injected into the chin or mentalis muscle for dimpling or the peau d'orange "orange peel" look to the chin.  It is an effective neuromodulator for this area.  The most important thing is that you seek out an injector with a strong knowledge of the facial anatomy that can effectively treat certain muscles affected by the synkinesis and leaving others functioning to pull.  

A: Absolutely!  CoolSculpting does not affect triglyceride or lipid levels in the body.  There have been a number of studies done when CoolSculpting was in its infancy looking at blood levels of cholesterol and other lipids before and after CoolSculpting treatment.  The results of the studies showed that it is not affected by treatment.

A: It does appear from your photos that you have a bit of width to the lower part of your face, corresponding to the masseter muscle.  I think some Botox to masseters will help to slim things down in that region over time.  Additionally, if you grind your teeth at night or are a teeth clencher, some Botox to this area will most definitely help.  

I suggest you go to see a trained doctor for evaluation and treatment of this area.

A: A RF microneedling or laser resurfacing will not affect the results or longevity of the Botox or Dysport at this point.  The neuromodulator products are working on the deeper muscles of the face and are not specifically working on the skin layers, which are targeted with the RF microneedles or lasers.  Feel free to ask your treating physician, but the 2 depths, layers and targets make it ok.

A: You can inject filler through the masseter muscle and onto the angle of the mandible (jaw bone) or along it in order to provide volume or definition to this area.  This is the space that we use when we do mandibular angle implants or augmentation.  Fillers like Restylane Lyft, Voluma and Radiesse work well in this area.