Buccal Fat Removal, Cheek Implants, Lower Face Lift After Upper Maxillary Impaction and Lower Mandibular Advancement?
I am female (39), undergone upper & lower jaw surgery to treat a gummy smile. Upper jaw raised 8mm, lower advanced 3mm, genioplasty later. I now have sagging skin and heavy jowel. Pre surgery I had flat/moon face so cheek bones were not prominent. Will genioplasty take up some of the loose skin? Is heavy jowl due to advancing the lower jaw, from reducing the upper jaw or both? What is best to improve profile and reduce sagging skin – buccal fat removal, cheek implants, lower facelift or all three?