What can I do to make my cheeks/face appear slimmer and what can I do to get rid of jiggling my jowls are causing me? (Photo)

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

A small amount volume, using a volumizing filler within the cheeks, may help to contour the cheek--i.e. to pull the skin upward and diminish the appearance of the folding below. In addition, direct volumizing of the marionette lines (the downward, sad lines) to the sides of the angles of the mouth would likely not only directly improve this problem itself but would provide some additional, secondary lift to the jawline region to help to minimize to some extent the incipient, troubling jowling noted there.

Dear gmozoThank you for your question and photos!From your photo- you have some fullness of the jowls and volume loss at the mouth corner- this may be a result of your weight loss and normal changes with 'aging'.  The 2 procedures which can be considered are - building up the area where there is some volume loss around the mouth and removing some fat from the jowl to give the jawline a straighter appearance.With Warm RegardsTrevor M Born MD