Facial Plastic Surgery: Q&A

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Best Option for Lower Cheek/jowl Fat?

I'm in my mid 20's and have always been thin. However I've always had chubby lower cheeks that make me look sad or like I have sagging cheeks. (Although it's not really sagging, I can feel the pocket of fat on both sides) I've seen two doctors, one said that pro lipo would give me great results. The other said not to do pro lipo and that it would end up looking bumpy. What are the options for removing fat in this area? Would you recommend pro lipo?

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4 Doctor Answers | Asked by 9954anon in Midwest
+1

Lower cheek fat/jowls

Before you consider liposuction, you should see an expert in facial volumization with fillers. It looks like you don't have much midcheek support so if liposuction were done on the lower face, your face would become too thin. Conversely, if the mid face were filled there might be an elevation of some of the "weighted'" lower cheek sructures.  Liposuction of thelower cheek/jowl does have a risk of nerve injury, although this is very rare.
+1

Lower cheek jowl fat is buccal fat

Thank you for submitting the photos with your post. Your situation is a little out of the norm because we do not usually see this degree of marionette lines (jowling) in a thin healthy 20 year old. I do not like removing facial fat in younger individuals because the fat thins on its own as part of the aging process. Removing it will make you age more quickly so to speak. The only exception being those who start out with a lot more - cherubic faces. On the oblique view you have an age... more
+1

Perlane is an excellent product and can a huge difference

You need chin help. What looks like jowls is from a weak chin. By building up the chin with filler, the face will be much better balanced. The area below the corner of the mouth (just in front of what looks like a jowl) needs the most volume. Even 2 ml of Perlane will make a huge difference here. Unlike a product like Sculptra, the result of service is immediate and the product can easily be adjusted. This type of treatment will last on the order of one or two years....
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Best Option For Lower Cheek-Jowl in Young Patient

Hi Anon, Since you are only in your 20's, I would recommend holding on to as much facial fat as you can. I would recommend using Sculptra to fill your cheeks, chin, and jawline which would restore lost volume to your face and lift the "sagging" areas. You may also benefit from a chin-jowl implant augmentation. Good luck and be well. Dr. P
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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