John Luck, MD

Hello, I would love to help with answering your questions. You would be a perfect candidate for both an upper and lower lid blepharoplasty. Along with the lower lid blepharoplasty, which involves the fat pad removal that sits beneath the eyes, I would then go in and re-inject micro fat into the area to help fill in the hollow areas and give you an evenly smoothed appearance. As far as the lower face, I do notice that you have some drooping that is making the appearance of the jowls and nasolabial folds more prominent. This would be resolved with a face lift. A facelift itself will only address the area of the face that stems from the jawline up to about the corners of your eyes. I do what is called a deep-plane facelift which is the most aggressive but also the most natural. This will reposition all of the fat that has migrated downwards back up to the desired location which will in return create more defined cheekbones.

Best of luck,
Dr J.D. Luck

I would love to answer your questions. The first thing I would recommend to slenderize your lower face would be a buccal fat pad removal. This will help slim down the center between your cheekbones and jawline to help create a more defined, contour to your face. Afterwards, it is possible that because we would be taking away volume in the regionalized area it would increase the appearance of your nasal labial folds and jowls, in which case you would benefit from a face lift. A facelift alone would only target the area from above your jawline up to about the corners of your eyes. This would also help reposition the fat that overtime as we age starts to migrate down. Just bringing some of that tissue back up would also help with smoothing out the malar mounds.

Best of luck ,
Dr J.D Luck

Hello,
I'm sorry to hear you have been experiencing those symptoms since you were 11 years old. The symptoms you listed would show you are a candidate for a breast reduction. If you have any other questions feel free to contact the office and we can discuss further if you'd like. Again, I'm sorry to hear the amount of discomfort you have been in.
Best of luck,
Dr. Luck

Hello,
I'm sorry to hear you are have been experiencing some back aches and sharp pains. All the symptoms you listed show that you would be a candidate for a breast reduction. In addition, any documentation of physical therapy or chiropractor appointments would also help. I hope that helps.
Best of luck,
Dr. Luck

You absolutely do not need a facelift. From your photos it looks as though you have great skin , firm collagen with no lines, wrinkles or jowels. If you are looking to get something done and want to feel refreshed, you would benefit from an upper lid blepharoplasty.

Best of luck,
Dr Luck

Hello,
Thank you for the photos. We often have patients who are inquiring if they are a candidate for either buccal fat pad removal as well as chin or neck liposuction to sculpt the lower face. In some cases, patients are candidates for both and it makes a really nice difference. You could always start with the buccal fat pad removal and see if that gives you the shape you are looking for. They are great procedures that can be done not under general anesthesia.
Best of luck,
Dr. Luck

Hello,
From your photo it looks like you would be a great candidate for buccal fat pad removal, which is a procedure that can be done under local anesthesia. Masseter Botox can also make an improvement but will need to be done periodically. When you clench your teeth your masseter muscle will contract and you may feel your muscle bulge. Overall, both are great options for your concerns and require no general anesthesia.
Best of luck,
Dr. Luck