
Welcome! I'm Dr. John Mesa, a Harvard-trained, board-certified cosmetic plastic surgeon specializing in facial contouring. With a keen focus on buccal fat removal, extended chin liposuction, and performing facelifts and neck lifts under local anesthesia, I ens
When patients in their early 30s experience facial sagging, particularly in the jowl area and a slight downturn of the mouth, it could be due to multiple factors. The fullness in the lower anterior cheeks contributing to jowls could be related to enlarged buccal fat pads, while the downturn of the mouth corners might result from excess skin or skin laxity.
Because these issues may stem from different causes, no single plastic surgery procedure is likely to address all concerns simultaneously. A combination of treatments might be necessary. For example, buccal fat removal could reduce fullness in the lower anterior cheeks and improve the appearance of jowls, especially in patients with minimal skin sagging or good skin elasticity.
The downturn at the corners of the mouth could be caused by muscle imbalances, which might be temporarily improved with Botox injections to weaken the muscles that make the corners of the mouth pull down, allowing the muscles that elevate the corners of the mouth to lift the corners. For excess skin contributing to marionette lines, options could include skin-tightening procedures like CO2 laser or radiofrequency-based treatments like FaceTite. Additionally, fillers might be used to camouflage these lines and enhance their appearance.
It is advised to seek consultation and evaluation with a board-certified plastic surgeon specializing in these procedures to determine what cosmetic procedures would best fit your needs.
I hope this helps!
John Mesa, MD
Buccal Fat Removal Specialist Plastic Surgeon
New York - New Jersey - Miami.
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Young patients who are not overweight but have always had a full or round face and wish to achieve a slimmer appearance may benefit from plastic surgery procedures, depending on their ultimate goal. Improvement of a full or round face, especially when smiling, is typically achieved with buccal fat removal. This procedure removes the pockets of fat in the lower anterior cheek that cause the face to look chubby, particularly when smiling.
If a patient has a very wide jaw and desires a more V-shaped appearance, combining Botox injections to the masseter muscles with buccal fat removal can help create a narrower, more V-shaped face. However, if Botox to the masseter is performed alone, it may make the face appear even chubbier when smiling if the patient has enlarged buccal fat pads.
Chin liposuction is a plastic surgery procedure designed to remove fat beneath the chin, but it does not address facial roundness or chubbiness.
I hope this information is helpful!
Sincerely,
John Mesa, MD
Buccal Fat Removal Specialist Plastic Surgeon
New York - New Jersey - Miami.
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
When someone feels that their facial features make them look very childish, it’s often due to a combination of two factors: enlarged buccal fat pads and a lack of high cheekbone definition. Younger faces tend to look cherubic, meaning they have chubby cheeks and round faces. They also lack the definition of the cheekbones. In contrast, more mature and attractive faces typically have a chiseled, V-shaped appearance with no chubby cheeks, high cheekbones, and well-defined features.
One of the most common procedures that allows patients to correct the roundish appearance of the face and achieve more contour is buccal fat removal. This plastic surgery procedure removes the buccal fat pads, which are deep pockets of fat in the lower anterior cheeks that contribute to a round, chubby appearance and can obscure the cheekbones. Additionally, for those with not high cheekbones, cheekbone augmentation with fillers can further enhance the facial appearance, making it look more mature and attractive.
The combination of buccal fat removal and cheekbone augmentation ultimately results in a very chiseled, attractive, grown-up appearance without making the face look aged. This is a very common procedure among celebrities, models, and TV stars. The video below can help someone determine if they are a candidate for buccal fat removal.
It's important to note that rhinoplasty won't affect the overall changes in facial fullness or roundness. While chin correction might be indicated for those with very small chins, it won’t significantly impact the overall facial fullness appearance neither.
If someone is interested in addressing these physical characteristics, my recommendation is to consult with a board-certified plastic surgeon specializing in facial contouring. This consultation will help determine the best procedures to achieve the desired outcome.
I hope this helps!
Sincerely,
John Mesa, MD
Buccal Fat Removal Specialist Plastic Surgeon
New York - New Jersey - Miami.
Board Certified Plastic Surgeon
A good solution for correcting asymmetrical results after buccal fat removal depends on the patient's concerns and physical findings. If asymmetry occurs after buccal fat removal, it means that one cheek may appear fuller while the other is more defined or chiseled. In this case, the patient must decide which appearance they prefer. If the patient favors the more defined side, the most common strategy to correct the asymmetry is to return and remove more buccal fat from the contralateral side if any buccal fat remains. However, if 100% or all the buccal fat was removed from both sides, there’s no reason to attempt further removal, as there would be nothing left. In these cases, a solution could be to reduce the definition of the more chiseled side.
Another important factor to consider is whether the patient has asymmetrical cheekboness. Often, when a patient detects asymmetry in their buccal fat removal results, it's because they had asymmetrical cheekbones to begin with, where the side that appears more chiseled may have higher cheekbones. Therefore, if asymmetrical cheekbones are present, their asymmetry might be addressed accordingly.
In conclusion, the patient should discuss with their plastic surgeon the potential causes of the asymmetry and make adjustments based on their preferences.
I hope this helps!
Sincerely,
John Mesa, MD
Buccal Fat Removal Specialist Plastic Surgeon
New York - New Jersey - Miami.
Board Certified Plastic Surgeon
To reduce facial fullness, it's important to understand the primary cause of this physical trait. When someone smiles and their face appears quite round or full without definition, the fullness is often due to large buccal fat pads. While prominent masseter muscles can also contribute, they are not the primary cause. Therefore, if someone wishes to reduce facial fullness, the procedural option is buccal fat pad removal. By removing the excess buccal fat pads, the face will appear more contoured, with better definition, and will no longer have a chubby appearance, especially when smiling.
Botox injections to the masseter muscle can decrease the fullness of the masseter, located in the lower posterior section of the face, which may make the face look thinner and more V-shaped in individuals without enlarged buccal fat pads. However, if someone undergoes masseter Botox injections and has chubby cheeks, this can make the face appear even chubbier. Reducing fullness in the lower posterior face can accentuate the appearance of enlarged buccal fat pads, leading to an overall chubbier look.
I hope this helps!
Sincerely,
John Mesa, MD
Buccal Fat Removal Specialist Plastic Surgeon
New York - New Jersey - Miami.
Board Certified Plastic Surgeon
I had a chin lipo done by dr.mesa about year ago. He is very attentive and caring from the start till the end. I had easier time recover from surgery and I believe it was because dr.mesa is very skilled surgeon. I highly recommend him for this type of surgery.
Dr mesa is the best at his craft. Highly regarded, warming and friendly. The recovery was quick and easy. Instructions were easy to follow. Staff were great and accommodating. Recommend without hesitation.
I had an incredible experience with Dr. Mesa and his entire team. From my very first consultation through post-op care, everyone was exceptionally professional, friendly, and knowledgeable. Dr. Mesa took the time to thoroughly explain the procedure, answer all of my questions, and make me feel completely at ease. I got extended chin lipo and buccal fat removal- the procedure went smoothly, and my recovery was surprisingly easy. I couldn’t be happier with the flawless results. I’m so grateful to Dr. Mesa and his team for their care and expertise—highly recommend!
I had the best experience with Dr John Mesa. I underwent buccal fat removal and cheekbone filler and it was painless, great staff, and great facility. Highly recommend!. From the start, the staff was very helpful and understanding!
It was a pleasure working with Dr Mesa and I’m happy with my results. The staff is kind and the experience was very positive. I would recommend this to anyone considering having work done on their face. Thanks Dr Mesa
I had my buccal fat pads removed with dr. mesa and love my results! i did a lot of research regarding which doctor I wanted to go with and ultimately decided on dr.mesa due to his experience. I told him all my concerns- the biggest one looking older- he assured me i would since I had high cheekbones. he was right. i love my results! no regrets! highly recommend.
Very good surgeon fixed my era whuxh wad a insecurtt for me. Im so happy. No pain st sll i really rexxomed him. Hes honest and everyone mates u feel so confortable. Totalmente recomendado. La oficina super limpia
I'm Dulce Rivera .I like to said thanks so much to Dr. John Mesa for help me to restore my lips and make so happy and proud women again, Dr.Mesa is amazing and the best Top surgeon. I am more confident now. He is dedicated to his service and profession
5 stars for buccal fat removal, extremely worth it. Love my results, highly recommend this doctor. Best i nyc. My recovery was very easy, minimal swelling. Office team very good and responsive to all my questions.
I had an amazing experience with Dr Mesa. He was very patient and knowledgeable about the procedures and was willing to give additional information on what needed to be done. I would highly recommend.
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