Name: Nik Rana, MD
Rating: 5

Dermal Fillers

Lip Fillers

Eyelid Surgery

Chin Filler

Hi, I had a chance to review your questions and pictures. You are correct, facial features are way more genetic than they are aging at times. Based on your pictures, I think a little gentle filler around the jowls could help soften and hide the shadows created by your jowls and cheeks. You may also hear about a new "trend" of buccal fat pad excision to give that "chiseled cheeks" appearance. I caution you from obtaining a procedure like this. It will help you in the short term by slimming your face/cheeks but will cause issues 20 years from now by making you look considerably more aged than your actual appearance. As an exclusive Facial Plastic Surgeon, I specialize only in facial surgical and non-surgical procedures. I definitely recommend seeking an expert in facial anatomy before proceeding with any procedure. Happy to help anytime! Nik Rana MD

I've always had bigger cheeks growing up which I'm fine with! I actually love them. But as I've gotten into my mid-20s I've noticed I have jowls and they really bother me. What options are there to get rid of them or lesson them? Would filler be an option? I already have a dense face and have plenty big checks so I don't want to look puffy. I feel like a healthy 25 year old of a healthy weight shouldn't have to worry about jowls! It's definitely more genetic than anything.

Jowls at 25? Would filler be an option? (photos)

Hi, I reviewed your question and photos. Thank you for sending these in. These divots are a normal part of the aging process and can happen due to elasticity (stretchiness of skin) loss over time. Also, the anatomic variations by which your muscles attach in your face can also make you prone to dimples and divots. My recommendation is the use of a conservative amount of filler to hide the shadows caused by volume loss. You have to be careful in this area to not overfill, as this can cause a "chewing on tobacco" look. I would seek a facial plastic who has intricate knowledge of facial anatomy and understands the appropriate filler for that area. Happy to help anytime! Dr. Rana.

What would the best intervention for these divots be? I am 44 years old. I didn’t have this sagging and these divots until the last year. Thank you very much.

Best intervention for sagging, sunken area around mouth/chin? (Photos)

Hi, I read your inquiry and you have asked excellent questions! Filler to the lip can give the illusion of a shorter philtrum if placed correctly. I think a surgical procedure like a lip lift may be a little aggressive for you at this stage. It can leave younger patients with a "buck teeth" or "rabbit teeth" appearance. You were correct when you mentioned the lip flip procedure would not address your concerns. The lip flip is best for patients with long upper lips and a gummy smile. I really feel judicious filler placed by experienced hands and with someone who understands facial anatomy/balance will get you the results you are requesting. I encourage you to see a local Facial Plastic Surgeon who can assist you with this. Thank you. Dr. Nik Rana!

My philtrum is long for my face and I think I would benefit from a lip lift however my lips are thin as well so I think I would benefit from lip filler. Lip flip is an option too but I don't think that would make my upper lip bigger - also I don't have a gummy smile. Can lip filler in the upper lip give the illusion of a shorter philtrum?

Lip lift vs lip filler vs lip flip - which is my best option? (photos)

Hello, I had a chance to review your photo. In that particular angle, there does seem to be some hollowing around the tear troughs. However, this is best analyzed with a straight on picture and forward lighting. The way light angles at the tear trough can even make a normal eye appear hollowed. I do think some gentle tear trough filler, that is strategically placed by the right hands, can make a really nice improvement for you. I have developed a new procedure, called the BEL Procedure (Brilliant Eyelid Lift) which uses the smallest needles and cannulas available to place precise amounts of filler around the tear trough to limit bruising and prevent over-correction. I think you would be an excellent candidate. Thank you. Nik Rana MD.

I plan on redoing my cheek filler in the next month with my current doctor, and I noticed in the past year my under eye area is starting to cave in. I was wondering if I should also get tear trough filler along with the cheek filler. My only concern would be if it will make my face look too puffy.

Should I get tear trough filler? (Photo)

Hi I reviewed your photos. On straight on (frontal) view, your face is actually very symmetric when assessing your horizontal 1/3's and vertical 1/5's. You have a great hair line, nice eyebrow position, and good cheek structure that will keep you looking young for a long time. I see what you mean by your side profile view. You have something called chin retrusion (weak chin) which limits how sharp your neck and jaw line appears. This is easily corrected with a custom contoured chin implant. This can be done under local anesthesia in about 30 minutes and can make huge strides to refine your jaw line. Something to consider in your age range is to combine a chin augmentation with microliposuction underneath the jaw. This will remove any excess fullness and utilize the advantages of your young skin which will shrink wrap underneath your jaw/neck line. The recovery for this procedure is usually 5-7 days of social downtime. I would recommend seeking a Facial Plastic Surgeon who specializes in facial procedures. Thank you. Nik Rana MD.

Looking to see what procedures I can look into, I am very unhappy with my side profile view. I have a flat face, fat neck, no jaw&nbsp;line, and my left eye looks like its closing more than the other. I’m trying to look more feminine. Suggestions? I was told my cheeks are flat as well.

I have a flat face, a fat neck, and a droopy eyelid. How can I correct these? (Photos)

I reviewed your photos with respect to a chin augmentation. Your chin is slightly retruded (smaller) due to the shape of your jaw (mandible), but it is not so severe that it would require aggressive surgery (mandibular advancement). The two best options for someone like you would be non-surgical (filler) or surgical (chin implant) chin augmentation. The benefit to both are they are completely reversible! Filler can be done in the office in under 20 minutes, but can only project the chin a limited amount. An implant also takes about 30 minutes (in a procedure room under local anesthesia) and can be be custom shaped to your desired appearance. I would advise you seek a facial plastic surgeon to help address your needs. Thank you. Nik Rana MD

I’m considering either fillers or an implant for my chin but i don’t know if it’s actually noticeably weak or if i’m just fixated on it and blowing out of proportion .

What is it about my face that makes it look so uneven? I think it is my chin but not certain. (photos)

Bags underneath the eyes are usually treated with a multifaceted approach. Depending on your anatomy and the cause of the bags, surgery (blepharoplasty) can be indicated. However, if surgery is something you are not ready for, there are non-surgical options. CO2 laser can been used in the right patients for skin tightening and resurfacing. You had asked about filler around the eyes, which when done by the right, well-trained professional is very safe. It can help hide fullness and shadows when artfully placed by changing the way light reflects off your skin. I have perfected a technique of placing filler around the eyes, called the BEL procedure or Brilliant Eyelid Lift Procedure, which places precise amounts of filler in strategic places around the eyes using the smallest needles available. The risk of blindness is minimal but theoretical. Our team is happy to help! Otherwise, I'd recommend seeing a facial plastic surgeon who specializes in facial rejuvenation in your area. Thank you! Nik Rana MD

I have pretty bad bags under my eyes. It almost looks like there's fluid in there they are always puffy. It seems that injectables would be the best way to go for treating them. But I am afraid of possible blindness from the injectables. I have read that that is a possible side effect although rare. Is it possible to experience blindness as a risk of injectables for under eye bags?

Is there a risk of blindness while using injectables for under eye bags?

Eye Bags Treatment

Downturning of the lips is very common over time due to volume loss. Some people are even naturally built that way. You can use a combination of filler or botox/dysport to address this depending on your goals. There are ways to add structure and volume around the lips in the marionette folds to help reverse the effects of volume loss. Also, strategic placement of neurotoxin (botox/dysport/xeomin) into select muscles of the face can actually prevent you from frowning. I recommend seeking a facial plastic surgeon in your area, whose expertise in facial anatomy, can help address your concerns.

For several years I noticed the corners of my mouth have progressively gotten worse. They are turned down at the corners. What's are some ways, temporary or permanent, that will help? Also, would botox or lip filler have any effect?

How best to fix RBF or chronic mouth frown? (Photo)

While nothing short of surgery (lip lift) would actually shorten the philthrum, lip filler, like many other fillers can be used to create optical illusions to get the desired result. So if the desire was to take the emphasis off of the philthrum, additional volume to the upper lip would achieve this goal. However, it is important to note that there should be an ideal ratio of the upper lip to lower lip, therefore, you cannot be over aggressive and distort this harmony. I would recommend seeing a dedicated Facial Plastics specialist who can discuss both surgical and non-surgical options to achieve your desired goals.

Hello, my philtrum is about 17mm in length. I have seen before and after pictures of lip augmentation patients (the Russian lips technique specifically) and sometimes it seems that lip fillers can give the appearance of a shorter philtrum? Is this possible to do with fillers and would it be suitable for me? Thanks in advance!

Is it possible to lift my lips and shorten my philtrum (17mm long) without a lip lift? (Photo)

Given your history of trauma to the lip, there could be many things at play here. This could be as simple as a build up in scar tissue (fibroma), trapped salivary tissue (mucocele), or even a foreign body granuloma since it was not sutured. Options can vary from excision, to conservative treatments such as massages to soften the area or can be left alone. Filler can be used camouflage scars/uneven contours around the face, but in this case it may leave your lips with an unnatural look given how much would be needed blend the area in. I would recommend being evaluated by a facial plastics specialist to discuss what your best options are.

I have a large scar tissue lump on the right side of my lip, I had an accident about a year ago and banged my mouth, I think it might have needed stitches but I didn’t get any and now I have a big tissue lump on my lip I’m wondering what would be the best option for me and if lip fillers would be optional to try and disguise the lump?

Would lip fillers be optional for my large scar tissue bundle? (Photos)

Nik Rana, MD

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Facial plastic surgeons have the training and certification to perform rhinoplasties, facelifts, chin and jaw surgeries, eyelid lifts, and other head and neck procedures.

Facial Plastic Surgeon

Woodbury

Stephen T. Greenberg, MD, FACS

AlloDerm

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Belotero

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Hair Transplant

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Inverted Nipple Surgery

Juvederm

Kybella

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Latisse

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Lipoma Removal

Liposculpture

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Liposuction Revision

Liquid Facelift

Lower Facelift

Male Tummy Tuck

Mentor Breast Implants

Micro Botox

Microblading

Microdermabrasion

Microneedling

Mini Facelift

Mini Tummy Tuck

MiraDry

Mole Removal

Mommy Makeover

Morpheus8

Neck Lift

NeoGraft

Nipple Reduction

Nipple Surgery

Nonsurgical Butt Lift

Nonsurgical Facelift

Nonsurgical Neck Lift

Nonsurgical Nose Job

Permanent Makeup

Pixel Laser

critical risk

Savannah

Luke J. Curtsinger, MD

Agnes RF

Back Lift

Belly Button Surgery

Botox for Gummy Smile

Botox for Hyperhidrosis

Botox for Migraines

Botox for TMJ

BroadBand Light (BBL)

Capsular Contracture Treatment

Clitoral Hood Reduction

Deep Plane Facelift

Dermapen

Diastasis Recti Repair

Drainless Tummy Tuck

Facelift Revision

Forehead Reduction

Genioplasty

Halo Laser

Ideal Implant

Infini RF

Inspira Breast Implants

Jessner Peel

Jeuveau

Lip Implants

Lip Lift

Lip Surgery

Lux 1540

MACS Facelift

Microneedling RF

Monsplasty

Natrelle Breast Implants

Los Angeles

Randal Haworth, MD, FACS

Abdominal Etching

ActiveFX

African American Rhinoplasty

Aquamid

Asian Rhinoplasty

Bellafill

Biocorneum

BodyTite

Breast Reconstruction Revision

Buccal Fat Removal

Calf Implant

DeepFX

Derma Roller

Dimple Surgery

Eyelid Retraction Repair

FaceTite

Facial Feminization Surgery

Feminizing Top Surgery

GalaFLEX

Hyaluronidase

Jaw Reduction

Labia Puffing

Lip Reduction

Masculinizing Top Surgery

Tampa

Meegan Gruber, MD, PhD

Breast Reconstruction with Fat Transfer

Nik Rana, MD

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NIK RANA, MD REVIEWS

RATING DETAILS

Absolutely thrilled with the results

Dr. Rana has helped me gain back volume after facial fat loss

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Nik Rana, MD

CONNECT WITH TRUSTED DOCTORS

MAKE SURE YOUR DOCTOR IS REALSELF VERIFIED

CONNECT WITH TRUSTED DOCTORS

NIK RANA, MD REVIEWS

RATING DETAILS

Absolutely thrilled with the results

Dr. Rana has helped me gain back volume after facial fat loss

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