Doctor Mesa Plastic Surgery - New York

Doctor Mesa Plastic Surgery - New York

4.9 rating from 769 reviews
Practice Information
903 Park Ave, New York, New York

About the Practice

Medical DirectorJohn Mesa, MD

Doctors & Other Staff Members

John Mesa, MD
Board Certified Plastic Surgeon
4.9
Cristina Laverde, RN
Registered Nurse

3,966 Before & After Photos

769 Doctor Mesa Plastic Surgery - New York Reviews

Renee5barkley
Dermal Fillers3 days post-opMay 5, 2025
I am very pleased with the results
Reliable392794
Mole Removal12 hours post-opApril 17, 2025
Great Experience!
Bags0728
Gynecomastia Surgery4 months post-opApril 1, 2025
Amazing Result with my Gynecomastia
Sociable679544
Neck Lift21 months post-opMarch 20, 2025
I Had an Amazing Experience.
Dulcinea del Toboso
Botox24 days post-opMarch 20, 2025
I Had Amazing Experience
Thriving3704
Chin Liposuction6 months post-opMarch 13, 2025
Best Results Ever
yaquelinm
Facelift16 days post-opMarch 4, 2025
Facelift with Dr. Mesa
jamied11
Buccal Fat Removal22 days post-opMarch 4, 2025
Fillers as well as buccal fat removal - helped to define my face.
Cute758767
Eyelid Surgery4 months post-opMarch 4, 2025
Happy with my Eyelid Surgery
Gregarious652363
Buccal Fat Removal4 months post-opFebruary 27, 2025
Great Doctor and Experience (Buccal Fat Removal, Chin Liposuction)

841 Answers

A

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.

Answered by Dr. MesaJanuary 22, 2025
A Facial asymmetry is not an uncommon physical finding where one side of the face appears smaller or larger than the other. This asymmetry is often due to differences in the soft tissues and bony structures of the face. To correct asymmetry, it's crucial to identify the underlying cause and address it appropriately. One common cause of facial asymmetry is a difference in the projection of the cheekbones. When one cheekbone is smaller than the other, unilateral cheekbone augmentation with fillers can help create a more symmetrical facial appearance. If the asymmetry is due to one side of the jaw being smaller than the other, either jaw augmentation on the smaller side with fillers or jaw volume reduction on the larger side with Botox injections to the masseter can also improve symmetry. Regarding soft tissues, asymmetric buccal fat pads are a frequent cause of facial asymmetry. Buccal fat pads are pockets of fat in the lower cheeks that contribute to facial fullness. If one buccal fat pad is larger than the other, it can make that side of the face appear fuller. In such cases, unilateral or asymmetric buccal fat pad reduction or removal can help address the asymmetry. In summary, achieving a more symmetrical face requires identifying the specific causes of asymmetry and addressing them accordingly with one or multiple plastic surgery procedures. I hope this helps! Sincerely, John Mesa, MD Buccal Fat Removal Specialist Plastic Surgeon New York - New Jersey - Miami.
Answered by Dr. MesaAugust 20, 2024

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Opening Hours

Monday8:00am - 5:00pmTuesday8:00am - 5:00pmWednesday8:00am - 5:00pmThursday8:00am - 5:00pmFriday8:00am - 4:00pmSaturdayClosedSundayClosed