Make wide face more narrow

Question

Okay, so i have identified my ”problem”, and its the cheek area. I've tried fillers but afterwards it just looks like I've gained weight. I've tried fillers for the jawline and that made my face look like a cube. The thing is, I'm happy about my profile an every angel except from the front - from this view my face looks round and flat and wide. What options do i have?

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about your concerns with facial aesthetics. There are several options you might consider to achieve a narrower appearance for your face, particularly focusing on the cheek area:

Consultation with a Specialist: The first step would be to consult with a board-certified dermatologist or plastic surgeon. They can assess your facial structure and recommend appropriate treatments based on your specific needs.

Buccal Fat Removal: This surgical procedure involves removing fat pads from the cheeks, which can help create a more contoured and narrow facial appearance. It's important to discuss potential risks and benefits with a qualified surgeon.

Botox for Masseter Muscles: If the width of your face is partially due to the masseter muscles (the muscles used for chewing), Botox injections can help relax these muscles, slimming the lower face over time.

Thread Lifts: This minimally invasive procedure can lift and tighten the skin, providing a more defined contour to the face. It might help with the overall shape without adding volume.

Facial Contouring with Makeup: While not a permanent solution, makeup techniques such as contouring and highlighting can create the illusion of a more narrow face.

Non-Surgical Skin Tightening Treatments: Procedures like Ultherapy or radiofrequency treatments can tighten and lift the skin, which might help enhance facial contours without adding volume.

Weight Management and Lifestyle: Sometimes, overall weight management can contribute to facial structure changes. A healthy diet and regular exercise can help, although it's important to ensure your goals align with overall health and wellness.

Each of these options has its own set of considerations, and a professional consultation will help you understand which approach might be best suited to your goals and facial anatomy.

Nelson Lee Novick, MD · Answer

You are quite correct. In the frontal view there appears to be some flattening of the medial portion of the midface. If this in indeed so, then the proper injection of an appropriately robust HA volumizing filler can help to diminish the flattening and smooth the transition between the mid-face and the under-eye area without feminizing the face (which injection to the outer portions of the mid-cheek would do). 
The foregoing will improve the front face view without affecting the profile view. 
You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist filler expert and best of luck.

Make wide face more narrow

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