What can I do to achieve facial balance? (Photo)

First, let's start by saying that perhaps you might be overcritical about your looks. However, simple, nonsurgical HA filler procedures to address your concerns could serve as the icing on the cake. An appropriately robust HA filler for the upper outer cheeks would not only create an overall more oval, heart-shaped appearance, but properly injected would likely diminish the incipient tear troughs and early bag formation seen. Another robust HA filler injected along the jawline would serve to straighten and define it--addressing the concern about the slight sagging there. Finally, if still desired, a small amount of a low viscosity, cohesive HA filler can be used along the upper vermilion border of the lip to create greater definition and a slight upper lip lift. You would be wise to consult with a board certified cosmetic dermatologist and to be cautious not to go overboard about any venue that simply seems to be merely rubber-stamping all your requests Best of luck.

Being seen and evaluated in person is the best way to answer this question. Generally, better jawline definition could come from chin implants, fat grafting, and fillers, as well as skin tightening. Lip filler won't really make your philtrum or midface shorter--examination and discussion in person would help identify the basis for your concerns and come up with a plan.

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Dear Philosophical16649,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello,Physical examination can never be replaced by photos only.
That said, jawline, chin, and cheek volumization would help you achieve greater balance. A 'dense' filler like Volux would be a great choice for this. I would recommend a bit on the nose as well.
Botox for the platysma and DAO muscles will help with the shadows under the mouth.
Lip filler may help with the volume of your upper lip. You can combine this with some botox ('lip flip') to increase upper lip show. However neither of these will truly shorten the philtrum and you may need to consider a formal lip lift procedure.

Fillers are a great tool to define facial contours and add volume where needed. They can be used to help shape and enhance the lips. One of the nice benefits of fillers is that you can go slowly to build up to the look you are wanting. See an experienced injector near you to discuss your concerns.

You're a beautiful woman! Sometimes less is more. When it's time for maintenance retreatment spread a syringe between your nose, temples, upper lip and chin to maintain your results for a lifetime.

Overall you appear to have a beautiful face. The only things that I see that can be improved on your face are: cheek projection, appearance of lower eyelid bags. Lack of cheek projection is something that comes from your fathers side of the family. You can create beautiful cheeks with the use of your own fat by means of fat grafting. When fat grafting is done to the cheeks properly, your lower eyelid bags will simply disappear permanently. The result should be natural and permanent. I hope this helps and good luck from New York City Plastic Surgery. P.S. the same can be done to the July if desired.

Facial aesthetics especially in young people is almost purely based on the facial bone structure.
Soft tissues tend to be very consistent from person to person and are often not what determine if somebody has a desirable facial appearance. whether it be masculine, feminine, attractive or not so much most of what identifies each unique persons face is based on their facial skeletal structure.
The face is often divided in the upper third, mid third and lower 1/3. The upper third of the face is the forehead which is supported by the frontalis. The mid phase is based on the Maxilla and the lower 1/3 of the face if determined by the shape and size of the mandible. demandable is the only bone in the face that has a joint. The relationship between the mandible and maxilla determines what someone’s dental occlusion is.
Individuals with a relatively small mandible or a mandible that lacks forward projection tend to have an overbite dental occlusion. Aesthetically this tends to also contribute to a premature double chin, loss of jawline definition, premature jowl formation. Individuals with a small Mandible tend to also show an upper lip that has more forward projection on profile pictures than their lower lip. Individuals with a small Mandible tend to also show an upper lip that has more forward projection on profile pictures than their lower lip. Position of the lip is directly related to Dentation and the overbite causes the lips to have that relationship with more projection of the upper lip rather than the lower lip despite the fact that most people have a lower lip that’s larger than their upper lip. Lack of projection of the mandible causes the underlying platysma muscle to drape the neck in a more oblique fashion. Attempts of correcting issues related to bone structure with soft tissue manipulation lead to partial improvement at best.
The shape or projection of the chin may or may not be related to the overall size and shape of the mandible. for example it is possible to have a mandible that is undersized while still having a highly projecting chin. in such a case the patient’s body of the mandible is short while the mentalis is long. This is a little bit of what I see in your picture. your chin has fairly good projection as a scene by having a sharp may be a mental angle or circus(The little fold under your lower lip) at the same time your upper lip has more forward projection than your lower lip showing an overbite dental occlusion(body of the mandible lacking ideal projection)
This is often the reason for disappointments for individuals seeking liposuction of the chin and neck when a true correct diagnosis is not related to fat distribution.
Facial aging is often more related to soft tissue structures but these intern are directly related to the bone foundation that’s holding them in place. this means individuals who have undesirable facial bone characteristics are more likely to show signs of premature aging or aesthetic decline with time.
Most plastic surgeons are soft tissue oriented and will make assessments and treatment recommendations based on soft tissues rather than bone structure.
This is very much how my training an early years in practice work.
As I enter the later years of my career I now recognize more and more how important bone structure is the facial aesthetics in making accurate assessment and devising correct procedures with predictable results.
oral surgeons are far more focused on bone structure through their training and typically make assessments accordingly.
Sometimes getting input from both specialties can be useful in getting a thorough understanding of your own personal aesthetics.
Facial aesthetics is complex and it’s not particularly subjective.
It is more difficult to do well and most people believe and you’ll find variation in opinion from provider to provider and potentially among different specialties.
Any statements made are general statements and an accurate assessment with proper recommendations requires an in person consultation with examination.
Successful treatment generally always begins at first having an accurate assessment or.
Successful treatment generally always begins at first having an accurate assessment or diagnosis.
Anesthetic medicine this is not all that different than other forms of medicine. treatments not aimed at treating the primary underlying problem given impartial improvements at most. Many individuals look for a softer gentler solution then what’s required to tackle the actual underlying cause or reason for their concern. Many individuals look for a softer gentler solution then what’s required to tackle the actual underlying cause or reason for their concern.
Sometimes more invasive treatments are indicated and sometimes they are not.
The importance of choosing providers with sufficient skill and experience who are in the end patient advocates and I have the ability to steer patients towards appropriate recommendations cannot be overstated.
For any serious permanent intervention patients should be highly selective and choosing sufficiently skills and experience providers for both assessment and treatments.
Short term solutions like fillers and Botox can be useful and for some individuals possibly give dramatic improvements.
I sometimes prefer patience to the website of Dr. David Mabrie in San Francisco. He is a facial plastic surgeon who works exclusively using facial fillers. his work with facial volume restoration if some of the best I’ve seen. His website serves as an excellent source for the gold standard of what can be obtained without surgical intervention.
The one single recommendation I can give for all people regarding facial appearance to wear sunscreen every day and avoid excessive sun exposure and avoid tobacco or nicotine use of any kind.
Best,
Mats Hagstrom MD