How Can I Achieve More Definition in my Face? (photo)

Question

I've always had a chubby face even though I'm not overweight. The lack of definition has always bothered me and my big cheeks droop even though I'm only 25. The fat isn't really on my cheek bones, it seems to pool at the nasolabial folds. Chubby faces run in my family and we don't seem to lose fat as we age. What would be the best way to achieve some facial definition, buccal fat removal or cheek implants?

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Barry L. Eppley, MD, DMD · Answer

You would like get some definition through buccal lipectomies and perioral mound liposuction to thin the tissues between the cheeks and the jawline.

Francis R. Palmer, III, MD (retired) · Answer

From the photos provided the chin appears weak while the cheeks are flat.  There is excess facial fat both below and medial to the cheeks.  This all makes the face appear round.

	 Cheek Augmentation with Cheek Implants, micro-liposuction of the excess subcutaneous fat (not buccal fat which should not be removed) and Chin Augmentation with a Chin Implant would make the face more heart-shaped and feminine.

Richard W. Fleming, MD (retired) · Answer

A profile view would help but cheek implants, buccal fat removal, and probably a chin implant would improve your facial contours.

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