Options to reduce jowls and nasolabial folds? (Photo)

Question

I am a 23 year old female and am extremely unhappy with the appearance of my jowls and nasolabial folds. I have always had cheeks that give me a 'chipmunk' appearance due to the distribution of fat and folds in my lower face. If I lose weight, they reduce in size slightly, but are always obvious. What are my options regarding reduction of my jowls? I have attached an image. However the appearance of my cheeks is worse in person. Any advice would be greatly appreciated!

Jason Emer, MD · Answer

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting,  and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Raymond E. Lee, MD · Answer

Thanks for posting your question and photo. From what I can tell the chipmunk cheek look is the fullness you have in the lower cheeks. This is likely  due to your buccal fat pads. A buccal fat pad reduction removes some of this fat and is easily done under local anesthesia through an incision in the cheek lining. Also fillers to the nasolabial folds would improve this area. Please consult with a board certified facial plastic / plastic surgeon for these options or others.

Lawrence Osman, MD · Answer

Hi,Thanks for your photo.  You have several options to reduce the appearance of your jowls and nasolabial folds.  Before listing them, it is important to note that your jowls and NLF's are not due to the aging process and they are not due to loose skin.  Treatments that may help are:1. Filling the upper part of your cheeks.  This would not give you a "chipmunk" look.  It would provide a 3-dimensional lift which would elevate the lower part of your cheek.2. Carefully filling the nasolabial folds and, possibly, marionette lines.3. Using Botox to reduce the downward pull of the muscles attached to the corners of the mouth (the depressor anguli oris muscles).

Options to reduce jowls and nasolabial folds? (Photo)

Answers (3)

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