Would I be a good candidate for cheek augmentation? (photos)

Question

I feel like my left cheek is not symmetrical compared with the other side. I also feel like my left nose hole is smaller then the right. Is there a way to fix that? And one more thing, I don't really have a jawline one side of my face has a more defined look to It then the other side but I would like them both to be more defined so that it doesn't all just blend in. Any suggestions?

Jed H. Horowitz, MD, FACS · Answer

Hello johnsmthCandidates for cheek implant includes people with weak cheek structure, narrow or flat face, and also those who have lost their natural cheek contour due to age can benefit it. 
  
You may be a good candidate for facial implants if you:
  
Are physically healthy
  
Do not smoke
  
Have specific goals in mind for improvement of your cheek.

Janet Allenby, DO · Answer

Hello, Thank you for your question. You would need to see a surgeon and discuss a nose job to fix the asymmetry that your seeing in your nostrils. You will always have a bit of asymmetry in the face. This is common and normal. However you may consider things like CoolMini or Kybella to define the jawline a little more. Doctors can also inject some filler along the jaw to give it a stronger appearance. Filler in the cheek will also help the face appear more balanced and symmetrical. It is ideal to have a consultation with an experienced doctor, to guarantee that you are able to get the look your going for. Good luck!

Zoran Potparic, MD · Answer

Facial asymmetry is normal condition and based on your photos you appear to fit within this group. However, some improvement can be made in multiple areas providing that there is objective reason for that. Multiple types of fillers are available for purpose of volume augmentation of the weak areas. However, in your age fat grafts should be considered because of very good results we have with this technique in younger population and cost. Your next step should be a consultation with a board certified plastic surgeon with good reputation in facial rejuvenation and fat grafting. Good luck.

Jason Emer, MD · Answer

Facial symmetry of the face can be created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. Implants or fat are alternatives. These fillers (voluma, restylane, juvederm) can be used to improve the symmetry of the nose. However, surgery would be needed to improve nostrils or overall shape. See an expert for a formal evaluation. Best, Dr. Emer

Michael J. Yaremchuk, MD (license resigned) · Answer

The malar area is the most projecting part of the midface skeleton. It is what we consider the "cheekbone." Prominent malar bones are considered attractive. Hence, the malar area is frequently augmented with implants. Oftentimes, a deficiency in cheek prominence is part of a more generalized deficiency in the midface skeleton. For that reason, malar (cheek) implants are often used in combination with other implants - most frequently, with infraorbital rim implants, which build up the area directly beneath the eye.

Manjula Jegasothy, MD · Answer

Cheek and nostril asymmetries are treated very effectively with a robust filler such as Voluma® or Restylane® Lyft. Dysport® injections along the jawline, along with Radiesse® filler, can re-align, define and symmetricize the jawline and jawbone itself, non surgically!

Barry L. Eppley, MD, DMD · Answer

You have facial asymmetry where the one side of your face is overall smaller than that of the opposite side. So everything you point to on that side of the face is different. It is all part of the same facial problem. Many of your facial asymmetries can be addressed and improved including the cheek and jawline. The small nostril is one for which there is not a good solution.

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

Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek implants, chin implants, lip implants), liposuction and/or facelifts for over 30 years.  From the photos, your cheeks are flat in the front (left is more flat than the right although your face has an average amount of asymmetry overall), there is excess fat in the mid face, lower face and neck, the chin is weak as are the mandibular angles.  These combine to create a wide rectangular most square shaped face.  The asymmetry in the nostrils, while something that you may notice, contributes very little to your overall appearance. Following my beauty principles, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles.  From the photos, your cheeks are flat anteriorly (in the front), the chin is weak as are the mandibular angles and there is excess facial fat in front and below the cheeks.  This combines to create an elongated oval shaped face.  The following procedures would create a more ruggedly handsome face.
Cheek augmentation with cheek implants to add angularity to the cheeks and mid face.  Liposuction can be combined to reduce any excess fat to further shape the cheeks and face.
Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face.  I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut bone segments).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.  
Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.
Hope this helps

Would I be a good candidate for cheek augmentation? (photos)

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