How can I reduce my heavy lower face and achieve a more feminine look? Low BMI with excess fat along jaw and chin. (photos)

Question

I am in my late 20's and have an increasingly heavy lower face. I would like to know what specifically is out of proportion, or what parts of my face are causing this. Even at a low BMI there seems to be excess fat along my jaw/lower cheek/chin.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. You may benefit most from RF microneedling treatments to increase the body’s natural collagen production and restore the skin’s elasticity for a smooth, skin-firming result. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and suggest the best approach to help you achieve your aesthetic goals.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Thanks for your question. At your age, I would be very careful with anything overly invasive. Buccal fat can help slim the mid-cheeks some, but it doesn't do a ton for the jawline. Morpheus8 is a nice option. This is radiofrequency microneedling which helps to tone the collagen. The smoothing effect is not overly dramatic but it does help with minimal risk or downtime. Fillers to the cheeks can "pull", to a degree, some of the lower face heaviness making the face more triangular in appearance. I would seek consultation with a facial plastic surgeon to see what option may be safest and best. Hope that helps!

Darryl J. Blinski, MD · Answer

Thanks for posted photos! I recommend in office ultrasound of the jowls to see the amount of buccal fat. That fee $500. Then might offer Buccal fat removal with anterior mini facelift + SMAS plication. Fee $8,000. Best to virtual consult with...

How can I reduce my heavy lower face and achieve a more feminine look? Low BMI with excess fat along jaw and chin. (photos)

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