Asymmetry of the jaw, jawline and lips. Are lower facelift, lower and upper lip lift good solutions? (photos)

It is difficult to tell just from photos, a physical exam would obviously be helpful. It looks like you have an underlying asymmetry of an otherwise attractive face. What you are noticing is the gradual deflation of facial skin that comes with age. At this point my suggestion would be to add volume to fill and lift your skin. This can be done with fillers or fat. See an experienced surgeon for an in-person exam. I wish you the best!

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.

From your photos it appears that your left lower jaw is larger than right side. That affects the balance of the chin, lips, possibly the entire face (no good photos of mid/upper face). Even your front teeth are a bit off. Correction of this mild deformity needs to be approached very carefully, most likely adding some volume to right side of the jaw (filler, fat grafting). Possibly asymmetric correction of the lips? I would not suggest correction with implants.In-person evaluation by a board certified plastic surgeon with significant reputation in facial rejuvenation should be your next step. You need a true expert. Start with fillers first. Good luck.