How can I achieve better facial harmony and slim my face? (photos)

Question

Hello. I’m 25,140 pounds and 5’4 and I want to know what could be done to 1) achieve better facial harmony and maybe how to slim my face. I’ve heard it’s a bad idea to take too much fat out of a young face, and i’m scared of fillers making my face look even larged. i’ve always thought my face in general just is big and assymetrical. I’m not too familiar with what I could do about this so i’d love suggestions. :) btw i have had 20 units each side of botox for tmj

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.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. Conditions like TMJ can enlarge the masseter muscles, making Botox an ideal treatment for treating the condition while providing a slimming effect to the lower third portion of the face.

It may be best to discuss your aesthetic goals in person with your current, experienced injector. They will be able to make recommendations on how you can enhance your current results, further slenderize your jawline, and create a more symmetrical appearance.

Michelle Zweifler, MD · Answer

Facial asymmetry is very common, it is what makes us unique.  Botox for the masseter muscle helps not only with TMJ; it also slims the face.  Filler can help with asymmetry, but may make one's face appear fuller.  Few patients benefit from buccal fat excision and it often is not recommended to remove fat from youthful faces.
Makeup also helps to contour.

Michael P. Morrissette, DDS, FACS · Answer

I would recommend avoiding fillers as you have a well volumized face. I think that botox for slimming the masseter muscles is a good start. You might consider liposuction for the lower face and jawline. Overall, you have a beautiful facial features and should not make any significant changes. Sometimes less is best.

Randal Haworth, MD, FACS · Answer

It looks like you could benefit from filler injections and Botox.

Combination of Botox and dermal fillers can be used to add volume, balance out and thin certain areas of the face. However, as you mentioned, it's essential to work with an experienced injector who can achieve a natural-looking result without overfilling or distorting the face.

Best of luck !

How can I achieve better facial harmony and slim my face? (photos)

Answers (5)

Answer: Facial slimming

Answer: Facial slimming

Answer: Facial harmony

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How can I achieve better facial harmony and slim my face? (photos)

Answers (5)

Answer: Facial slimming

Answer: Facial slimming

Answer: Facial harmony

Answer: Facial harmony

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Recommended reading

Everything you need to know about Cheek Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.