Age 27, looking for advice on slimming my face (Photos)

Question

I am 27 & looking for advice on how to slim my face. My face has ALWAYS been very full so its not my current weight causing it. The main issue is that ive noticed some drooping from aging that is making my midface look even heavier. Looking at others who have similar faces to mine, it seems chin implants and jawline lipo really male a difference. Would this be the best option for me?

Raffy Karamanoukian, MD, FACS · Answer

A non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

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.

Akshay Sanan, MD, FACS · Answer

Hi court9595,
Thanks for uploading your photos and your question. Facial slimming can be achieved with neck and jawline lipo. Chin implant as well, but I need to see a side profile photo. Another thing to consider is masseter botox, to slim your masseter muscles and give the face a more "V" shape. I recommend you consult with a board certified facial plastic surgeon.
All the best,Dr. Sanan, MDAkshay Sanan MD Facial Plastic SurgeryDouble board certified

Mats Hagstrom, MD (license on probation) · Answer

Do you have an attractive and absolutely normal face for a 27-year-old woman.
Wear sunscreen every day, don’t smoke cigarettes, avoid getting obese and maintain a regular exercise schedule.
Best,
Mats Hagstrom and MD

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