Which procedure would help address downturned lip corners, asymmetry and volume loss in the same area? 23 y/o female (photos)

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.

Thank you for your question and photos. Properly placed filler can improve facial symmetry, add volume to shallow contours to smooth creases, and lift downturned lip corners for a feminine, natural-looking enhancement.

There are different hyaluronic acid dermal filler formulas for treating different areas of the face, so it’s best to schedule an in-person consultation with an experienced, board-certified injector. They will be able to review your treatment history, discuss your aesthetic goals with you, and determine the best formula to address your specific needs.

Fillers are a great tool to help improve asymmetry and correct volume loss. There are different types of fillers that are designed to address certain areas/concerns. Speak to an experienced injector about which are recommended for you.

Secondary smile line area is also called (accordion lines). They happen first in animation, but eventually imprint. The key is to avoid placing volume, as filler volume will simply make the cheek look heavier. Instead, fillers shallowly in the area to air brush the lines to minimize their Appearance can be helpful. I like Restylane Refyne for this as it moves well with expression, has stereophotogrammetry studies in this demonstrating subcutaneous support and is even “on-label” for this indication.