30 yo interested in filler to correct sagging while maintaining masculine appearance. Which areas should I have treated?(photos)

Question

I’m about 30 but have always had a bit of a “sagging” face. If I were to get filler but maintain a masculine appearance, where exactly should I put it — the cheeks (outer, inner?), the pre-jowl sulcus, etc.?

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. You may benefit from dermal filler injections to the midface to provide a subtle lift while maintaining a masculine appearance. Injectable treatments can be combined with RF microneedling to tighten the skin and address lower face sagging. This treatment option uses a combination of microneedling and gentle radiofrequency heating to encourage the body’s natural collagen production, restore elasticity, and improve the skin’s quality and texture from the inside out.

I recommend scheduling an in-person consultation with an experienced, board-certified injector. They will be able to review your concerns and aesthetic goals to determine the treatment options that may be right for you.

Camille Cash, MD · Answer

From the photos it appears you could consider some additional volume in the cheek area.  To improve skin tone and texture you could also consider Morpheus8.  Three treatment sessions are recommended for optimal results.

Angelica Kavouni, MD, PhD, FRCS(Eng) · Answer

There is midface hypoplasia so you would benefit from augmenting the midface , that is cheeks and nasolabials. Another option is a midface lift and/or mandibular advancement

30 yo interested in filler to correct sagging while maintaining masculine appearance. Which areas should I have treated?(photos)

Answers (4)

Answer: Filler to correct sagging face

Answer: Filler to correct sagging face

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Everything you need to know about Dermal Fillers

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

30 yo interested in filler to correct sagging while maintaining masculine appearance. Which areas should I have treated?(photos)

Answers (4)

Answer: Filler to correct sagging face

Answer: Filler to correct sagging face

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Recommended reading

Everything you need to know about Dermal Fillers

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