21 year old female. I wanted a more lifted look. Would Botox help?

Question

I'm 21 years old (I look young) and would love a lifted look to my lower cheek area (jowl area) because I have small lips which accentuates that and also makes me have a more baby-like appearance. Would botox in masseter or cheekbones help?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, the best shape and contour could be
achieved with voluma injection into your cheekbones rather than botox.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Shanthala Shivananjappa, MD · Answer

Hello Olivia,
You are very pretty, I do not see any volume loss or sagging in any area based on your photo. 
The facial beauty and symmetry can be mathematically calculated based on Da Vinci's concept, known as "phi" ( the golden ratio) which describes facial proportions, by following that  principle one can precisely restore the symmetry  and contour the face with injectables such as fillers and Botox.
It is best that you are evaluated in person by an expert aesthetic physician/surgeon.
Best Wishes
Dr. Shanthala

Martin Jugenburg, MD · Answer

To lift the jowls and add cheekbones it would be more of a filler that would provide that and possible in the marionettes to soften the jowl area. What I would recommend is using voluma for this.  from your picture you do  have a bit of a square jaw and to have more of a heart shaped lower face it would be botox in the masseter muscle to help soften this.

Yael Halaas, MD · Answer

Botox is typically used to provide a gentle lift around the eyes and eyebrow region. Botox could be a very powerful tool to make these changes and give a great result but the keen aesthetic eye of a board certified facial plastic surgeon who really understands what her goals are is key. The best thing you can do is to meet with a board-certified facial plastic surgeon for a consultation. It’s important that a doctor examine your face in person so he or she can get a feel for how you look from all angles and recommend the best treatment for you.

Jean M. Casello, MD · Answer

It is difficult to tell from your photo which would be the best procedure.  You would need to have an evaluation to assess your facial structure and what would be the best procedure help you achieve your goals.Typically botox can be used to lift the brow area and dermal fillers are used to lift the cheek and jowl area.  Make sure your injector is experienced . You want to achieve a natural look.

Melvin Elson, MD · Answer

The photo does not show the areas you are concerned with but Botox can produce some lifting if done correctly so be sure you see a board certified dermatologist

Bruce E. Katz, MD · Answer

Thank you for your question. Botox is generally used to help with muscle control and smoothing fine lines and wrinkles. For optimal results, Botox should be done every 3-4 months. It is difficult to tell without a photo. For more information, I recommend getting a consult from a board-certified dermatologist.

21 year old female. I wanted a more lifted look. Would Botox help?

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