Why do I have these bulges forming and how do I hide/remove them? (Photos)

Question

I am 38 years old and otherwise feel like I look fairly young. These two bulges have started to form around age 35 and have just been getting worse. I was told I could do filler around the areas to 'fill it in' but I'm not sure the best solution is to add more volume to the lower half of my face? I also consulted a plastic surgeon who told me he could lipo them but that seemed like a bad idea? Or maybe that is my best option? Do I have a week chin?

Nima Shemirani, MD · Answer

Hi @Rosepetal83. I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Best of luck,

Dr. Nima!

Best of luck,

Dr. Nima!

Jason Emer, MD · Answer

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. 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. Dermal fillers for the cheeks can help tighten the skin and pull it upward to eliminate some bulging. A combination of dermal fillers and Botox in strategically placed areas for a liquid facelift can help lift and contour your lower and mid-face. If your provider finds you have a weak chin, dermal fillers can also help with this concern. Product, placements, and technique make a difference, so working with an experienced, qualified injector is important for a custom treatment plan.

Gurkan Kayabasoglu, MD · Answer

Hello. We can only understand if you have a weak jaw from your profile picture. It is not visible from these angles. However, a mid-face lift will benefit you in this regard. You should know that these are caused by sagging. I’m the only triple board-certified facial plastic surgeon all around Europe. I’m just focused on this issue. I am a doctor who goes to almost every country in the world and explains my techniques to important doctors with the seminar invitations I receive, so I am definitely the only doctor who can perform your operation very comfortably and successfully. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile (+90 539 204 40 90). You can also book an online consultation and discuss your problems with me. With all respect.

Robinson Facial Plastic Surgery - Alpharetta · Answer

Hi there! Thank you for your question. You have a valid concern, as this fullness on each side of your mouth can give you a frowning or jowling appearance over time. It looks like your face is otherwise on the thinner side, which can accentuate these areas of concern. I suggest the following:
1. A little filler to the cheeks to help pull up and create balance between your upper and lower face. 2. Filler to the area just below the "bulges", on your chin. See how it looks like someone pinched your chin and left their fingerprints on each side? These depressions are creating a shadow, which again, accentuate the bulges. 3. Small amounts of Kybella can be injected in this area to help dissolve a little of the fat. I would not recommend lipo suction for this particular area. It is too delicate, and lipo suction, if done too aggressively, can create permanent, unsightly divots or depressions on your face.
Try the filler first. It is not permanent and will help camouflage the area. If this does not alleviate it to your satisfaction, try the Kybella. I hope this helps!
Ivette Ballara, RN

Joel L. Cohen, MD · Answer

Sometimes there is a bit of fat herniation between muscle (here between the DLI and DAO), unless you have preciously has filler and it is old filler product. 
We can often camouflage this issue with very precisely placed filler. Not a lot. Placement matters. Product matters. I would needle place (rather than cannula) &mdash; as just trying to decrease the step-off of prominence compared to the adjacent skin. I would use Restylane Defyne as it has XPreshan technology, that tends to integrate into the dermis more than aggregate in a clump.

Mona Khurana, MD · Answer

Hi Rosepetal 83. This is related to volume loss and the effect of gravity as we age. I think you would benefit from lower face dermal fillers. Strategically placed in the chin and the area of the lower marionette lines, the contour will improve and decrease the appearance of these areas.Skin tightening treatments such as SkinTyte could also help improve the tightness of the skin the lower face also.Thanks Dr. Khurana

Why do I have these bulges forming and how do I hide/remove them? (Photos)

Answers (7)

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