How can this "Bulldog" look be corrected? (Photo)

Question

I had Juvederm places to my marionette lines which caused a "bulldog look". I was told a mini lift would help so at 44 I had it done. The mini lift did not fully resolve the bulging but it looked better. Two weeks ago I had Juvederm ultra places to help turn the corner of my mouth upward and now I have the "bulldog" look more than ever. How can this unsightly look be resolved?

Nima Shemirani, MD · Answer

Hi @Ferde.girl. I recommend dissolving the product with Hyaluronidase. In addition, you are a great candidate for 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

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.  Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Vic Khanna, MD · Answer

I think the main issue is that your complete face was not addressed.   I think some Juvederm Vouma in the upper cheek areas and some Juvederm Ultra Plus in the chin would really go a long way to restore a nice balance in your face.   I don't think you actually have bad filler placement, I just think something more needs to be done to enhance your look-  when this is done, you will look balanced and more beautiful.  I think that you will need at least 3-4 more syringes though.   This can be costly, but worth it.

Ali Sherzoy, MD · Answer

Thank you for the question and photos. marionette lines are one of the difficult areas to treat. over filling the area is common to correct the lines. Using Hyaluronidase to reduce the amount of fillers helps, then using PDO threads to pull the corners will be better without adding more volume. Microneedling RF to tighten the area is also an option.
I hope this was helpful.

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there,
     At first glance, from the photo included, I just think Juvederm was over-injected. I also do NOT prefer this product due to its' tendency to draw fluid to itself. This increases swelling and volume changes from day to day. I would recommend having this product reversed, and consult with a professional who will treat your face as a whole, versus just treating the area you are concerned with. Hope this helps. 
   Sarah RN BSN

Leonard Grossman, MD · Answer

It is unfortunate that you're not quite happy with the treatments you have had in the past. From looking at your photographs, even though those provide very limited views, it appears that there are some things that are plain and simple missing in your face. Those things are: number one lack of volume in the cheek/lower eyelid area. Number two, your chin projection appears to be rather short and should have been corrected. Your poster facial volume is also lacking and restoration of volume in that area would have improved on the facial appearance and proportions. I would recommend that you visit a plastic surgeon who specializes in fat grafting techniques. I hope this helps and good luck from New York City plastic surgery

How can this "Bulldog" look be corrected? (Photo)

Answers (6)

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