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What permanent or long lasting procedure can help minimize the appearance of nasolabial shadow from heavy cheeks? (photos)

Cute650738Jan 12, 2023
Ive had big cheeks all my life, and because of this ive had a shadow at the corners of my mouth and nasolabial area since i was a kid. Im looking for something more permanent or lasts years to flatten or lift this area thats not fillers or botox. Also i dont think buccal fat removal is appropriate in this situation as i love the shape of my face on the sides. Its just the heaviness/fullness in the front that id like to get rid of. What are my options? Thank you!

Answers (3)

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Jason Emer, MD profile photo
Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Feb 24, 2023
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James R. Gordon, MD, FACS, FAAO profile photo
Dr. James R. Gordon, MD, FACS, FAAO
Oculoplastic Surgeon, Board Certified in Ophthalmology
5.0 | 283 Reviews
Answered on Jan 29, 2023
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Dr. Gurkan Kayabasoglu, MD
Facial Plastic Surgeon
Answered on Mar 1, 2023
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James R. Gordon, MD, FACS, FAAO

Thank you for sharing your question and posting your photos. You can elevate your cheeks and mouth with proper placement of PDO Threads and enhance the cheek volume with fillers. See an experienced oculofacial surgeon for detailed evaluation and discussion of treatment options. Good luck!

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Jason Emer, MD

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion...

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Jason Emer, MD

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...

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James R. Gordon, MD, FACS, FAAO

Thank you for sharing your questions and posting your photos. It appears that your cheek has fallen a bit, there is some fat prolapse and an apparent tear trough. You probably need a lower eyelid blepharoplasty with fat repositioning and cheek elevation. Dr. Jeff Schiller is the best I’ve seen a...

+4 answers
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Jason Emer, MD

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...

+1 answers
Top Answer
User Avatar
Jason Emer, MD

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion...

+2 answers
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