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Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer
A full set of facial and neck photographs from all angles are required to make the best determination about what is the best procedure for you. It appears that you have a recessive chin, and significant pre-Jowl sulcus which makes your jowls look bigger than they really are. You may be a candidate for a chin implant to give better structural support for the soft tissues.
You have a very small/narrow lower jawline which does not support your tissues; so the tissues look 'sagging'. The longterm successful approach is to ensure the underlying bone support is proper since it not only looks better, but is g ood for aging
For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...
I have found the sub periosteal mid-facelift and lower blepharoplasty allows for the cheek to be lifted up correcting the lower eyelid flatness. A full examination is needed to give you a more comprehensive recommendation for your concerns.
Nasolabial folds are normal as we age. The flatness below your eyes in the medial area of your cheek can be improved with cheek implants rather than a cheek lift. A lot depends on the look that you are trying to achieve.
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...
It is difficult to evaluate your cheeks if you only provide us with smiling pictures. The best way to lift your cheeks is through the lower eyelids by suspending your mid face to the bone on the side of the eye sockets. Please post or send non smiling pictures. An in person or virtual meeting is...
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