Will cheek fillers lift my droopy cheeks or should I consider other options? Buccal fat removal done 10 years ago. (photos)

Question

I was initially interested in chin fillers/augmentation to counter droopy cheeks but was told higher cheek fillers could help with the nasolabial folds and perhaps even the droopy lower cheeks. I've previously had buccal fat pad removal 10 years ago. Aside from whether its aesthetically best, do dermal fillers spread over time or cause any other negative side effects long-term? eg side effects where more is needed each time. Thanks

Jason Emer, MD · Answer

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 you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Robinson Facial Plastic Surgery - Alpharetta · Answer

Good morning, and thank you for your question. You are definitely a great candidate for dermal fillers to the mid face. You can see in your photos that you have something called a malar break. This is evidenced by the crease that runs from the inner corner of your eye, or the tear trough, down through the center of your cheek. This "splitting" of your fat pads is creating a flattening appearance of the mid face, and a "drooping" of the cheek, which in turn accentuates the nasolabial folds, and contributes to the downturn of the corners of your mouth and marionettes. It is crucial to replace the volume in the mid face before attempting to fill the lower face. Doing so will ensure facial balance and a look that is aesthetically pleasing and anatomically correct. I hope this helps and wish you the best.

Will cheek fillers lift my droopy cheeks or should I consider other options? Buccal fat removal done 10 years ago. (photos)

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Will cheek fillers lift my droopy cheeks or should I consider other options? Buccal fat removal done 10 years ago. (photos)

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Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.