Lack of fat/dropping fat on face making me look sad & tired (Photos)

Question

Hi there, I am only 26 and I look young for my age, however one side of my face looks like it's drooping, or is losing fat. The right side of my face is fine, however on the left, I have a deep nasolabial fold, a more obvious dark circle under my eye and it also looks like the fat is dropping to my mouth/lower cheek. My left eye/eyelid is also droopier and all of this combined makes the left side of my face look saggy and sad. It really gets me down. What can I do to fix this?

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.

John L. Burns Jr., MD · Answer

you might want to consider facial fat grafting to augment your cheeks.  A facelift at your age is probably too much.

Bilgen Katipoglu Erenoglu, MD · Answer

Endoscopic mid-face lift will provide an uplift of the cheek area with also brows lifted. This will give a more attractive appearance and the feeling of sadness and tiredness is gone. I can not evaluate your eyelid drooping because of the red lines you did. Droopiness of eyelids is referred as eyelid ptosis and there are other techniques that can be done to correct this situation.

Lack of fat/dropping fat on face making me look sad & tired (Photos)

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Lack of fat/dropping fat on face making me look sad & tired (Photos)

Answers (3)

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Everything you need to know about Cheek Lift

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