Morpheus8 or Sylfirm X - What is the best option to reduce my jowls? Right side of face has shifted causing asymmetry (photos)

Question

Hi there, I'm looking to find the best treatment to diminish jowls. I'm not too worried about the left side of my face, but the fat on the right side has shifted downwards and is making my face look very asymmetrical. Morpheus8 and Sylfirm X have been suggested. I have seen a specialist and am on the border of hypermobile Ehlers Danlos, however I did have 3 successful Skinpen treatments for acne scarring, which is hopefully a good sign for my collagen. Many thanks for your help

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.

Nelson Lee Novick, MD · Answer

Before jumping to a whole bunch of relatively expensive "bells and whistles" devices with fancy names, but little hard science to back up the marketing claims to promote them, you might wish to consult with a board certified cosmetic dermatologist about the use of a robust HA filler to correct this problem. Appropriately robust HA fillers have been used to perform nonusurgical "liquid facelifts" for many years now. And from the looks of the photos provided, this issue would be very simple to correct in a matter of of just a few minutes with immediate results that typically elicits a "Wow!" reaction. Hope this helps to save you time, money and unnecessary frustration. Best of luck.

Rafael Diaz-Yoserev, MD, FACS · Answer

What you have is an excess of fat in the jowls. Treatments for skin tightening just help with the skin but don't do anything with the fat. I totally recommend a procedure called Precision Tx .How does the Precision tx laser work?The PrecisionTx treatment is performed by using a very small cannula inserted under the skin. A unique SideLaze800&trade; laser fiber inside the tube delivers energy directly under the skin. The precise laser energy improves the quality of patients’ skin, while simultaneously disrupting and eliminating fat cells in selected areas of the face, including under the chin and neck.The PrecisionTx procedure treats fat underneath the chin, sagging skin around the neck, and jawline cheeks in under one hour.

Morpheus8 or Sylfirm X - What is the best option to reduce my jowls? Right side of face has shifted causing asymmetry (photos)

Answers (3)

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