45 y/o woman, best solution for volume loss & dimpling in my mouth, chin & jaw area? (Photos)

Thank you for your question. A facial fat transfer can restore volume to the chin and along the jawline and smooth away dimples related to volume loss. Chin dimpling can also be caused by muscles in the jaw that become tense, in which case a small amount of Botox can be administered to relax the muscles.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or expert injector. They will be able to discuss your concerns and aesthetic goals with you to determine the best course of action.

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

Fat grafting is an excellent solution and can be done as an office procedure. You will need significant volume and it will look overdone for 1-2 weeks . About 2/3 of fat by volume is reserved over 2 months but what persists gives long last result

Very likely that conservative fat grafting (micro and nano) would be aan option. There is a very good group of plastic surgeons in Ghent, Belgium, whom you can consult about this treatment. Good luck.

One possibility is to consider a midface lift, which can address sagging in the lower face and restore volume to the cheeks. This procedure can help lift the mouth area, reducing the appearance of jowls and creating a more youthful appearance.

Another option is to consider fat transfer, which involves taking fat from another part of the body and injecting it into the face to restore volume. This can be a good option for patients who are concerned about the potential weight of dermal fillers.

Finally, it's possible that Sculptra could be used in the mouth/chin area if it is injected by an experienced injector. Sculptra works by stimulating collagen production in the skin, which can help restore volume and create a more youthful appearance.

It's important to consult with a board-certified plastic surgeon who has experience with these procedures to determine which option is best for you based on your individual needs and goals. They can also discuss any potential risks or complications associated with each procedure and help you make an informed decision.

I hope this helps,
best of luck !

Dimples around the mouth can be resistant to correction as they are caused by muscle pull over the years
They are best treated with fat grafting in multiple layers ,under the skin and directly into the skin

I suggest talking to your providers about continuing to use fillers, which seem most appropriate for your concern.
Best,
Mats Hagstrom, MD