How Do I Fix Sagging Cheeks and Facial Asymmetry? (photo)

I asked how to fix my sagging cheeks before but wanted to include full facial photos so that I could get an opinion. I'm in my mid-20s with a bmi of 19. I have never been overweight. My face does not reflect this. My cheeks, which have always been full, have begun to sag. My chin has no definition. In addition, there is an obvious symmetry issue when I smile. What are my options for correcting these issues?

Doctor Answers 5

Mid-twenties and sagging cheeks

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  Thank you for including photographs with your questions.  It makes meaningful discussion a little more attainable.  Everyone ages a little differently, but generally speaking creases and lines gain visibility in the middle to late twenties.  You have very healthy appearing skin and a reasonable first step would be to consider injectable fillers.
  Precise and artistic application of fillers around the folds of the nose and mouth can make a dramatic improvement.  Both Radiesse and Juvederm work well in these areas. 

  One thing to consider is that there are asymmetries between the right and left sides of your face, with the right side being slightly more developed then the left.  Asymmetries can be improved, but will always exist.  Asymmetry is perfectly natural and adds to one’s unique beauty.  
Hope this helps.

San Diego Facial Plastic Surgeon
5.0 out of 5 stars 59 reviews

Cheek Enhancement-surgical and nonsurgical options

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Malar implants, fat injections, and fillers are all options. Make sure you go to someone who does all of them because if they don't they will lead you in the wrong direction.

At your young age, I would suggest trying nonpermanent fillers first. If you like the look, consider an implant once the fillers wear off. If you don't like the look, it will be gone within 9 months.

How Do I Fix Sagging Cheeks and Facial Asymmetry?

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  Cheek Implants and micro-liposuction of the nasolabial fold would take care of the cheek area.  I'd have to see a profile shot to evaluate the chin.  Be sure to find a plastic and cosmetic surgeon that understands and follows the proper aesthetics of facial beauty for your cheek augmentation with cheek implants.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Fixing facial asymmetry in your mid 20's

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The best way to fix sagging and facial asymmetry at your age would be using Radiesse injections. Facial contouring with Radiesse can correct problems due to volume loss and can also be used for enhancing cheekbones, chin and jaw line. Radiesse works by stimulating formation of your own collagen. It is injected beneath the skin, forming a scaffold on which your own collagen grows. Radiesse is ideal for deeper applications like cheeks and chin and correcting asymmetry. You can work closely with your physician injector to indicate exactly which areas are the most bothersome to you and the amount of correction you desire.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

Sagging face

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At your age I would recommend you consider a trial of fillers and if you like it then possibly fat grafting before looking into surgical options.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.