Will filler help my lower gaunt face? (Photo)

Question

I have lost volume in my lower face, which I feel has made my cheeks look really gaunt and haggard. With shadows, I seem to get this line that goes from my cheeks to my chin which makes my face look thinner too. I was wondering whether filler might help? I’ve considered cheek filler, but I’ve felt like cheek filler tends to be focused on the upper cheek, which is higher up than where I would like it, I’m more interested in the hollowness that’s at the same level as my mouth.

Marc Polacco, MD · Answer

Great question! You're absolutely correct in that fillers are commonly used in the region of the cheek bones. However, fillers are also commonly utilized in the lower face and would certainly be helpful in achieving your goal. When it comes to filler in the region you described, I often tell patients my goal is to soften the shadows we see, while also avoiding adding too much volume which would look unnatural. Hope that helps!

Nima Shemirani, MD · Answer

Hi @emily4571. Fillers provide structural support and plumpness restoring a more refreshed and rejuvenated appearance. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

Jason Emer, MD · Answer

threads, morpheus, fillers can all help.

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 morpheus 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.

Camille Cash, MD · Answer

Fillers are commonly used to improve facial contours.  HA fillers work well and last 1-2 years depending on selected filler.  Another option for longer results is Sculptra.  This product works differently than HA fillers.  It takes longer to see the results and more than one treatment may be required, but it can give you beautiful, longer lasting natural results.  I've included a video that I hope you find helpful.

Darryl J. Blinski, MD · Answer

YES! Lower Liquid FaceLift with threading will temporarily improve your appearances. Fees in $4,000-$8,000 ranges. Best to see private practice boarded Plastic Surgeons .

Sheryl D. Clark, MD, FAAD · Answer

Hello Felidae:

Absolutely, there are fillers for the areas that concern you! When performing my ProContourMD Liquid Facelift (tm), I call the areas you have noticed CK4 and CK5, and inject fillers made of hyaluronic acid with a cannula, at the depth of subcutaneous fat, for a safe and painless treatment unlikely to bruise and the most natural results. Another option would be to employ a biostimulatory filler such as Sculptra over one to two sessions. Both treatments should recontour the areas of the face where you could use a bit more volume for a fresher, healthier look that should last for 2 years or more.

You will want to consult a board-certified dermatologist or plastic surgeon with many years of experience with fillers.

All the best, 
Sheryl Clark MD FAAD

Robert T. Buchanan, MD (retired) · Answer

Yes, filler, either a HA product or fat, would improve the area that concerns you. Unfortunately, this area is quite tricky because there is no underlying support and it requires careful injection into the superficial fat compartment by an expert to prevent contour problems. We do this frequently with excellent results.

Will filler help my lower gaunt face? (Photo)

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