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Thank you for your question and photos. You may want to consider experimenting with facial fillers to determine what long-lasting changes you’d like to make to your face. Hyaluronic acid dermal fillers can increase volume and provide a subtle lift to specific areas of the face, creating a more balanced appearance overall. They can also diminish under-eye circles and achieve a smooth transition between the lower eyelid and upper cheek area. While dermal filler treatments are not as complex as surgery, they still require a great deal of skill and precision to achieve the best possible results. In my office, we use a micro-cannula to minimize bruising and swelling and ensure the smoothest outcome. I recommend scheduling an in-person consultation with an experienced expert injector who can discuss your aesthetic goals with you and help you decide on the best treatment option.
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
There are a couple of ways that we can maximize your appearance, but, your suggestion of cheek augmentation is a great first start. Other possibilities include refining the chin and upper lip. Most or all of this can be done as an outpatient in office procedure. Watch our videos to learn more,.
The issue here is quite a common on in any active cosmetic dermatology practice. An appropriately robust HA filler for the cheeks can easily create a more ideal, heart-shaped oval face, as well as improve the hollows and incipient bags under the eyes (since the upper cheek region is a major support for the under the under-eyes). At least from the photo provided, the lower face, too appears to have significant volume deficit. This can be easily be addressed with a robust HA filler placed the region of the angle of the jaw and in the surrounding lower cheek region. I no longer recommend fat injections for the following reasons. For one, the procedure is expensive and is actually two procedures--one to remove the fat from the hip, thigh or belly donor site and the second to inject it into the recipient site. Because fat is thick this typically requires the use of large bore cannulas that engender a significant post-procedure downtime. Moreover, despite the promise, much of the fat, separated from its original blood supply does not survive in the transplanted area. What's more, if anything goes wrong, fat cannot be easily dissolved or removed. Finally, fat retains the characteristics of the area from which it is taken, meaning that if it comes from the belly, for example, when, in time the belly develops a midriff bulge, this may occur in the recipient area, as well. On the other hand, robust HA fillers can yield durable results and, being natural products, will gradually be metabolized away with time, allowing later filler treatments to appropriately address the age-related changes. You would be wise to consult a board certified cosmetic dermatologist and best of luck.
Hello ! Based on your pictures, it looks like you would be an excellent candidate for facial fat transfer, an endoscopic brow lift as well as an OOS upper lip lift (which is an ameliorated version of the traditional lip lift I invented, offering more dramatic results and minimal scars). Those procedures would rejuvenate, balance and make your whole face more feminine. It is best to consult with a skilled facial plastic surgeon for the best results.I hope this helps,best of luck !
Hello. When I examine your upper face, you have droopy eyebrows, excess skin on your upper eyelid and bagging on your lower eyelid. On your lower face, your chin is weak and small. Therefore, eyebrow lift, double eyelid surgery and chin augmentation surgery will benefit you. Please check our Instagram account and RealSelf photos. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. With all respect.
Facial asymmetry is common, with one side of the face having the appearance of less volume due to bony differences. The use of filler augmentation can aid in balancing symmetry. Discussion with a treating provider including an in office examination is recommended.
Thank you for your question. I’m sorry that you’ve experienced unsatisfactory results from filler. The cheeks can also be augmented with a facial fat transfer or a custom-fit silicone implant. While implants are a more long-term solution, both options can enhance the cheek and under-eye are...
Thank you for submitting your question and photos. Dermal fillers and fat grafting are excellent options for restoring lost volume and improving facial symmetry. Dermal filler injections are composed of naturally occurring hyaluronic acid, while fat grafting uses your body’s own fat to add v...