Want to soften cupid's bow and create more harmony in my face overall - what would be recommended? (photos)

Question

Hello! Realistically I have very soft features, I love it but I want more harmony in my face overall. I want to soften my Cupid's bow, as you can see it's very pointy. I have no overbite and straight teeth, so hoping a suggestion not to do with ortho. I would like more harmony with my side profile. I also was thinking of slight nostril reduction & a rhinoplasty of the bulbous tip as well? Thank you,

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.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Morning! I do see what you're referring to regarding your upper lip. To try and create balance, there are options. You can increase the volume of the lower lip with filler or fat transfer. A chin implant can help provide projection to the chin which also helps to compliment the harmony of the rest of the face. A genioplasty would be more invasive and an "ortho" procedure as you've mentioned. As for the nose, reducing the tip size and nostril width could also be worthwhile. I would suggest focusing on one area of the face to improve, re-evaluate, and then adjust your plan. Having too many moving parts at once might make the improvement harder to appreciate. Best of luck!

Rosa B. Lipin, MD · Answer

Thank you for your question and photos.
An upper lift lip (minimally invasive surgery), removes skin at the base of the nose and decreases the length of the cutaneous lip, and can help make the face look more proportional. It will also help with the horizontal projection of the cupids bow, as this will be moved. There will be a scar at the base if the nose, but with excellent surgical technique, and appropriate management of the skin both before and after the procedure, it is almost indistinguishable. 
Otherwise, you could consider a chin augmentation, to help balance your profile.

Want to soften cupid's bow and create more harmony in my face overall - what would be recommended? (photos)

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Want to soften cupid's bow and create more harmony in my face overall - what would be recommended? (photos)

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Everything you need to know about Dermal Fillers

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