Non-invasive procedure targeting lower face fat / perioral mounds?

Question

Hi, I'm a 27-year-old woman who has genetically chubby cheeks which have sagged a bit as I've aged (lower chubby face). When I pinch the perioral mound area diagonally below the corners of my mouth (outwards), I can pinch a large area of fat on both sides (above jaw bone, below the cheekbone). I'm at a healthy weight and even at my slimmest (underweight), I've still had chubby cheeks. I'm looking for advice on non-surgical procedures to target these specific areas of fat that have sagged.

Jonathan Kulbersh, MD · Answer

Thank you for your question. Though it is difficult to determine without a photo, the area of the face you’re referring to may be augmented with dermal fillers. To reduce a “chubby cheek” appearance caused by a weak jawline or cheekbone structure without surgery, meticulously placed dermal fillers can produce a favorable result. 
These hyaluronic acid formulas can add volume to particular areas of the face to define cheekbones or strengthen the jawline, offsetting fullness in the lower portion of the face. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can assess your concerns and determine the best treatment option for 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.

Non-invasive procedure targeting lower face fat / perioral mounds?

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Everything you need to know about Lower Facelift

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Non-invasive procedure targeting lower face fat / perioral mounds?

Answers (2)

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Everything you need to know about Lower Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.