Volume loss on one side of the face. Do I need an eyelid lift and fillers to stretch out the extra skin? (Photo)

Question

I have a significant volume loss on one side of my face. Because of it my malar bag on that side became more noticeable. Also my under eye filler got dissolved and that didn't help the issue. I am not sure if I need an eyelid lift and fillers to stretch out the extra skin or filler replaced to the under eye area and also to the midface should resolved the issue.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from your photo you are lying down so it is not clear from your photo.f you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation. It would be more convenient to decide with face-to-face consultation. Best regards!

Timothy Osborn, MD · Answer

The issue with fillers is that they need to be continually touched up. If you are looking for a more permanent solution, I would recommend a fat transfer. This would add volume back to those areas where it was lost. We would take buccal fat, which is from the lower part of your cheeks, and tuck it up under you eyes and around the zygomatic bone (cheek bone). Not only would this fill in the depression, but also add some lift and contour to your cheeks. Our office offers in-person or virtual appointments if you would like to discuss things further!

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.

Volume loss on one side of the face. Do I need an eyelid lift and fillers to stretch out the extra skin? (Photo)

Answers (3)

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Everything you need to know about Eyelid Surgery

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Volume loss on one side of the face. Do I need an eyelid lift and fillers to stretch out the extra skin? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Eyelid Surgery

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