Jowl fat reduction/facetite for young patients? (Photos)

Question

I have genetic malar mounds, hollow under eyes, fat beneath malar mounds, fat jowls and a weak chin. It feels like all the fat is weighing down my face and creating premature wrinkles. I got my buccal pads taken out three months ago and I'm wondering if Kybella would be the best option to remove my jowl fat. Would laser, facetite, or fillers work best for smoothing my under eyes and malar mounds? What can I do to make my face look more young and feminine? I'm 19 so I don't have a ton of money.

Jason Emer, MD · Answer

yes many of my younger clients do facetite with buccal fat pad reduction (see link).

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.

Nima Shemirani, MD · Answer

Hi @al225. I recommend a Hyaluronic Acid dermal filler in your tear trough area to give you a more refreshed and youthful look. In addition, I recommend Morpheus 8 to help with your jowls. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting. Best of luck, Dr. Nima!

Dmitriy Schwarzburg, MD · Answer

You can get Kybella under your chin, but it doesn't look like you have much fat there. If Kybella is injected in the face it can cause serious damage and eliminate the good fat in your face - never get Kybella in your face! Consult with your doctor to see what other treatments they have available.

Jowl fat reduction/facetite for young patients? (Photos)

Answers (3)

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