Age 25, how to balance or fix lower facial heaviness? (Photo)

Question

HI’m trying to improve the balance of my face, i had jawline lipo to remove fat around the bottom of the face but I still feel as though the bottom of my face feels heavy, and I don’t feel pretty in photos. I’m considering cheek filler to give my face a more V shape/improve nasolabial folds. But I’m open to anything that will get the results I’m trying to find. Buccal fat removal? Nasolabial filler? Jawline filler? I just have no idea. I’m 25.

Anna Chacon, MD, FAAD · Answer

First, I want to acknowledge how you’re feeling—many people your age notice facial imbalance in photos even when others don’t, and that frustration is very real. You’re also asking the right questions, which tells me you’re being thoughtful rather than impulsive about changing your face.

At 25, lower facial “heaviness” is rarely due to excess fat alone, especially since you’ve already had jawline liposuction. More often, it’s about facial proportions and structural support, not something that needs to be aggressively removed.

Here are some important points to consider:

1. Cheek support vs. cheek filler
Adding strategic midface support can sometimes improve the appearance of the lower face and nasolabial folds—but this must be done very conservatively. Overfilling the cheeks can actually worsen heaviness, especially in younger faces. The goal is subtle lift and balance, not volume.

2. Buccal fat removal
This is something I would approach with extreme caution at your age. Buccal fat naturally decreases over time, and removing it too early can lead to a gaunt, aged appearance in your 30s and 40s. Many patients who feel “heavy” at 25 later regret buccal fat removal once natural volume loss sets in.

3. Nasolabial filler
Directly filling the nasolabial folds often provides short-term improvement, but it does not address the underlying cause and can make the lower face appear fuller if overdone. In younger patients, this is usually not the first or best solution.

4. Jawline filler
Jawline filler can improve definition, but if the issue is facial balance rather than lack of structure, it may not fully solve the concern—and sometimes adds to a bulky appearance if not carefully placed.

At your age, the most natural-looking results usually come from restoring balance, not adding or subtracting aggressively. Facial harmony is about understanding where support is needed and where restraint matters most.

In summary:
• Lower facial heaviness at 25 is often structural, not excess fat
• Buccal fat removal is generally not recommended this young
• Overfilling cheeks or folds can backfire
• Subtle support and balance matter more than volume

You’re being smart by pausing and asking questions before committing to anything permanent. Taking a conservative, anatomy-driven approach now protects both your appearance and your future face.

Eric M. Joseph, MD · Answer

If your master muscles are enlarged and causing a heaviness in the lower 1/3 of your face, depending on your examination, Botox injections may be considered for decreasing their size and for minimizing the width from jaw to jaw. I hope this helps! Sincerely, Dr Joseph

Daphney Gracia Antony, MBBS, DipDerm, MScSurg(Ed) · Answer

Your jawline looks pretty nice and sculpted! I don't think buccal fat removal or nasolabial fillers are required in your case. If you're looking for a slimmer face, maybe masseter Botox. What I feel would make you more attractive is to get some lip and chin fillers to draw more attention to those facial features. I see a little bit of pre-jowl sulcus (or may be it's the photo angle) which can benefit from fillers.

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