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Be sure to consult with a board certified plastic surgeon with a large experience in facial surgery. This is a tricky issue which can have long term consequences. Experienced surgeons have learned that over time we naturally lose fullness of fat in the midcheek area and patients who had fat in this area removed at a younger age look unnaturally hollow and old at an older age. Give this some thought before having anything done.
For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...
Volume and contouring of the cheeks can be created with well-placed fillers (Voluma, Radiesse, Bellafill, Contour) and Sculptra. Implants or fat are alternatives. Botox and radiofrequency can help slim and contour the jawline. Liposuction can help slim the face. Ultherapy, J Plasma and rf...
The change in the shape of the gonial angle that you have described can be done by a very specific jaw angle implant. It is a vertical lengthening implant that adds not width but only drops the shape of the angle downward, making it more distinct and pronounced in shape. This can be done done...
Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer
For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject...
It is important to evaluate the entire face including the forehead, nose-midface and jaw-chin regions. To achieve facial harmony, each third of the face needs to be assessed for appropriate proportions.
