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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...
