Would lateral cheek fillers help lift some of the heaviness away from my lower cheeks?(Photos)

Question

I was recommended to get buccal fat removal to achieve a more v-shaped face. I'm opposed to getting something permanent done in case I regret it later as I age. Any other less invasive options?

Anna Chacon, MD, FAAD · Answer

Lateral cheek fillers can indeed help lift some of the heaviness away from your lower cheeks. They work by adding volume to the upper cheeks, creating a lifting effect that can subtly reshape the face.Another non-invasive option that might interest you is the use of non-surgical facelift treatments, such as Ultherapy or Thermage. These treatments use ultrasound or radiofrequency technology to tighten and lift the skin, reducing the appearance of heaviness in the lower face.It's important to note that the results from these treatments may vary from person to person, and they may not provide as dramatic a change as surgical procedures like buccal fat removal. However, they do offer the advantage of being less invasive and reversible.We recommend you schedule a consultation with Dr. Anna to discuss these options in more detail and determine the best course of action for your specific needs and goals.

Jason Emer, MD · Answer

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

Michael A. Persky, MD · Answer

Hello M,
I agree with not removing your buccal fat.  I would likely treat you with some lateral cheek filler (Voluma and or Sculptra.). You may also benefit from properly placed botox in your masseter muscles to slightly narrow your lower posterior cheek area (where you have red circles on your photos.)  Feel free to contact my office to scheudule a complimentary in person or virtual consultation at your convenience (818 501-FACE). Good luck and be well.
Michael Persky, MD
Encino, CA

Eric M. Joseph, MD · Answer

In our opinion, injectable fillers in the mid-face do not lift skin. Cheek fillers tend to make the cheeks appear wider. Based on your photos, it is possible that the fullness of your lower jaw could be from your masseter muscles. Do you have TMJ disorder, or do you chew gum? If the fullness is coming from your Masseter muscles, a Botox treatment may be excellent for jawline slimming. I hope this helps! Sincerely, Dr Joseph

Jo Herzog, MD · Answer

Yes, you can put fillers in upper/lateral cheeks and change the proportions of your face making the cheeks your widest part of face and using the volume in your lower cheek to move some volume up. I would start high and the evaluate further. 
You might decide to later try botox/xeomin/dysport etc in masseters to slim that area but might not need to once you augment upper face. I agree that you should not have buccal fat removal as I don't think that that will give you what you are looking for and is a permanent surgical procedure that you might later regret.

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