My lower face seems to be sagging, with what seems to be small pockets of fat around my mouth, making me look than I am. I also have a very small chin, which I think worsens the problem. Although the pictures might give another impression, I'm normal weight. My family just seems to carry a lot of fat on their lower face... What are my options in terms of improving this area ? Looking for non- or minimally invasive procedures with little downtime. Non-permanent effects is not a problem.
Answer: Facial Slimming — Masseter Botox, Facetite/Renuvion J Plasma, Buccal Fat Pad Removal, Fillers to sculpt the Cheek/Jawline/Chin This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. 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 morpheus8 or PiXel8 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.
Helpful
Answer: Facial Slimming — Masseter Botox, Facetite/Renuvion J Plasma, Buccal Fat Pad Removal, Fillers to sculpt the Cheek/Jawline/Chin This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. 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 morpheus8 or PiXel8 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.
Helpful
December 1, 2016
Answer: What Age is Best for a Facelift A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift. During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.
Helpful
December 1, 2016
Answer: What Age is Best for a Facelift A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift. During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.
Helpful
November 4, 2016
Answer: Silhouette Instalift and Kybella First of all, thank you for your question. In looking at your photos I would recommend several things. I think the new Silhouette Instalift is a 20 minute office-based procedure that can provide some "lift" to the cheeks. This is taking it a step beyond filler without "incisional" surgery. I would also recommend Kybella to "melt" the area of fullness under the chin. Finally, adding filler to the chin can add some jawline improvement. The final thing that sometimes can help lower cheek fullness is intraoral buccal fat excision, which is removing a small bit of fat we're all born with from a small incision inside the mouth. I hope this helps. Good luck!
Helpful
November 4, 2016
Answer: Silhouette Instalift and Kybella First of all, thank you for your question. In looking at your photos I would recommend several things. I think the new Silhouette Instalift is a 20 minute office-based procedure that can provide some "lift" to the cheeks. This is taking it a step beyond filler without "incisional" surgery. I would also recommend Kybella to "melt" the area of fullness under the chin. Finally, adding filler to the chin can add some jawline improvement. The final thing that sometimes can help lower cheek fullness is intraoral buccal fat excision, which is removing a small bit of fat we're all born with from a small incision inside the mouth. I hope this helps. Good luck!
Helpful
November 4, 2016
Answer: The balance of surgery vs. No surgery Your question taps into a lot. It is becoming more and more sought after to obtain major results with minimal "work". The industry has responded. There are a plethora of injectables that you can tap into to increase the dimensions of your chin. Kybella can be used to reduce some of the fat of the lower chin and submental area. The results you are looking for however are only going to likely be obtained from neck sculpting with liposuction and a chin implant.
Helpful
November 4, 2016
Answer: The balance of surgery vs. No surgery Your question taps into a lot. It is becoming more and more sought after to obtain major results with minimal "work". The industry has responded. There are a plethora of injectables that you can tap into to increase the dimensions of your chin. Kybella can be used to reduce some of the fat of the lower chin and submental area. The results you are looking for however are only going to likely be obtained from neck sculpting with liposuction and a chin implant.
Helpful
November 2, 2016
Answer: Genetics and Small Chins Genetics certainly plays a significant role when it comes to aging of the lower face and neck. The two most important factors in determining your profile are your chin size and the position of your airway (trachea, hyoid bone, and adam's apple). Patients like yourself typically have a small-sized chin along with a forward positioned airway. This results in having minimal "structure" to hold up and support the tissue from above. Therefore, this type of anatomy often results in faster aging in the neck and jawline/jowls. Even when you were younger (ie in high school) you probably did not have a strong/dramatic profile. Although it is "minor surgery", I would recommend chin augmentation with an implant along with liposuction under the chin. In expert hands, the risks are quite minimal, and the recovery time is under one week. This combination of procedures will give you many years (even decades) of results and improvement. Depending on your region, the procedure package can cost anywhere from $4-8K. As in our Center, many times the procedures can be performed under local anesthesia with mild oral sedation. The lifetime cost of "non-invasive" treatments (fillers etc.) would far exceed the one time cost of the augmentation and liposuction. I've attached a weblink that demonstrates a few younger patients, like yourself, who had this procedure. Hope this has been helpful, and good luck to you!
Helpful
November 2, 2016
Answer: Genetics and Small Chins Genetics certainly plays a significant role when it comes to aging of the lower face and neck. The two most important factors in determining your profile are your chin size and the position of your airway (trachea, hyoid bone, and adam's apple). Patients like yourself typically have a small-sized chin along with a forward positioned airway. This results in having minimal "structure" to hold up and support the tissue from above. Therefore, this type of anatomy often results in faster aging in the neck and jawline/jowls. Even when you were younger (ie in high school) you probably did not have a strong/dramatic profile. Although it is "minor surgery", I would recommend chin augmentation with an implant along with liposuction under the chin. In expert hands, the risks are quite minimal, and the recovery time is under one week. This combination of procedures will give you many years (even decades) of results and improvement. Depending on your region, the procedure package can cost anywhere from $4-8K. As in our Center, many times the procedures can be performed under local anesthesia with mild oral sedation. The lifetime cost of "non-invasive" treatments (fillers etc.) would far exceed the one time cost of the augmentation and liposuction. I've attached a weblink that demonstrates a few younger patients, like yourself, who had this procedure. Hope this has been helpful, and good luck to you!
Helpful
