Would Botox help fix asymmetry and texture in the cheek area? Should I consider surgery? (photos)

Answer: Consider your options for enhancing your appearance
Thank you for your question and for provisioning photos. A combination of Botox and dermal fillers may achieve the results you’re looking for. Botox can calm an overactive muscle that may be affecting your facial symmetry, while dermal fillers can add volume to lift the skin where necessary to provide a symmetrical, natural-looking result.
You may also benefit from laser resurfacing to improve your skin’s texture. This treatment option rejuvenates the skin by using a laser to remove the outer layer of the skin and reveal the new, healthy skin below. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can discuss your concerns with you and can suggest the best option to help you achieve your aesthetic goals.

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.

Continuing with the good skin care regimen and sun protection is key to improve skin quality. Additionally, laser or chemical peel treatments can help with this as well. Sometimes Multiple treatments are required for the desired effect. We will chin implants can be very safe, I prefer to use nonpermanent hyaluronic acid fillers or the patient's own fat as grass for cheek augmentation. I do not think A more invasive surgical option like cheek implants is the best option for you right now

Hi Zelda,

Fillers are your best option. Feel free to call our office for a virtual or in person consultation. Good luck and be well.
Michael Persky, MD
Encino, CA

Botox can help to slim the jaw if injected into the masseter muscles. Fillers can help improve contours as well as add volume to the cheeks. Morpheus8 treatments are recommended to improve overall skin tone and texture. See an expert injector near you to learn more.