Can Botox lift the bottom cheeks around the lips? (Photo)

Question

I have a roundish face and i wanna get rid of the the loose fat on my cheeks. whenever i don't pout or suck in my cheeks, my face looks fat. i want a tight face just the way it is in the third pic (of Megan Fox) .. i was wondering if botox could fix this? also, i have hollow undereyes (dark skin) and wanted to know what would help this? Thank you.

Jeffrey R. Raval, MD, FACS, MBA · Answer

Hello, thank you for the question. Unfortunately, Botox is not the treatment to achieve what you are looking for. Perhaps fillers around the cheek area can help you lift the area you are addressing. I have a great ebook on the face and what botox and fillers can do, it might help you evaluate next steps!

Jennifer Boll, MD · Answer

Thank you for your questions and photos. You will do best with filler to you upper cheek area to help define your cheek bones and fill out this area. It can also help improve the hollows under your eyes. Botox to the masseter muscle can help thin your jawline where you have drawn the arrow in the first picture. If you were my patient, I would start with the filler and work to achieve the result that you want. Then if you still desire a thinner jawline, Botox can be added in. You might also want to consider a bleaching cream for the undereye area to decrease the darkness. Good luck! I think that you will be very pleased with your results.

Jason Emer, MD · Answer

Botox can't be used to lift the cheeks, but it can be used to slim the jawline in addition to rf treatments. For under the eyes, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Toby Mayer, MD · Answer

Can Botox lift cheeks? No! You need an examination in person to see if filler around you upper cheek will help. Otherwise it is just a guess.

Daniel Barrett, MD · Answer

Dear ani_mani11,
thank you for your photos. I would recommend you a consultation with a board-certified plastic surgeon where you can get all the information and treatment options. Your desired look can be accomplished using skin fillers or fat graft. 
Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Kenneth D. Steinsapir, MD · Answer

If you press for botox, you are likely to get masseter botox and this in my opinion will make your issues worse. I think you would benefit from facial volume in the form of Restylane and Restylane Lyft.  These are fussy, hard to use products.  What I like about them is that they do not shift around.  They hold were you place them.  Megan Fox has a fuller under eye area and chin.  Using fillers can help capture an appearance that will produce this time of volume.  You need an artistic injector and we are rare.  Stay away from injectors who do cookie cutter treatment.  Avoid permanent or semipermanent fillers.  It is very likely that treatments that are not to your aesthetic liking will need to modified and this can be done with grafted fat, radiesse or scupltra.

Francis Johns, MD · Answer

Thank you for your question.Botox would not give you the desired effect you are looking for because it stops muscles from working, it does nothing for their shape. From what you are describing, I think you would be a good candidate for fat grafting. You take your own fat and inject it into the area to help give better contour to your face.

Monika Soni, MD · Answer

Thank you for your question. No, Botox cannot be used to help lift the cheeks. However, it can be used to help slim the jawline. For under the eyes (tear trough area) fillers can be used, such as Restylane to help add volume. I recommend having a consultation with an expert injector to discuss your concerns and to determine the best treatment plan for you. Best of Luck!

Bruce E. Katz, MD · Answer

Thank you for your photos. I would not recommend using Botox around your cheeks. Instead I would use a filler such as Voluma or Sculptra. Please make sure you seek treatment from a board-certified dermatologist.

Tracy Mountford, MBBS · Answer

Thank you for your pictures. Botox can narrow the face and jawline by injecting into the masseter muscles, although this is most certainly done to prevent teeth grinding or Bruxism. The aesthetic benefit can be very pleasing in 'wide' or broad faces that require slimming. It does not however narrow the upper part of the face. Dark circles (tear troughs) are often due to volume loss in the areas surrounding the eye. This is often genetic. Botox cannot correct this but facial fillers can, when performed by a physician who is skilled in this procedure. Interestingly, a very artistic physician can place strategic filler across the top of your cheekbones/temples to create the impression that your face is actually slimmer and more lifted. This would be worth discussing with a cosmetic doctor who may be able to create the look you desire with filler. Hope this helps?

Best wishes Dr Tracy Mountford

Best wishes Dr Tracy Mountford

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