Have I got the pillow face due to an overfilled mid face? Can you advise how to balance out my face? (Photos)

Question

Dear Docs, I have had filler in cheeks and periorbital region about two years ago and some top ups. I am beginning to feel like a pillow face and do not like the extra volume when I smile, it looks too bulky...resting face is ok. Where have I been overfilled and what areas can be dissolved or refilled to get more chiseled results? Been to a reputed DR. but I think refilling wasn’t done properly or filler has migrated. Is it the inner eyes? Thank you tons, stay safe.

Jason Emer, MD · Answer

you really need an unperson consult. fillers can be reversed and long term it maybe best for you to do sculptra, threads and morpheus for tightening and lifting rather than just "filling" with fillers.For facial rejuvenation,  I would suggest a combination approach of 
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)
Best, Dr. Emer.

Jean M. Casello, MD · Answer

It is difficult to tell what is going on as your photos are limited.  It would be best for you to schedule an appointment with an experienced provider who can assess you and develop a long term plan.

Leonard Grossman, MD · Answer

The photographs you submitted are rather limited and the proportions of your face cannot be evaluated. The best bet would be to be seen in person by a plastic surgeon who can make recommendations and appropriate treatment. I hope the self sync good luck from New York City plastic surgery

Have I got the pillow face due to an overfilled mid face? Can you advise how to balance out my face? (Photos)

Answers (3)

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Have I got the pillow face due to an overfilled mid face? Can you advise how to balance out my face? (Photos)

Answers (3)

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.