What procedure would you recommend to slim my lower face? (Photo)

Lower face thinning in the Asian patient.This is a frequent request and is most easily handled with Botox to the masseter muscle. I would not advise lipo suction or any fat removal since you will need this fat as you age. This can result in irregularities etc. Removal of the bone will not give you what you want and create an unnaturalappearance. Do not rely on imaging but rather the surgeons results.

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.

Facial slimming is a common request in the Asian patient population.  Often times the square jawline is due to hypertrophy or overdevelopment of the masseter muscle.  An overactive masseter muscle can also contribute to TMJ pain and headaches.  Botox injections to this muscle can create a more narrow and uplifted jawline with the potential added benefit of decreasing teeth grinding.  In a patient like you with excellent skin quality, results may be seen after only one treatment session.  Maintenance of results will require repeat injections every 3-4 months.

The appearance of a thinner,
more feminine jawline in an Asian patient can be achieved by injectable treatment. The use of Botox injections into the
masseter muscles over time may reduce the
size of the bulging areas that concern you. Correction typically takes 2 to 3
appointments spaced 3 to 6 months apart. The results are natural and should
provide you with correction for about a year. I suggest that you seek a
consultation with a Board Certified Facial Plastic Surgeon to see if Botox
injections to reduce the jawline is an appropriate treatment for you. Best of
luck!

This is a very common request from Asian patients.  There are several options to help achieve a slimmer face both surgically and non-surgically.  Our office provides 3-dimensional computer imaging to help you visualize what you may look like afterwards and serve as an important communication tool with your surgeon.  Please consult with a board certified specialist who can assist you with achieving the results you seek.

Typically, you can achieve your goals by reducing the masseter muscle and/ or doing a mandibular shave (jaw bone reduction).  Often the first step is to reduce the masseter with Botox in a simple office visit.  If you are happy with the results, then we can continued to do on a quarterly basis.  If you need more reduction or get tired of Botox, then in intra-oral procedure can give permanent results.  Best wishes.