Anatomical aging question; is jaw liposuction the best option? Or lifting? (Photos)

Question

Hello! I am a 28 year old woman. Healthy lifestyle. European size 36/XS/S. Still I have these fat pads in my cheeks since I was young. I don’t want to lose unhealthy amounts of weight to remove all the fat from my body. These fat pads seem they will never leave. Now they are even starting to sag a little bit and I’m worried they will only sag worse over time. I don’t want buccal fat removal. If I bite inside of cheek buccal area I don’t like the hollow look. Chin lipo or face lift? What’s best?

Jason Emer, MD · Answer

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.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Based on the picture you appear to be good candidate for buccal fat removal and chin liposuction.  I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Mats Hagstrom, MD (license on probation) · Answer

Aesthetic issues of the lower 1/3 of the faith in young people is almost exclusively related to issues related to the size and shape of the mandible.
To make an assessment we need to see proper frontal and profile pictures.
People typically have a very consistent soft tissue distributions and what differentiates facial aesthetics from one person to another is generally based on bone structure.
People with a mandible that’s lacking in size or projection whether it be the chin or the body of the mandible typically end up having the following symptoms. an overbite dental occlusion, the upper lip will have more forward projection in the lower lip on profile pictures, lack of jaw line definition, premature double chin and jowls.
Rarely is the problem related to unusual fat pads or facial fat distribution.
Buccal fat pad reduction is the procedure with high risk of future regret.
I suggest consulting with both plastic surgeons and oral surgeons to get the most comprehensive assessment and better understanding of your own facial aesthetics.
Plastic surgeons tend to be soft tissue oriented while oral surgeons see things from a more skeletal perspective.
In this part of the face the primary issue is almost exclusively based on bone structure. bone structure causes soft tissue issues like what’s described above.
Best,
Mats Hagstrom MD

Anatomical aging question; is jaw liposuction the best option? Or lifting? (Photos)

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Anatomical aging question; is jaw liposuction the best option? Or lifting? (Photos)

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