Getting the desired facial features with filler

Question

The first photo shows me. I'm also quite overweight at the moment. I'm working on it :). But about 2-3 years ago when I weighed about 65 lbs (30 kg) less, I didn't really have any facial features either. My wish would be to get the facial features in the other pictures. So especially the facial features that make the face look quite muscular. So of course the jawline and chin, but also what runs from the cheeks (?)down towards the chin. Can these things be achieved with filler?

Timothy Osborn, MD · Answer

Unfortunately filler will not get you the results you desire. Even with weight loss, these features are harder to obtain. You would most likely need jaw angle implants in the back, to create that wide jawline. Along with that,  jawline contouring to create more of that "v" shape jawline in the front. Buccal fat removal would help to decrease some of the fullness in your lower cheeks, helping to create a more contour in your midface. Without any pictures of the side to go on, it is harder to give you more definitive answers. Our office provides in-person and virtual consultations if you would like to discuss options further.

Jason Emer, MD · Answer

Volume and contouring of the cheeks can be created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. Implants or fat are alternatives. Botox and radiofrequency can help slim and contour the jawline. Liposuction can help slim the face. Ultherapy, J Plasma and RF treatments can provide skin tightening and lift. For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Brian May, MD · Answer

Hi! This is a fantastic question and you have very realistic goals. That said, I would recommend posting a photograph of you with a shaved face so that the assessment is accurate. Also posting photos of you from the side because I'm not sure what your profile looks like. The below options would all be great places to start:
1. Submental liposuction - This is going to thin out the neck to face transition and accentuate your jawline.2. Buccal Fat removal - The transition from cheeks to jawline is something you mention, you do have a larger fat pad in your cheeks than your aspirational photos so completing a buccal fat removal would slim and create contour in the mid-face.
I typically perform both surgical procedures referenced above with only local anesthesia, patient drives themself to and from the office, and downtime is minimal.
To answer your question - No the results you want cannot be achieved with filler alone. Because you are looking for contour and slimming and filler ADDS product and volume. While it is great for accentuating certain attributes, the procedures I referenced above are going to be better for you to give you permanent results.

Camille Cash, MD · Answer

From the "wish" photos submitted it appears you are wanting more of a chiseled jawline.  If you are intending to lose weight it is better to first meet that goal before determining the best treatment for contouring the face.  It may include fillers and/or other treatments such as Evoke Facial Remodeling or Morpheus8.

Jo Herzog, MD · Answer

The photo you sent is not a whole lot to work with but I will use may imagination, or generalize. We can usually create a better defined jawline and masculine chin with fillers.  A Ha like Restylane Lyft would do well as would 
Radiesse.

Leonard Grossman, MD · Answer

The good thing is that you know that you need to lose weight. Once you achieve your optimal, weight weight, that is the time to evaluate options available to you. At that point in time you need to be evaluated in person only to determine what will work best for you. I hope this helps and good luck from New York City Plastic Surgery.

Getting the desired facial features with filler

Answers (6)

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