Facial balancing advice needed (Photo)

Question

I am unhappy with my lower face area. I previously had prejowl and chin filler placed, dissolved the prejowl filler and I’m left with weird shadowing and peaks and valleys near the corners of my mouth. What are the best treatments for this? Do I need shadow filler? Or does my chin look inproportional and need some dissolving? Thank you in advance

Michael A. Persky, MD · Answer

Hi Sunny,
I would likely not dissolve your chin filler.  I would examine you in person and then determine your best course of treatment.  I would likely use a treatment of foundational Sculptra to support your upper 2/3's of your face to bring your face back into proportion.  It is difficult to advise you based on one 2-dimensional photo.  Please feel free to contact my office for either a virtual or in person complimentary consultation for your best plan of treatment.  Have a great weekend!
Michael Persky, MD
Encino, CA

Anna Chacon, MD, FAAD · Answer

Facial balance refers to the symmetry and proportion of facial features, which can often involve addressing lower face area issues like the chin and mouth. Dermal fillers, chin reshaping, shadow fillers, skin tightening treatments, and laser treatments are potential solutions for irregularities in these areas. Additional fillers can smooth out skin texture, and chin reshaping can include adding or removing existing filler to address disproportion. Shadow fillers and skin tightening or laser treatments may also address shadows and unevenness in the face. Consultation with a professional can determine the best course of action based on individual circumstances.

Camille Cash, MD · Answer

From the photo it appears fillers will help to better balance your facial features.  Some filler could be used around the mouth to soften the depressions and cheek filler can be used to further define the facial contours. You can also consider treatments such as Morpheus8 to improve overall skin tone and texture.  Meet with an expert injector near you to discuss your concerns.

Leonard Grossman, MD · Answer

This is what I do with all of my patients. I have them take a photograph just like the one you submitted, print it out, and then use all of your artistic skills in order to draw what it is that you would like to achieve. Nearly 100% of the time I can achieve what the patient is looking for with the use of the patient’s own fat. The results of fat grafting in my hands are absolutely natural and practically permanent. With the recovery being almost nonexistent. I hope this helps and good luck from New York City Plastic Surgery.

Facial balancing advice needed (Photo)

Answers (4)

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