Would you say I have a long midface and if so how can I fix it? (Photos)

Question

A doctor had told me I had a long midface. I never considered this and upon more research I learned this is the less preferred type of face. What can I do to achieve a more short mid face? I am currently recovering from rhinoplasty which I know made my face look long. I am also getting chin and jaw filler in a month. Anything else that would help?

Matthew Bridges, MD, FACS · Answer

I disheartening to me to hear that a doctor told you that you have a long midface, you looked that up on the internet, and now are worried about it.   This is the problem with sites like Realself.  They perpetuate the idea that there is some kind of ideal face.  I don't even know what a "long midface is" and i don't know why it's a problem.  How about this -you have a beautiful face and you should love yourself.

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.

Jacquelline Leva, DO · Answer

It seems from your question you are looking to return to picture 1 on the left which has the "less elongated face" compared to picture 2. I do feel that picture 2 looks more attractive and feminine. You are looking to return i suppose to picture 1. So if you are looking not to elongate the appearance of your face I would not get the chin and jaw filler because that will make you have a more elongated mid face look. However I would need to look at your side profile to see your chin, lip, nose ratio and if they are in harmony if they are not then dermall filler to this area would help.

Leonard Grossman, MD · Answer

You definitely do not have a long face. I’m sure that the Doctor Who told you this is not a plastic surgeon and most likely is an idiot with some kind of a degree. Don’t take this issue close to heart and ignore this particular doctors recommendations. I hope this helps and good luck from New York City plastic surgery

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