Which procedure would be best for minimizing facial asymmetry? 40 y/o female with hemangioma at birth (photos)

Question

I was born with a hemangioma on my face. I still have asymmetry. The left side has way more fat which is causing a nasolabial fold and jowl on that side. Would a non surgical facelift help? Endolaser/endolift? Liposuction? Mid facelift?

Anna Chacon, MD, FAAD · Answer

I can provide general advice based on the information given. However, the best procedure to minimize facial asymmetry depends on various factors including the patient's overall health, the severity of the asymmetry, and the specific characteristics of the hemangioma and its impact on facial structure.

Non-surgical facelifts are generally less invasive and can help to tighten and lift the skin, potentially improving the appearance of nasolabial folds and jowls. However, they may not sufficiently address underlying structural asymmetry caused by the hemangioma.

Endolaser or endolift procedures can also help to tighten the skin and may be able to target specific areas of concern more precisely. However, these treatments may not be able to remove excess fat or significantly alter facial structure.

Liposuction can remove excess fat, potentially improving the appearance of the jowl on the left side. However, this procedure does not address skin laxity or underlying structural asymmetry.

A mid-facelift is a more invasive procedure that can lift and tighten the skin, as well as potentially address underlying structural issues. However, it also carries more risks and has a longer recovery time.

In the end, the appropriate treatment can only be determined after an in-depth consultation with a plastic surgeon or a facial plastic and reconstructive surgeon, who can evaluate the patient's specific condition and discuss the potential benefits and risks of each procedure.

Jeffrey S. Rosenthal, MD · Answer

Using the combination of the Endolift Laser to tighten, stimulate collagen for improved skin quality along wtih PDO Miracu threads to lift an reposition sagging tissue will afford you a non-surgical facelift with rapid recuperation.  
The Endolift Laser is a FDA Cleared procedure which originated from Italy.  Using a thin micro-optical fiber that is placed beneath the skin it can stimulate your own collagen, sculpt unwanted fat deposits  located in the jowls, chin, neck. nasolabial fold, inner knees and  abdomen.  It is also remarkable in its ability to tighten lax skin and stimulate the fibroblasts that produce your collagen.
In that the procedure is performed through small pin stick holes in the skin the healing is rapid.  The bruising minimal and the swelling can last between days to a week, in general.  
Most patients are back to work or normal activities in a few day.  Vigorous sports should be curtailed for a period of 1-2 weeks to diminish the risk of swelling.   Unlike other lasers that target the outer skin, the Endolift Laser focuses upon the underlying skin where the collagen is manufactured. Thus, the outer skin is not irritated allowing for a more rapid recovery.  
PDO threads are placed through tiny pin poles to reposition lax tissue.  The combination of both procedures will allow for tightening, collagen stimulation and support of the face and neck.
Jeffrey Rosenthal, M.D.

Nelson Lee Novick, MD · Answer

At least from the photos provided, it would be quick and simple (with immediate results and little to no significant downtime) to be treated with appropriate HA fillers:  a robust HA volumizing filler to reshape a more ideal, feminine ogee curve on the left cheek, and, if still necessary, a low viscosity, cohesive, malleable HA filler for elevate and further smooth the left smile line, if necessary. In the hands of an experienced, board certified cosmetic dermatologist filler expert, both treatments together should take about twenty minutes and typically elicits and immediate "Wow!" response. This would obviate the need for invasive surgeries and procedures and the use of expensive "bells and whistles" devices whose real value--despite the marketing hype and social media buzz-- has yet to be fully proven by any rigorous science. Hope this helps and best of luck.

Which procedure would be best for minimizing facial asymmetry? 40 y/o female with hemangioma at birth (photos)

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Which procedure would be best for minimizing facial asymmetry? 40 y/o female with hemangioma at birth (photos)

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