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What procedures would be best for premature sagging and early jowling? (Photo)

I'm almost 30, and within the last couple years, I've really noticed changes in my face, such as volume loss and a heaviness in my jawline towards my chin. Weight seems to be settling around my mouth. I'm very opposed to fillers in the face, and would much rather a more permanent solution. Would facial fat transfer be a good option if I'm looking to restore balance to my face?

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Dr. John L. Burns Jr., MD
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Dr. John L. Burns Jr., MD
Board Certified Plastic Surgeon
4.7 | 207 Reviews
Answered on Nov 7, 2023
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Dr. Lexie Wang, MD
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Dr. Lexie Wang, MD
Board Certified Facial Plastic Surgeon, Board Certified Otolaryngologist
5.0 | 21 Reviews
Answered on Oct 5, 2023
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John L. Burns Jr., MD

Fat is readily available and there is an endless supply so correcting to full correction is always possible unlike with expensive and temporary fillers. It works well to augment the facial skeleton. Cheek implants do erode the bone and can look unnatural over time.

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Randal Haworth, MD, FACS

Fat transfer, in good hands, can achieve wonderful results and is very effective in achieving a youthful look. It is important that you go to a person who has an excellent eye and shares your vision for the best results. Best of luck !

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John L. Burns Jr., MD

Fat has an unlimited supply and full correction can almost always be achieved. It would be a great option in your case.

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Tim Neavin, MD

2 months is enough time to do fat transfer to the face after rhinoplsty; perhaps even earlier. The swelling in the cheeks should be pretty much gone by then.

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John L. Burns Jr., MD

A will done facial fat transfer should last about 5 years. You will see aging and some fat loss at 3 years so doing another transfer seems reasonable especially in light of the photos you submitted.

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John L. Burns Jr., MD

A well done fat transfer should last about 5 years. If you feel it hasn't then I'd request your before and after photos and that would show the results.

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