I hold a lot of fat in the bottom of my face. I would like my cheeks to be tighter and more v shaped. Any suggestion? (photos)

Botox fillers and sometimes liposuction or ThermiRF work well to treat this area. I suggest a formal consultation with a facial sculpting/rejuvenation expert. Best, Dr. emer.

Fat from the lower cheeks and jawline may be removed with liposuction and Kybella injections (not yet FDA approved for this area.).  The corners of the mouth can be turned higher with Botox injections or fillers below the oral commisures.Please use this information when consulting in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.

Non and minimally surgical options are fillers, fat grafts and Silhouette Lift mid face>>>>>>>>>>>>>>>>>>>

  Hi, I have performed many cheek augmentation procedures over the past 30 years.  From the photos, the cheeks are flat
anteriorly (in the front), there is excess facial fat in front and below the cheeks, the chin is quite weak and there is evidence of jowls.  These all combine to create an elongated oval shaped face.
Following the beauty principles outlined in my book on face and body
beauty, women look the most feminine, youthful and attractive with heart shaped
faces. Heart shaped faces have cheeks that are full and round in the
front. Cheek augmentation using a dermal filler (I prefer Restylane Lyft)
or with cheek implants for a permanent enhancement will create full, round
cheeks anteriorly that will feminize the entire face.  I would combine facial liposuction for further shaping of the cheeks and lower face.  A weak chin creates an imbalance that makes the nose
appear larger, the lower face short (de-emphasizes the lips) and the mid face appear top heavy.
Chin augmentation, using a chin implant, will add projection to the chin
creating harmony and balance to the lower face. I have found placing a
silastic chin implant through a small, curved, incisions under the chin to be
very safe, quick, highly effective and far less invasive than a sliding
genioplasty that requires bone cuts with placement of screws and metal plates. A V-shaped lower face must not have excess skin or "jowls".  Jowls are sagging facial tissues and
an indication for some form of a facelift. The underlying SMAS layer, of
the face, must be dissected, lifted, trimmed and re-sutured. The excess skin is
then removed and the facelift incisions closed.



My most popular facelift is the
minimally invasive, short incision facelift that has all the benefits of more
invasive facelifts (traditional, mid-face, deep plane and subperiosteal
facelifts) but with these added benefits:



•very small incisions

•minimal tissue dissection = less
bruising and swelling = rapid recovery

•can be performed in 90 minutes or
less, with or without anesthesia

•no incisions within the hair = no
hair loss

•excess fat can be removed

•excess skin removed

•cheeks, chin and jaw line can be
augmented with dermal fillers (I prefer Restylane Lyft) or facial implants

•most patients fly back home to parts
all over the world in as little as 3 days post-op



Hope this helps.