How to slim down lower face? (Photo)

Question

Hello, I’m a 28 year old woman of average weight looking to slim down and lift my lower face. For as long as I can remember my cheeks have always been full no matter my weight. And as I age I notice more sagging along my perioral area. My ultimate goal would be to sculpt my jawline and cheeks and give them a sharper look and trim my perioral mounds. I’ve been looking into jaw Botox as one of my options but I am open to other suggestions to address my concerns.

Jeffrey H. Spiegel, MD · Answer

This is something I spend a lot of time thinking about and doing. You have several considerations:
(1) we can remove the buccal fat.
(2) we can shrink the masseter muscle with botulinum (botox) or surgically
(3) we can tighten the neckline with accutite/facetite
(4) we can do a chin implant to further lengthen the jawline
(5) we can reduce the bone of the jaw to a narrower shape.

That seems like a lot, but, you don't likely need all of that. These are some considerations.  A video or in person consultation is the best way to fine tune the plan.  And watch our videos for more information.

Timothy Osborn, MD · Answer

I would definitely start with buccal fat removal and jawline lipo. Buccal fat removal will reduce some of the fullness in your lower cheeks while fixing the asymmetry. Jawline lipo will help tighten the tissue around your jawline to add more contour. However, they will not remove all of the fat in your lower face. These procedures are commonly done together and do not require any external incisions (no visible scarring). It is harder to say without a full photo or profile picture to look at, but depending on your anatomy, jawline contouring may also be an option. This essentially contours down the jaw bone to reduce its overall with, creating a slimmer facial appearance. Masseter Botox (jawtox) may also be an option, but it usually takes a few sessions to see good slimming results. Our office provides in-person or virtual consultations if you want to discuss options further!

Anil R. Shah, MD · Answer

Hello LunaBella95! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. Botox injections for facial slimming is a great treatment for patients with fuller cheeks or if they have a square shaped jawline. This can be a result of having a large masseter muscle which causes the face to look rounder. Therefore, Botox injections into the masseter muscle are a great option for patients who do not want surgery but also want a more evenly proportioned facial structure.

How to slim down lower face? (Photo)

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How to slim down lower face? (Photo)

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