What has to be done to achieve a natural, yet dramatic change to one's face like Kendall Jenner has had? (Phtoo)

Question

For the eyes do you have to have surgery to change the shape or can you get Botox instead?

Kenneth D. Steinsapir, MD · Answer

Her results are the result of extensive surgery that may have included: forehead lift, upper eyelid surgery, rhinoplasty, and a chin implant.  She is also getting botox, and facial fillers.  The after photos suggest the upper eyelids have been damaged.  I agree with other surgeons here.  It does not matter what Ms. Jenner did.  What matters is what is right for you.

Mehryar (Ray) Taban, MD, FACS · Answer

Although I doubt Kendall has had any eyelid surgery, the effect you are noticing is more almond shape eyes and higher cheeks. Filler injection may help the cheeks but not the eyes. There is a procedure for almond eyes. See following link and video. Not everyone is a candidate. Need to have consultation to determine.

Christopher J. Davidson, MD, FACS · Answer

Thank you for your question. Carefully placed Botox can, in fact, change the arch of the eyebrow and softening of the tissues surrounding the eye.  Surgery certainly is an option for a subtle or even a more dramatic change.  Best to seek an in-person consultation with a board certified plastic surgeon who is also an experienced injector to discuss your particular concerns.  Best of luck.

Mariusz Sapijaszko, MD, FRCPC · Answer

As we develop and mature, so does our faces and features. Teenagers and adults do not like the same even though they are the same person. Most of the changes in faces of famous people are from natural processes and not cosmetic procedures. Some of the changes are also due to software on phones and computers.I recommend that you see an expert prior to undergoing any treatments.Best regards and I hope this helps, Dr. Sapijaszko

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  There are many options for patients and it largely depends on your individual anatomy.   The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Pedram Imani, FRACS, MS, MBBS (Hons) · Answer

There are several factors that may have led to her naturally better appearance.  I have followed many of my younger patients through the years and seen their face change for the better with both surgical and non surgical procedure.  In Kendall's case the first thing is that she has lost facial fat through growing older the rest are as follows (I presume with a trained eye):

1. Rhinoplasty to narrow her nasal bony width and tip - most powerful factor

2. Jaw line slimming with Botox

3. Lip augmentation with dermal fillers

4. Chemical brow lift with Botox and fillers

5. Minor cheek augmentation with dermal fillers

6. Make up!

The best idea is to consult a facial plastic surgeon to assess you in person and advise further.

Steven F. Weiner, MD · Answer

She has probably has a rhinoplasty and fillers. She has also had Botox. Most of the changes are nonsurgical but you can't make the nose slimmer and it's tip smaller without surgery. Her lips and cheeks have had fillers for sure. It's good work overall.

Jeanine B. Downie, MD · Answer

Hi Victoria, Kendall is beautiful! She appears to have lost of the baby fat from her lower face, she looks like she has filler in her lips--good filler (it looks lovely) and she has darkened and reshaped her eyebrows. In terms of her eyes specifically, she looks touched up with contour. I do think her lateral brows may be slightly lifted with Botox.  Overall, I think she looks fantastic I would not recommend you compare yourself to her. You are not close to me in geography, so I would recommend that you go see a board certified dermatologist that specializes in cosmetic dermatology so they can help you put your best face forward. Good luck, Dr. Downie

Reza Tirgari, MD · Answer

I also agree that comparison with celebrities, while not uncommon, can be very unrealistic.  The amount of re-work that is done on photographs can be deceiving.

In her case, the work appears to be rhinoplasty (nose job), cheek and chin fillers, botox, skin resurfacing and more.  In your situation, the best approach would be to have an assessment with a qualified cosmetic surgeon to see what issues would be most appropriate to help you meet your goals.

Alix J. Charles, MD · Answer

Thanks for your question. First off, I would recommend that if you are contemplating any aesthetic procedures that you first have an in person consultation with a well trained and experienced physician (dermatologist or plastic surgeon).  They can help you figure out what changes are realistic for you to achieve a more natural aesthetic improvement.  On another note, I would caution you that media photos do not represent real life. Even the B&A photos you posted clearly show that straighter hair, different makeup, different lighting and facial expression changes can make someone look "better" than they did before! Best of luck to you.

What has to be done to achieve a natural, yet dramatic change to one's face like Kendall Jenner has had? (Phtoo)

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