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Hi, I have performed many facial shaping procedures using dermal fillers, facial implants (cheek, chin), liposuction and/or facelifts for over 30 years. Non smiling photos of your face from the front and side would help in the evaluation. 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 with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face. This is frequently combined with liposuction of the lower face to further shape the face and cheeks. I have performed many Chin Augmentations using chin implants for over 30 years. From the photos, your chin is weak. A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin. Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty. I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone. In my opinion, you are a good candidate for chin implant surgery. If the back portion of your jaw line is a bit weak this can be augmented, without making your face appear masculine, using precise placement of a dermal filler (I prefer using Restylane Lyft). Hope this helps.
Yes, there is no issue with doing both at the same time; as long as it makes sense to the final result. If you separate the two procedures, the timeline should allow 4-6 months for the Vline procedure to 'settle' so you can see the further changes you want
In duration secondary to liposuction can take 8 weeks to improve. The numbness can take up to a year to resolve. During the time of healing aggressive massage every night for 10 minutes using a moisturizer can help expedite the process.RegardsDr. J
We supply surgery patients with the Vitamedica Recovery Program, including Bromelaine, Arnica and a 14 day supply of AM and PM vitamins. They also receive a scar crème and topical arnica for bruising. We also always provide compression garments in their packets as well. I would check with you...
I find that VASER liposuction in combination with ThermiRF or ultrasound are best for contouring the chin in those who are candidates but Kybella can be used as an alternative. I love clear + brilliant laser, salicylic acid peels, and microneedling/PRP for large pores and uneven skin. See an e...
