What can I do to achieve lower facial balance? (Photo)

Question

(22, white/asian female) would Kybella or chin lipo reduce the appearance of saggy jowls and define the jawline area? I have already gotten chin fillers and masseter botox before, but I am looking to tighten or lift the neck area rather than injecting more dermal fillers. The last two images particularly highlight my concerns. While I understand that photos cannot replace an in-person consultation, any insight would be appreciated.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Randal Haworth, MD, FACS · Answer

You are a difficult case because you already have a very nice facial shape. To specifically answer your question, it is nearly impossible without an in-person consult. However, the only thing that I could see, based on your photos, is a slight weakness of your jaw definition in the area bordering your chin and immediately below it. Therefore, I would recommend as a dress rehearsal a reversible filler such as Juvederm Volux or Restylane Defyne injected in the area to see wether that does the trick. It is important that you go to a person who has an excellent eye and shares your vision otherwise they will just inject in a “color-by-number’’ approach leaving you dissatisfied and swearing off fillers forever.

Best of luck !

What can I do to achieve lower facial balance? (Photo)

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What can I do to achieve lower facial balance? (Photo)

Answers (2)

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Our mission is to create a world where every investment in modern beauty is Worth It.