In 20s & feel heaviness in face when smiling, any ideas? (Photos)

Question

Hi! I'm in my mid twenties and feel that my face gets bulky/heavy when I smile. I cant pinpoint whats causing this/ what options are available. I tried masseter botox but feel like my jawline became less defined . When my face is at rest, it looks okay. Any ideas?

Jacob Tower, MD · Answer

Hello, hope you are well. I'll start by saying that based on these photos your facial proportions are good, and I don't see an obvious motivation to do anything. Having said that, buccal fat removal is a quick and easy way to contour the lower third of the face where the soft part of the cheek is (below the cheek bone and in front of the masseter muscle). I have had many patients who have had a similar reasons to seek buccal fat removal (heaviness/fullness with smiling), and have been very pleased with the results.

Best,
Dr. Tower

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Feeling that your face appears bulky or heavy when you smile can be a common concern, especially if you've noticed changes after treatments like masseter Botox. The masseter muscles are responsible for chewing, and while Botox can help reduce their size, it may also affect the overall definition of your jawline, leading to a softer appearance. There are several factors that could contribute to the heaviness or bulkiness you perceive when smiling. One possibility is the distribution of facial fat, which can change with age, weight fluctuations, or even as a result of cosmetic treatments. Additionally, the tone and elasticity of the skin play a significant role in how your face looks when smiling. To address your concerns, there are various options you might consider. Dermal fillers can be strategically placed to enhance facial contours and provide balance, especially if you feel your jawline has softened. Alternatively, facial slimming treatments, such as additional Botox in different areas, may help if you find that specific facial muscles are contributing to the bulkiness. Non-invasive treatments like microneedling or radiofrequency can also promote skin tightening and improve overall skin texture, potentially addressing some of the heaviness you're experiencing. I hope this helps and best of luck!

Darryl J. Blinski, MD · Answer

Based on your nicely posted photos, I would recommend the Endo lift laser lift With one stitch facelift technique under local anesthesia, or local anesthesia with IV sedation. Fee $10,000. Best of virtual consult with.

In 20s & feel heaviness in face when smiling, any ideas? (Photos)

Answers (3)

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Everything you need to know about Buccal Fat Removal

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In 20s & feel heaviness in face when smiling, any ideas? (Photos)

Answers (3)

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Recommended reading

Everything you need to know about Buccal Fat Removal

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