I have a long narrow face that's starting to become more bottom heavy and lacks dimension. What do you suggest? Fillers? (photo)

You do not need surgery. Your cheekbones are flat, which is why your tissues are sagging, even at your young age. Building up your cheekbones with Voluma and/or Sculptra would give you a more heart-shaped face, plus create a mini lift that would be rejuvenating.  The squareness of the lower face is often due to over active masseter muscle use from teeth grinding.  A neuromodulator for this area further contours the face and makes it even more lovely and heart-shaped.  This combination, fillers in the cheek and Botox, Dysport or Xeomin in the masseters, is a winner! Please find a board-certified dermatologist who can show you beautiful results with creating cheekbones using Voluma and Sculptra.

Thank you for your query! You will benefit from a liquid face-lift using fillers or your own fat and stem cells. This will improve your contours and give you the V shape that you are looking for. Please find an experienced Board certified Plastic surgeon or Dermatologist who can examine you and help you with all your concerns. All the best!

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Hello, and thank you for your question!
I believe that you would be a great candidate for a procedure that I call Aesthetic Facial Balancing. A large part of my practice is using this procedure.  What this means is evaluating a patients face and bringing the features into harmony by making adjustments with either hyaluronic acid or fat.  The most important component of a fillers treatment is the practitioner administering it. I take filler and balance all features in your face from top to bottom to make them work together to 'unlock' your beauty. This procedure is not just a filler intervention augmenting the cheeks and lips, but as in overall, non surgical way to shape the face in a different way to create natural appearing results. 
I hope this helps!
Wishing you beautiful results,Dr. Rian Maercks M.D.

Thank you for your question and for attaching photos. You appear to be an excellent candidate for some mid-face volume. This will make your face less "flat" and more "three-dimensional". The most popular dermal fillers to achieve the desired results are voluma and vollure. Both are HA fillers with a long history of safety and effectiveness. Best of luck.

You are right, as we age we lose volume in the middle third of our face. The best and easy way to revert those changes is by adding volume deep in your cheeks this will transform your face into a more youthful self. Voluma, Lyft, and Sculptra are great filler to address this issue. Having a 3D evaluation of your face with Vectra H1 will help design those changes even better. Best, Dr. RG

Thank you for your question. You do not need surgery at this point in your life. Fortunately, there are ways to achieve more definition of the cheeks and jawline using fillers. There are multiple fillers including Juvederm Voluma or Restylane Lyft that can be used. You may need 1 or more syringes per cheek to achieve your desired look. If you are concerned with a "square" jawline, you may have an overactive masseter muscle; this muscle you can feel along your jaw below your ears when you clench your teeth. Injecting Botox or Dysport into this muscle will weaken the muscle and cause the muscle to atrophy or get smaller. Between fillers and Botox you can achieve that "V look" you desire!

I agree with most in that fillers in your cheeks is a great idea.  Voluma can be nice in that it gives you the best lift and lasts the longest. If you like that look, depending on how much product you use, a cheek implant can give you a permanent improvement without the repeated expense of fillers every 1-2 years. However, if you are using very little filler to achieve the improvement, an implant might be too much volume addition.  Good luck!Samir

Great question.  To achieve the look you desire is relatively easy with dermal fillers.  Voluma is wonderful dermal filler injected along the cheek bone to give you a lift and create a "V" shape appearance.  Voluma last up to 2 years.  This will help your lower face, look less prominent.  Sometimes adding some Voluma to softly round the chin can also help to create a heart shape face, along with the cheek injections.  

Using fillers is an art as a clients face should not be over done. It is true that the mid face loses volume over time, and you can show signs of facial hallowing. Again volume is important so the provider should choose wisely. Radiesse, Restylane , Sculptra and a host of other products could help. Hope this is helpful. JB