What would best improve my face? Looking for facial harmony/balance (Photo)

Question

I'm 30/f and dislike my face. It does it look harmonious to me. I have very bad perioral mounds on my left side (why?) and less lift on my left side of my face and feel my under eye hollows are severe. I see an indentation in between my eyebrows as well and can feel the hollowing when I touch that area.  What can I do to improve my looks? I'm 30 years old and looking for what would be the biggest difference for my face.

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Matt Tahsini, MD · Answer

Hello and thank you for your question,. You are beautiful!!!! If you really want to do something I would start slow with maybe some Botox between your brows and perhaps some light filler under your eyes. I suggest finding a very reputable doctor who is great with injectables for a consultation. Do your homework to find a good one in order to get quality results. Best wishes.
Dr. T

Amanda Holden, MD · Answer

Hello!
You have gorgeous features to start with!! You have a beautifully oval shaped face but there are definitely some options to help reverse the clock a bit!
First thing would be a neurotoxin like Botox or Dysport. This will help soften that "angry 11" line in between the brows and help lift the medial brow. If you are consistent with getting toxin every 3-4 months then over time you will start to notice that etched in line soften away completely! 
For the undereyes, aka tear troughs, I would recommend a very small amount of HA filler like Restylane to help with the hollows that you are starting to notice. 
Lastly, I would use a product like Restylane Defyne to help soften the folds that you are noticing around the lower face and help lift the corners of the mouth. 
The lower face folds may be partly due to volume loss in the mid cheek area but difficult to evaluate with the above photos!

What would best improve my face? Looking for facial harmony/balance (Photo)

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What would best improve my face? Looking for facial harmony/balance (Photo)

Answers (3)

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