Which procedures should I consider to target asymmetry and deliver a more youthful appearance? (photo)

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.

Thank you for your question and photo. While perfect symmetry is impossible to achieve, a liquid facelift can improve symmetry and create harmony among facial features. Liquid facelifts use a combination of dermal fillers and sometimes neuromodulators, such as Botox, to fill and lift the face for a soft, youthful, rejuvenated appearance. I recommend scheduling an in-person consultation with an experienced, board-certified injector. They will be able to discuss your concerns and aesthetic goals with you to help you decide on the best treatment option.

First, you have a youthful face. The most outstanding issue are the malar mounds of the upper cheeks. These, in the hands of an experience injector, can be easily addressed with an appropriate HA filler to both address the malar mound issue and secondarily to enhance a more heart-shaped oval to the upper outer cheek regions. Make sure to consult with an experienced, board certified cosmetic dermatology injector. Best of luck.