Which procedure would help me achieve a tighter and more feminine appearance? 20 y/o (photos)

Thankyou for your query. You really do not need much , as your face does have good aesthetic proportions. If you still want a more enhanced V-shape, thread lifts or even a micro lift will work well. Radio frequency can also help a lot. You are quite young and at this stage, less is more. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

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

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.

Hello valeriavatican! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. This is a great question. I recommend trying a CO2 laser treatment such as the Coolpeel. Coolpeel is a great treatment that helps to rejuvenate and resurface the skin, minimize the appearance of fine lines, and aids in the production of collagen. This is one of the best treatments to achieve smoother looking skin and requires little to no downtime. I hope this helps!

You would need to go to a board certified plastic surgeon to analyze the morphology or your skin from both a textural and visual standpoint. At that point, they may suggest reversible fillers first to highlight your cheeks and give more of a heart-shaped face which would also give you the allusion you are « lifted ». More permanent and dramatic solutions would include elastic sutures lift and an endoscopic mid-face lift which would also give you more of a glamorous almond-shaped eye.

I hope this helps,
best of luck !

It’s great that you’re proactive about your appearance! At 20, you have several options to address droopiness and enhance facial tightness and femininity. Here are some recommendations:
1. Consultation: Since you’re recovering from rhinoplasty, it’s essential to consult with your surgeon or a qualified professional before pursuing additional treatments. They can provide personalized advice based on your recovery and goals.
2. Non-Surgical Treatments: - Sculptra: This injectable stimulates collagen production over time, helping to restore volume and improve skin elasticity, which can tighten the skin. - Thread Lifts: These minimally invasive procedures can lift and tighten sagging skin, providing a more youthful appearance without significant downtime. - Morpheus8: This combines microneedling with radiofrequency, which can help tighten loose skin and improve skin texture, enhancing your overall look.
3. Skincare Routine: A solid skincare regimen can also help improve skin tone and elasticity. Look for products with retinoids, hyaluronic acid, and peptides to promote collagen production and hydration.
4. Facial Exercises: Some people find that facial exercises can help strengthen the muscles around the face, potentially improving overall tightness.
5. Maintenance and Future Considerations: As you continue to explore options, maintain a healthy lifestyle, including proper hydration and nutrition, as these can impact your skin's appearance.

Thank you for sharing your concerns and photos. At 20 years old, you are in the prime of youth, with a natural beauty that so many aspire to emulate. Your face has excellent proportions and features, and you truly don’t need much to enhance your appearance. Sometimes, the most powerful change comes not from procedures but from embracing the unique qualities that make you who you are.

If you’re seeking ways to feel more confident or aligned with the look you want, I’d encourage you to consult with a stylist, aesthetician, or makeup artist. Subtle changes in hairstyle, makeup techniques, or even wardrobe can achieve transformative results without invasive treatments. Learning to highlight your natural beauty with these tools can provide immediate confidence while maintaining the authenticity of your youthful features.

You’ve already taken steps with lip fillers and a rhinoplasty, which means you’re shaping your look intentionally. But remember, the features you have now—at 20—are what many strive to replicate later in life. This is your time to enjoy being you, and sometimes, less is truly more. Small adjustments, like exploring skincare routines or trying out different makeup styles, can make a big difference without altering the essence of your beauty.

Consider pausing for now and exploring these softer, non-invasive options. Life isn’t about chasing perfection—it’s about embracing who you are and letting your confidence shine through. You’re already beautiful. Let yourself enjoy that.

Dear Valeria,
Thank you for your enquiry. From what you tell me, you have noticed droopiness in your face and would like to fix it. Looking at your photos, I think you could benefit from a non-surgical facelift.
There are several options to lift the structures of your face without surgery.
As you are still quite young, you may wish to look at options that do not involve injections and provide mild lifting effects and contouring of the face. Popular options are:
1. Radiofrequency
Radiofrequency Energy: Radiofrequency energy is a type of electromagnetic energy that generates heat when it interacts with tissues. In the context of skin tightening, controlled amounts of RF energy are delivered to the deeper layers of the skin.
Collagen Stimulation: The heat from the RF energy penetrates the skin's deeper layers, causing the collagen fibres in those layers to contract and tighten. Collagen is a protein that gives the skin its firmness and elasticity.
New Collagen Formation: The body's natural wound-healing processes are triggered in response to the heat. This includes the production of new collagen, which gradually replaces the old, damaged collagen. This new collagen helps improve the skin's overall texture, tone, and tightness.
Gradual Results: The results of RF treatments for lifting are not immediate. It takes time for the body to generate new collagen and tighten the skin. Typically, patients will notice gradual improvements over several weeks to months after the procedure.
HiFU:
In HIFU skin tightening treatments, the focused ultrasound waves are directed at specific depths within the skin, typically the deeper layers known as the SMAS. The energy from the ultrasound waves creates controlled heat at these depths, which triggers a natural wound-healing response. This response includes the production of new collagen fibres, which gradually leads to tighter, firmer skin over time.
There are also facelift options, such as dermal filler or PDO-Threads. Both of these options involve injections. They are very popular treatments but may not be a great option for people who are still quite young, such as yourself.
I recommend seeing a cosmetic doctor or plastic surgeon to discuss your options.

Based on the desired results from the edited photo you can consider a few options. Filler can be used to help enhance your facial contour. Morpheus8, which uses RF technology and microneedling, can improve overall skin tone and texture. We also recommend using medical grade skin care products, like Transform MD and wearing sunscreen every day.