Would facial fat transfer benefit me? What exact procedures would you recommend for facial contouring? (Photo)

Hi Thoughtful,
I would not recommend facial fat transfer in your young face. There is too much risk of asymmetry and possible fat hypertrophy as you get older and gain weight. Instead I would treat you with strategically placed Sculptra which is much more predictable than fat. You may have botox injections into your masseter muscles to help narrow the lower third of your face. Choose your treating physician most carefully. Good luck and be well.
Michael Persky, MD
Encino, CA

​Volume and contouring of the cheeks can be created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. Implants or fat are alternatives. Botox and radiofrequency can help slim and contour the jawline. Liposuction can help slim the face. Ultherapy, J Plasma and RF treatments can provide skin tightening and lift. I would recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer​

Thank you for the photos. You have what is considered negative vector facial morphology, making you correct thinking that your malar area is not (sufficiently) projected -- at least according to aesthetic ideals. Fat transfer to the malar area and periorbital area would be a good choice to modify your facila architecture.

Thank you for your question. Contouring is all about managing proportions, as well as light and shadow. Instead of adding volume to the upper face, what would you think about slimming the lower face? Buccal fat pad removal is a relatively minor procedure that uses incisions in the mouth to remove some of the fat in the cheeks, which in turn creates a more defined facial appearance. This would reduce the risk of having your cheeks appear overly prominent as well. I hope this helps, and all the best.
-Dr. P

Great series of posted photos! I agree nano & micro fat grafting to malar areas for more rounded projection would improve your appearance. Fee $5,000 ranges. Best to virtual consult with...