Lip lift/facial fat graft to face to solve 'manliness'? (Photos)

Question

My brother always said I have a manly face,- I know I have strong cheekbone,jaw and very small forehead but now I don’t ever take photos becasue I really dislike my face- especially side profile - but not sure why? I have had insomnia all my life so I know I have dark circles. I am thinking maybe trying non surgical things first like dermabrasion, micro needling or chemical peel but that would not solve the lip issue or the “manliness”? Any guidance is appreciated! Thank you

Michele A. Shermak, MD · Answer

Hello!
First off, I think you have a lovely face with great character. Having said that, there are small procedures that can soften the facial appearance. Fillers would be your best bet. 
Lip lift is not an appropriate procedure for you. The distance between your lip and nose is short.
I would recommend you see a board certified plastic surgeon who can discuss your options with you.
Best of luck!

Darryl J. Blinski, MD · Answer

Based on the posted photos I recommend initially lip HA filler especially to upper lips. Than secondarily, a lip lift. Best to virtual consult with...

Mats Hagstrom, MD (license on probation) · Answer

Each individual person‘s facial appearance whether masculine, feminine attractive or not so much is almost exclusively based on facial skeletal structure. Soft tissue coverage over the bone is very consistent from person to person especially on young thin people.
For that reason if you want to change your fundamental appearance the procedure has to address bone structure.
Doing a full facial assessment and a public form it’s probably not appropriate, takes a substantial amount of time and will be to some degree subjective while others do it more mathematically.
Many of the ways you describe your own face are much more consistent with femininity and masculinity like having a small forehead and strong cheekbones.
I see nothing wrong with your skin so I would definitely stay away from procedures like dermabrasion.
Micro needling can give a nice results but there needs to be a good underlying cause and it’s not going to change your primary appearance.
Volume manipulation is probably second best after actually doing cranial facial surgery.
Volume manipulation is best done using fillers because they are accurate, predictable and forgiving.
Personally I would avoid fat transfer because it tends to be the opposite of fillers. Imprecise, unpredictable and unforgiving.
Results are purely based on the skill and experience of the provider so finding the right person to work with is your absolute number one priority if you insist on having treatments.
There is absolutely nothing wrong and should be the default go to standard to do nothing.
Nobody needs cosmetic surgical or treatment intervention and really these treatments should only be done for individuals who have some specific problem bud we all know that the desire to look better drives even attractive people to have things done.
To make an assessment we need standard pictures which are basically like mug shots. No facial expression taken 6 feet away showing the front and the side just like how plastic surgeons take facial before and after pictures.
To get an idea of what can be accomplished with nonsurgical options simply using fillers I suggest you check out the website of Dr. David Mabrie in San Francisco. He’s a facial plastic surgeon who’s practice is devoted exclusively to working with fillers.
His work is some of the best I’ve ever seen. Seeing those results gives you an idea of what the gold standard is and what can be achieved.
Keep those in mind when you go consulting and looking for your own providers.
That providers aggressively before committing to anyone provider for your treatment.
Interview lots of them before choosing one.
There’s an intense difference in skill and experience among all the people doing non-surgical facial aesthetics.
Some are incompetent and some are brilliant.
If you want a formal assessment in regards to bone structure start with oral surgeons or plastic surgeons with craniofacial Fellowship training.
Personally I think you’ll look attractive, appropriate fit and should be proud of who you are and how you look.
Be careful with any irreversible procedure.
If you feel the need to consider surgical intervention then perhaps consideration to a rhinoplasty would be OK. Your gin also is somewhat projected and while some may find this slightly out of balance it’s certainly much better than those Who lack chin projection. In your case it also adds to your striking straight long jawline which most women would probably do anything to have.
If insomnia it’s a problem then focusing on sleep hygiene with very healthy sleep rituals and behavior it’s probably number one on the list.
Best,
Mats Hagstrom MD

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