I would like to better balance my facial features. My tear trough area is my main area of concern, I also feel that I have a very “flat” side profile. If I consulted with you for facial balancing, what areas would you recommend to have filled? Along with approx. how many mLs for each area, and the brands that you would suggest for each area? I was recommended Belotero for the tear trough, but my concern is the frequent upkeep compared to other brands. Is Belotero the best for this area?
March 1, 2023
Answer: Filler Cheek Augmentation Improves Cheek Contour & Projection & Improves Under-Eye Hollows Your issue is one that I see practically every day in my practice. Appropriate projection of the upper cheek not only serves to create a more ideal oval, heart-shaped facial contour, but also serves as a major structural support for the under eye area. As such the use an appropriate volumizing filler, such as Voluma XC for this region properly injected can serve not only to enhance the cheeks and diminish the flatness you wish to address, but will also significantly improve the tear troughs and infraorbital hollows prominent in both the front-face and profile photos provided very likely without the need for any direct treatment of the under-eyes with Belotero. . This was precisely the case with the last patient I treated this afternoon who literally had these same two issues and was treated as above and exclaimed an immediate "Wow!" when she looked in the mirror right after treatment. In experienced hands, treatment takes about ten minutes and engenders little to no significant downtime. Just make sure to consult with an experienced, board certified cosmetic dermatologist injector. Best of luck.
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March 1, 2023
Answer: Filler Cheek Augmentation Improves Cheek Contour & Projection & Improves Under-Eye Hollows Your issue is one that I see practically every day in my practice. Appropriate projection of the upper cheek not only serves to create a more ideal oval, heart-shaped facial contour, but also serves as a major structural support for the under eye area. As such the use an appropriate volumizing filler, such as Voluma XC for this region properly injected can serve not only to enhance the cheeks and diminish the flatness you wish to address, but will also significantly improve the tear troughs and infraorbital hollows prominent in both the front-face and profile photos provided very likely without the need for any direct treatment of the under-eyes with Belotero. . This was precisely the case with the last patient I treated this afternoon who literally had these same two issues and was treated as above and exclaimed an immediate "Wow!" when she looked in the mirror right after treatment. In experienced hands, treatment takes about ten minutes and engenders little to no significant downtime. Just make sure to consult with an experienced, board certified cosmetic dermatologist injector. Best of luck.
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December 7, 2022
Answer: Facial Slimming — Masseter Botox, Facetite/Renuvion J Plasma, Buccal Fat Pad Removal, Fillers to sculpt the Cheek/Jawline/Chin 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.
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December 7, 2022
Answer: Facial Slimming — Masseter Botox, Facetite/Renuvion J Plasma, Buccal Fat Pad Removal, Fillers to sculpt the Cheek/Jawline/Chin 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.
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