How Do I Get Rid of a Frowny Face/cheeks? (photo)

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

A downturned smile or permanent frown can be improved with a combination approach, including neuromodulators (such as Botox, Dysport, and Jeuveau), injectable fillers, and radiofrequency skin tightening treatments such as Thermage or Venus Legacy. I recommend getting a formal evaluation with an experienced cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer.

If you feel that your face does not reflect how young you feel on the inside, a facelift may be the solution to help you look and feel younger. During your consultation, your doctor will evaluate your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure. Based on this evaluation, he/she will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. Your doctor should make sure you have a full understanding of what results to expect.  Always insist on a board certified surgeon!

Your cheeks are heavy, and they are weighing down the corners of your mouth.  I would suggest using Voluma or Restylane lyft in the cheeks to lift them.  I use a technique where I pull the cheek up and then use the filler to "tack" the cheek into place.  The result is very natural and lifts the weight of the cheek as well as the corners of the mouth.  In addition, sculptra can add more volume to the top of the face, restoring the focal point towards the upper third.Finally, neurotoxin (botox or dysport) in the DAO muscles will help to keep those muscles from pulling the sides 

I think you would definitely benefit from adding some volume into your upper cheeks. Start with filler injections.

Our facial shape is a result of our underlying bony facial skeleton, the amount of facial fat, strength of our facial muscles and skin thickness and skin texture.  Weight loss early in life generally has a beneficial effect on facial appearance.  As we age even minimal amounts of weight loss can considerably age one’s appearance.

 

In your case the lifting you’ve demonstrated can be achieved with facial fillers.  By precisely placing filler material into the cheek area you can contour the face to give a natural, refreshed and well balanced appearance without much downtime.

 

You are right to note that losing weight did not change your facial shape. In many patients, fuller cheeks are not from weight gain but actually just a genetic trait inherited in families. And losing weight often will not change this type of fullness. I agree that by building up the cheek bones, you can get closer to that "ideal" upside-down triangular shape to the female face - wider at the cheeks then slimming down towards the chin. It may also be wise to consider minimally-invasive laser liposuction to remove some of the fullness in the lower cheeks and tighten the skin along the jawline. The position and contour of your chin in the side view can also influence the look of your jaw and neck line. Make sure to discuss this with an experienced Facial Plastic Surgeon who will examine your facial structure from all angles.

Thanks for posting your photos that really helps. At your young age filing your cheeks could give them a lift and simulate what you see when you smile. You could also soften your folds below the corner of your mouth in the same way. Fillers like restylane and Juvederm are the simplist and safest to use and I would start there.

Dear Veronica,

As you can see in the pictures, when you smile, and lift up the cheeks, you are essentially adding volume to the upper cheeks.  Fat transfers are great for a longer lasting result and they will go away as you get older.  By then, the rest of your face is likely to catch up and balance itself out.  Temporary fillers like Restylane and Juvederm are great as well.  The catch is that it would take a few syringes and it lasts for about a year or so.  A consultation would definitely answer all of your questions more specifically.

Best,

Nima Shemirani

A variety of options can be used to address the problem you are experiencing including PDO threads. CoolSculpting to reduce fat if there are. In order to tighten and firm your skin, I would suggest combining Secret RF with Fraxel. Botox and fillers are also wonderful options when appropriate. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures.