I need help with figuring out how to improve my face. The whole bottom half of my face is so saggy and it looks like I’m always frowning. It looks like I have fat cheeks but also jowls. I’m only 28! And weigh about 110 lbs and my face has always been like this. I have a bit of an overbite with a receded chin and might need jaw surgery if that would help? Or do I need cheekbone implants? Please help!!
November 6, 2017
Answer: Nonsurgical Cheek Augmentation The First Step In Treating A Saggy, "Frowny" Face First, let me applaud you for expressing how your problems make you feel when you look in the mirror, i.e. saggy, jowly, and frowning. Many, if not most, people who present to aesthetic physicians do so with pre-conceived notions about which areas they think they need treated, such as smile lines, or marionette lines or even the under eye region. But disappointment and frustration is what most of those people will likely experience, especially when they get treated in those areas by inexperienced, novice injectors offering "one syringe of Juvederm or Restylane" to treat those areas. A much more sophisticated approach by an experienced injector is to find out what the person feels about him/herself--which you have given us upfront--and then tailors an appropriate treatment plan to address those concerns. The general order for treating the face is to first build the foundation. The foundation of the face is the cheekbone and the mid-cheek regions. Once this is addressed, with volumizing fillers, such as Voluma XC (which I would use in my NY office) and Stylage XXL (my choice in my Israel satellite facility, where a far greater number of regulatory agency approved volumizers are available) not only is the overall shape of the face improved, but secondarily the sagging and jowl formation remedied. Following restoration of the foundation, then contour can be addressed. In keeping with this, the side (profile) view suggests that the chin can be enhanced and its projection increased with Restylane Lyft (NY) and Hyaluronica 2 (Israel). Finally, we can turn to refinements, which in this case might be the lips, especially the upper lip whose vermilion border and possibly even the red portion of the lip might be enhanced with Belotero Balance (NY) or Princess Volume (Israel). Make sure that you consult with a board certified aesthetic physician with experience and expertise in nonsurgical facial rejuvenation with injectable fillers and volumizers and who can create a specific treatment plan for your needs and to fit your budget. Avoid flea market style outlets selling treatments of simple Restylane or ordinary Juvederm by the syringe. Make sure to ask to see before and after photos for each area that you require treatment. Best of luck to you.
Helpful
November 6, 2017
Answer: Nonsurgical Cheek Augmentation The First Step In Treating A Saggy, "Frowny" Face First, let me applaud you for expressing how your problems make you feel when you look in the mirror, i.e. saggy, jowly, and frowning. Many, if not most, people who present to aesthetic physicians do so with pre-conceived notions about which areas they think they need treated, such as smile lines, or marionette lines or even the under eye region. But disappointment and frustration is what most of those people will likely experience, especially when they get treated in those areas by inexperienced, novice injectors offering "one syringe of Juvederm or Restylane" to treat those areas. A much more sophisticated approach by an experienced injector is to find out what the person feels about him/herself--which you have given us upfront--and then tailors an appropriate treatment plan to address those concerns. The general order for treating the face is to first build the foundation. The foundation of the face is the cheekbone and the mid-cheek regions. Once this is addressed, with volumizing fillers, such as Voluma XC (which I would use in my NY office) and Stylage XXL (my choice in my Israel satellite facility, where a far greater number of regulatory agency approved volumizers are available) not only is the overall shape of the face improved, but secondarily the sagging and jowl formation remedied. Following restoration of the foundation, then contour can be addressed. In keeping with this, the side (profile) view suggests that the chin can be enhanced and its projection increased with Restylane Lyft (NY) and Hyaluronica 2 (Israel). Finally, we can turn to refinements, which in this case might be the lips, especially the upper lip whose vermilion border and possibly even the red portion of the lip might be enhanced with Belotero Balance (NY) or Princess Volume (Israel). Make sure that you consult with a board certified aesthetic physician with experience and expertise in nonsurgical facial rejuvenation with injectable fillers and volumizers and who can create a specific treatment plan for your needs and to fit your budget. Avoid flea market style outlets selling treatments of simple Restylane or ordinary Juvederm by the syringe. Make sure to ask to see before and after photos for each area that you require treatment. Best of luck to you.
Helpful
November 5, 2017
Answer: Shaping of lower face It is very difficult to give you good advice based on photos only; in-person evaluation would help. It appears that creating more harmonious face in your case may require several procedures; chin, possibly cheek augmentation, nose reshaping surgery, jaw-line enlargement (fat grafts) vs. orthoghnatic jaw surgery and jowls contouring with liposuction. Some of augmentation may be achieved using fillers, which is of course temporary, but would give you good idea what would a more permanent voluminization of your face produce. Good luck.
Helpful
November 5, 2017
Answer: Shaping of lower face It is very difficult to give you good advice based on photos only; in-person evaluation would help. It appears that creating more harmonious face in your case may require several procedures; chin, possibly cheek augmentation, nose reshaping surgery, jaw-line enlargement (fat grafts) vs. orthoghnatic jaw surgery and jowls contouring with liposuction. Some of augmentation may be achieved using fillers, which is of course temporary, but would give you good idea what would a more permanent voluminization of your face produce. Good luck.
Helpful
