Face looks asymmetrical and very hollow after wisdom teeth removal. Best treatment to fix this? (Photo)

Question

It has been a year since I've had both my upper and lower wisdom teeth removed, and I have noticed a very different look in my appearance as the time has passed. My cheeks now have a very hallow appearance- causing my cheekbones to protrude out and my skin to sag around my smile lines. My face was thin prior to the surgery, but nothing like this. It looks like I have holes in my cheeks and unevenness in my overall facial structure. Any advice on how to fix this is highly appreciated!!

Jason Emer, MD · Answer

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.

Randal Haworth, MD, FACS · Answer

I would do Renuva (a semi permanent filler) or fat transfer, it offers amazing results and I’ve personally treated patients who had had a bichectomy (buccal fat pad removal) with too much fat removed and complained about hollowness.

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. Dermal fillers and fat grafting are excellent options for restoring lost volume and improving facial symmetry. Dermal filler injections are composed of naturally occurring hyaluronic acid, while fat grafting uses your body’s own fat to add volume to the face. Both options are effective, though the results from fat grafting can last for much longer.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector. They will be able to review your surgical history, discuss your concerns with you, and help you decide on the best treatment option.

Nelson Lee Novick, MD · Answer

You can relax. We have a whole array of robust, natural HA fillers that are designed for filling hollows and a variety of structural and volumetric issues that come with aging, or, in this case, resulting from the prior dental work. You would be wise to consult with an experienced, board certified physician cosmetic dermatologist filler expert. Treatment in experienced hands for this kind of issue should take no more than about twenty mintues to perform with typically immediate results that elicit an instant "Wow!" reaction. Best of luck.

Oakville Plastic Surgery &amp; Medspa · Answer

Thanks for submitting a picture to allow us to assess what you are experiencing. I recommend having the hollow areas treated with filler. You will see a decrease in hollow depression as well as you will probably also find you face will lift as well. Consider bringing picture of your face prior to dental surgery to show your injector so they can assess the evolution you've experienced. The other thing that has crossed my mind is the drug Ozempic has also been known to cause a hollow facial appearance.

Face looks asymmetrical and very hollow after wisdom teeth removal. Best treatment to fix this? (Photo)

Answers (5)

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