19 year old male. I am somewhat frustrated because I get told I look way older than I actually am. Just a few years ago, before my bout of cystic acne, my skin was youthful. I notice that I have a better appearance when my cheekbones aren't as defined as they usually are. Sometimes I notice that they get less defined towards the evening. Also I have puffiness near the eyes from time to time. Pictures provided, see for yourself. Need advice.
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Answers (6)
From board-certified doctors and trusted medical professionals
Hi, I have performed many facial shaping procedures using dermal fillers, facial implants (cheek, chin), liposuction and/or facelifts for over 30 years. From the photos, your cheeks are very flat in the front, the chin is weak, the nose has a dorsal hump with a nasal tip that is wide and un...
Facial sculpting and contour can be created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. Implants or fat would be alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer
Generally speaking for correction of hemifacial microsomia one should consider augmentation of both bone and soft tissue. A combination of cheek implant and soft tissue augmentation with local flap tissue or fat grafts would be my choice. We have used galeopericranial flap (tissue underneath t...