It seems you are concerned about changes in facial appearance, specifically gauntness, after wisdom teeth removal and subsequent filler treatments. While I cannot view the pictures directly, I can offer some general advice and considerations that might help you understand and address this issue. Possible Causes of Gauntness After Wisdom Teeth Removal 1. **Post-Surgical Swelling and Inflammation**: Initially, swelling is common after wisdom teeth removal, which can make the face appear fuller. As the swelling subsides, the face might appear gaunter. 2. **Dietary Changes**: After such a procedure, dietary intake might be reduced due to discomfort, leading to weight loss, which can contribute to a gaunt appearance. 3. **Muscle Atrophy**: Limited jaw movement and chewing could lead to temporary muscle atrophy in the face. 4. **Natural Aging**: This can coincide with the period after surgery, contributing to a loss of facial volume. Addressing Gauntness 1. **Nutritional Support**: Ensure a balanced diet rich in proteins, healthy fats, and vitamins to promote overall health and potentially improve facial fullness. Consider consulting a nutritionist if needed. 2. **Hydration**: Proper hydration is essential for maintaining skin elasticity and overall facial volume. 3. **Physical Therapy**: Gentle jaw exercises, as recommended by a dentist or physical therapist, may help in regaining muscle tone in the face. 4. **Cosmetic Treatments**: - **Fillers**: As you've already tried cheek and chin fillers, ensure you're following up with your practitioner to monitor the results and adjust as necessary. - **Other Options**: Consider discussing other non-surgical options like Sculptra (which stimulates collagen production) or fat grafting with a cosmetic specialist. 5. **Skincare**: A good skincare routine can help maintain skin health and appearance. Products with hyaluronic acid, retinoids, and peptides can be beneficial. 6. **Consultation with a Specialist**: It might be beneficial to see a dermatologist or a cosmetic surgeon to discuss your concerns and explore other potential treatments. Given that you've already had filler treatments, it's crucial to monitor how your face responds over time. Fillers can take a few weeks to settle and show full results. If you're not satisfied with the outcome, a follow-up with your cosmetic practitioner can help adjust the treatment plan. When to Seek Medical Advice - If you notice any unusual symptoms such as persistent pain, significant asymmetry, or signs of infection, it is important to contact your healthcare provider promptly. Gauntness after wisdom teeth removal can be due to multiple factors, and it’s good that you’ve already taken steps with filler treatments. Combining good nutrition, hydration, possible physical therapy, and continuous consultation with cosmetic professionals should help you address this concern effectively. If you need more personalized advice, consider scheduling a consultation with a specialist who can provide tailored recommendations based on a thorough evaluation.