How can I get a chiseled face? What are procedures I can benefit from to get a better facial structure? (Photo)

Question

19F. I have included pics of me along with the pics of the type of face shape I want. What are some procedures I can do to get a chiseled look and what are ways I can improve my face shape? Is it possible to change my facial structure and facial harmony to make it look like my ideal face shape?

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Nima Shemirani, MD · Answer

Hi @Tannaj! Thank you for sharing your photos. I recommend a combination treatment of dermal fillers and Morpheus 8. Morpheus 8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Best of luck,

Dr. Nima

Best of luck,

Dr. Nima

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. You would likely benefit most from dermal fillers or implants to achieve your desired facial structure. An experienced injector can strategically administer dermal fillers to volumize and balance specific areas of the face. The results from filler injections can last for approximately 6-12 months.
Implants can also be customized for the cheek, chin, or jawline to reshape the face for permanent results, though silicone implants can be removed in the future if desired. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They’ll be able to better assess your aesthetic goals and help you make the right decision to achieve them.

Michael P. Morrissette, DDS, FACS · Answer

In  the photos your lower facial balance is deficient. Your chin is both short and recessive. I would recommend starting with an advancement and lengthening genioplasty.  This would improve your overall facial balance.

Zoran Potparic, MD · Answer

Based on these photos, there are several things to consider. Nose surgery (rhinoplasty) will soften your profile, while augmentation of the chin my mans of implant or genioplasty will improve short and retruded chin and lower face. Addition of neck liposuction, to help with jawline and neck, should also be considered. Bimaxillary surgery, which includes movement of upper and lower jaws,  may also be considered. In person consultation with a board certified plastic surgeon and, possibly, 3D simulation imaging, may help you to understand improvements and limits. Good luck.

Nelson Lee Novick, MD · Answer

First, the object of treatments is to make YOU look the best you can, not to look like someone else whose bone structure, etc. may be different. That being said, in experienced hands, the use of various HA fillers, each with its own designated use(s) could quite easily be used in this case to create a more feminine, heart-shaped face and diminish tear troughs in front face view; straighten and define the jawline in profile view; and augment the chin so that its projection can be in greater harmony with the projections of the tip of the nose and lips in profile view. For this you would be wise to consult an experienced, board certified cosmetic dermatologist. Liquid facelifts require both and artistic approach, as well as science, and thus should not be left to cut-rate venues selling treatments by the syringe and relying only on simple fillers like plain Restylane or ordinary Juvederm. An experienced injector can do all of the above in about 30-40 minutes and with results that typically elicit an immediate "Wow!" reaction. So, do your due diligence before agreeing to proceed because it is your face we are talking about and you have to live with the results of treatment every. Best of luck.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi Tannaj! There are definitely options to improve your facial definition, especially your jawline. Minimally invasive options include filler such as Radiesse which can help stimulate collagen. Fillers don't last permanently and you may require substantial volumes to achieve the result you want. Surgically, you can add implants. There are all different types that can be placed at the chin, jawline, and cheeks. The results are quite impressive. At your young age, though, you can have issues with an implant causing bony changes 20-30 years down the road. A genioplasty can help move your jaw permanently forward. This may be a great option and is relatively safe to perform. Hope this is helpful to you in your journey!

Oakville Plastic Surgery &amp; Medspa · Answer

Absolutely! Filler can really help to balance your features! To achieve this result, filler should be injected in two main areas: midface and the chin area. Your chin is a little short in length. One additional benefit that can be achieved from filler in the chin area is your submental area/double chin will significantly soften and improve. I would not recommend having a permanent chin implant as this would create challenges to injecting the chin area in the future.

Darryl J. Blinski, MD · Answer

Great series of posted phots. Very hard to skeltonized your face. I might try chin implant, sub mental lipo, maybe buccal fat removal, temple HA fillers. Best to virtual consult with...

Gerald Wittenberg, MSc, DMD (retired) · Answer

There is the 'ideal' and the 'masking' approach. Ideally, your lower jaw needs to be moved forward/orthodontics as well; for the most natural approach. Added procedures at the same time can be considered. Masking means that you just leave the recessed jaw and attempt to make it look more prominent and defined with jawline augmentation/ genioplasty/cheekbone procedures.

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