How could I achieve more definition without making my face larger? (photos)

Question

Hi there, wondering what a surgeon would recommend for me to achieve a more angular face (more definition/hollow cheekbones/ slimmer look) in my face without making my face look larger or fuller? I’m already a low weight (98lbs 5ft 3) aged 23. I had buccal fat removal but I feel like it’s caused more harm than good in terms of my face dropping! I hate how I have these deep nasolabial lines!

Nelson Lee Novick, MD · Answer

The use of filler treatment in one area of the face improving a second area downstream of it has been termed the "domino effect" by our European colleagues.  Likely, the removal of the buccal fat has led to the flattening and sinking of the outer cheeks and the secondary development of the smile lines. So, the appropriate performed injectrion of a robust HA filler in the upper cheek area will not only create a more desirable, feminine oval face shape, but will like secondarily improve the smile lines downstream. You would be wise to consult a board certified cosmetic dermatologist and best of luck.

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. Dermal fillers are a great option for adding volume and definition while reducing the appearance of the nasolabial lines you’re referring to. These injectable formulas can achieve a soft enhancement of the cheek and under-eye area by lifting the cheeks and adding fullness to achieve a balanced look. 
I recommend scheduling an in-person consultation with an experienced, board-certified injector. They’ll be able to suggest the best course of action based on your medical history and your aesthetic goals.

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Darryl J. Blinski, MD · Answer

Add more cheek/malar fillers, a rhinoplasty, maybe 1-stitch facelift or mini anterior facelift. Best to seek in person or virtual consults.

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