My face is so round!! Weight loss or dermal fillers? (Photo)

Hello, my name is Dr. Burko and I am a Plastic Surgeon at SY Aesthetics in NYC. Prior to injecting, I assess the patient from multiple views in order to explain what I am seeing. It is hard to say with only 1 view of what the best treatment plan is. There are multiple fillers on the market than be used for different areas on the face. My recommendation is for you to see a trained plastic surgeon who can make an assessment and offer you their best treatment plan.

Hello, and thank you for your question. You are beautiful in your own skin and I understand if you want to improve certain areas. By looking at your photo, it does not seem you need to lose weight, but that can only be determined at an in-person consult to truly evaluate your height, weight, and BMI. If you are concerned about a round face, there are treatment options that can help. We have a masseter muscle in our face that helps with chewing, but it can often increase or bulge in size due to stress, teeth grinding, clenching of the jaw, etc. If this is the case, that muscle can be treated with neurotoxin to help shrink the muscle. This will give a more contoured appearance to the face. On top of this, dermal filler can also help with providing structure and contour to specific areas of the face. I would recommend scheduling a consult with a practitioner to determine the best treatment for you.

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

I'm sorry to hear that you are feeling self-conscious about your facial appearance. It is understandable to want to look your best and feel confident in your own skin.

There are several factors that can contribute to a round or heavy appearance of the face, including genetics, age, and weight. Excess weight can certainly play a role, as it can cause the face to appear fuller and less defined. Losing weight through a healthy diet and exercise can help to slim down the face and improve overall facial harmony.

In addition to weight loss, there are also non-surgical options that can help to enhance facial symmetry and contour. Dermal fillers can be used to add volume to areas that appear hollow or flat, such as the cheeks or temples, and can help to create a more youthful, lifted appearance. Botox can also be used to relax muscles in the jawline and create a slimmer, more defined look.

Surgical options can include buccal fat removal or facial liposuction.

If you are interested in exploring these options, it is important to seek the advice of a qualified and experienced facial plastic surgeon or dermatologist. They can evaluate your individual case and recommend the best course of action to achieve your desired results. They may also recommend a combination of treatments to address multiple concerns and create a more comprehensive improvement in facial harmony.

I hope this helps,
best of luck !

Your cheeks look heavy because your lower face is narrow by comparison. You can try filler on the jawline to balance the upper face. Remember, fullness in the face is a huge benefit in looking younger as you age so do not be too quick to reduce it..

Depending on genetics and other factors, healthy weight loss could contribute to a slimmer face. However, if weight loss is not safe and healthy for you, there are other options for achieving the look you want. Dermal fillers are likely not the best option, as they are most effective for smoothing textures or for adding volume. PDO threads, though, could be a good nonsurgical method, as they can help to significantly tighten, lift, and contour the face. It’s so important that you feel comfortable and confident in your skin, and we hope you find the right treatment to get you there!

If you notice changes to your facial features when you are at a lower weight then weight loss may help. Surgically you can consider buccal fat removal. You may be a candidate for masseter Botox which slims the jawline. An in person evaluation is needed for the best recommendation.

I am so sorry that you do not like your facial proportion. Have a consultation with a Plastic Surgeon and discuss Buccal Fat removal. I think this will give you the results you are looking for and then perhaps some jawline fill to balance things out for you.
I hope this helps. Best of luck!