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Slimming and tighteing of lower face - what would be the best option? (Photos)

Charming629789Dec 19, 2025
Hello, I would like some advice please on how I may go about achieveinv this slimmed down look on my lower face as shown in pictures. (1st is the original of course and 2nd what I would like to achieve) I am 23 so I am unsure why I am already facing so much lower face sagging and laxity, I definitely have some pre jowls appearing but I am unsure whether this is just down to skin laxity or whether is perhaps due to excess buccal fat. I have tried massetter Botox with no avail so now exploring other options. I am slim so if it is potentially due to excess fat in my face then I assume my only option is to look into buccal fat removal? If any one has any advice please it would be greatly appreciated.

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Michael P. Morrissette, DDS, FACS
Michael P. Morrissette, DDS, FACS profile photo
Dr. Michael P. Morrissette, DDS, FACS
Board Certified Oral & Maxillofacial Surgeon
5.0 | 12 Reviews
Answered on Dec 23, 2025
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Dr. Darryl J. Blinski, MD
Dr. Darryl J. Blinski, MD
Board Certified Plastic Surgeon
Answered on Dec 23, 2025
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Emre Guvercin, MD, FEBOPRAS

For facial slimming, lower face (inner) liposuction is usually the first and safer step, as it targets superficial fat and preserves facial support.Buccal fat removal can be added selectively in very carefully chosen cases, but it must be conservative—especially in young, lean...

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Zoran Potparic, MD

Unfortunately, it is not possible to give you good advice based on this photo. In person evaluation is the only way to find the answer to your question.

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Anil R. Shah, MD

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Given that your buccal fat removal has led to midface hollowing and a less defined jawline, I recommend filler as the most practical way to restore...

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