Big lower face and uneven lips/eyebrows - What can I do to make my face slimmer and prettier? (photos)

Question

I’ve always been really self conscious about my big lower face and uneven lips and eyebrows. I’ve had lip fillers before but nothing more. What’s the cheapest non surgical way I can help myself?

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for providing photos along with your question, based on these images, your asymmetry issues can be addressed with a combination of Botox and dermal fillers. Botox can help you achieve a brow lift and when injected into the masseter muscle, can slim down your jaw for a more feminine face shape. Fillers, on the other hand, can enhance facial contours and features, including your lips.

Another option for you might be buccal fat pad removal, which is a surgical procedure that removes the small pocket of fat in the lower portion of the face. This procedure is performed in your surgeon's office and only requires a few days of downtime.

To determine the best facial rejuvenation procedures for you, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with extensive experience with injectables. Such experts will have the optimal skills, as well as artistry and knowledge of facial aesthetics, harmony, and proportion, helping you achieve the most natural-looking results. During your consultation, your surgeon will evaluate your skin quality, discuss your concerns and goals, and ensure the best possible outcome.

Camille Cash, MD · Answer

A combination of Botox and fillers can help to contour the face.  Botox can help with fine lines as well as improve brow symmetry.  It can also be used to slim the jaw.  Fillers can be used to accentuate facial contours and improve areas that have hollowed from aging.  See an expert injector near you for a consultation to learn more.

Anshul Gambhir, MD · Answer

Hello, thank you for your question. The lower face asymmetry concern can be corrected with a dermal filler approach. I highly recommend consulting with a board certified physician with experience. Your concern regarding your eye brows I would recommend botox strategically placed to achieve a more over all symmetrical alignment of your brows. Once again, consulting with a board certified physician with experience will be able to give you all the options and a full detailed explanation of risks and benefits to both treatment types. I hope this helps you.

Big lower face and uneven lips/eyebrows - What can I do to make my face slimmer and prettier? (photos)

Answers (4)

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