Make face look happier?

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.

Hello josieantwiThere various methods available to fit your goals, i would advice you schedule a consultation wit a board certified plastic surgeon.

Thank you for your question. A brow lift will reposition the brow shifting the wrinkles and repositioning a sagging brow. Fillers can provide a more relaxed appearance allowing you to express the emotions you feel rather than appearing angry, worried or upset due to wrinkles. I suggest that you move forward and consult with a board certified facial plastic surgeon.
Best wishes,

As we age the face often takes on a sad or angry look. To turn that frown upside down, fillers can often help. It would have been helpful to have a full face picture. I think the heigth of the brows are fine. The upper eyelids are droopy and if that is their normal state, you should be evaluated for a ptosis repair. Some filler in the cheek will help to soften the drawn look under the eye.

By the picture you provided, it appears you have a 2-3 mm ptosis of both upper eyelids.  I would look into this further before proceeding with any surgery.  I personally would not recommend a browlift.

Thank you for your question.  Personally, I don't think that a brow lift is the answer to your problem.  It's hard to tell based on a single photo but it appears that you have bilateral eyelid ptosis which could be corrected with eyelid surgery by an oculoplastic surgeon.  Facial Fat Transfer might also be helpful in softening your features and making you look more "happy."  Both could be done at the same time.  Good luck!

There
are both surgical and non-surgical options to rejuvenate the area around the
eyes. Non-surgical treatments such as Botox Cosmetic, Restylane, and Juvederm
can help in the early stages of the aging process. Although these treatments
are not permanent, Crow’s feet, Furrows and Dark circles can be softened and
often eliminated with these treatments.
As we get older, our brow starts to descend and take on a heavy, tired look. Wrinkles on the forehead, vertical creases between the eyebrows and even hooded upper eyelids can all result from the aging process.
A
consultation with a board-certified plastic surgeon will determine the
procedures best suited to achieve your desired results. If you are hesitating,
seek a second opinion about what should be done to feel more comfortable about
your surgical decision.

Thank you for posting your question and photo.  From the photo, your eyes appear slightly droopy.  I would consider an evaluation with a specialist for a comprehensive evaluation and to learn more.  Best wishes.  

You don't need a brow lift. That would only make you look surprised, which is not a good look. Your eyelids are the problem. In this picture, the upper eyelids look a little low and the lower eyelids have some asymmetry and the lateral canthus on your right is lax. A ptosis repair on the upper lids and lateral canthopexy would do wonders for you. I do these, but not all plastic surgeons do. Occuloplastic surgeons will do these. There are some fabulous surgeons in Georgia. Find one that does ptosis repairs and go in for a consult.

Normal position for the brows is at the level of your superior orbital rim, where they already are.  A brow lift is not indicated in your case.  Your eyelid margin is low however, indicating that you have drooping (ptosis) of your upper eyelids themselves. This can be corrected with eyelid ptosis surgery which will give you a more awake and alert (happy) appearance.  It is usually covered by insurance as it leads to visual field obstruction, especially at the end of the day.