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56, face is heavy on bottom, buccal fat removal, Botox and fillers or...? (Photos)

LeeAnneBJul 3, 2023
I am 56 and had a deep plane face lift 1 1/2 years ago. I had mild nerve damage which has largely resolved. I feel my face is now very heavy on the bottom, especially when I smile, both at the back (where the skin may not have been pulled tight enough) and especially in the chubby cheeks I have when I smile. Can you please recommend whether Buccal Fat Removal, masseter muscle botox, cheek filler or some combination would help with this? Thank you.

Answers (1)

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Michelle Zweifler, MD profile photo
Dr. Michelle Zweifler, MD
Board Certified Plastic Surgeon
4.9 | 95 Reviews
Answered on Jul 4, 2023
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1 person found this helpful

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Adam Goodwin, MBBS, FRCS(Plast)

So I don't clearly see any asymmetry and for what it's worth. That's a very difficult thing to improve. A round face in a young patient seems a common complaint at the moment. Due to media exposure, I receive a significant number of enquiries for buccal fat removal surgery. I have a video on...

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Angel Castro, MD - Account Suspended

Buccal fat when removing it can naturally thin the cheeks, however sometimes the structure of the skull does not allow the results to be very noticeable. In summary, it is very likely that if you have a bichectomy, your result will be very subtle.

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Zoran Potparic, MD

There may be several options including fillers, Botox, buccal fat removal, that could be considered. However, only on the basis of in person consultation and discussion about your goals, a board certified plastic surgeon can give you a more meaningfull answer. Good luck.

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