Help for fat cheeks and a mouth like Jay-Z (Photo)

Question

Despite being very thin, I have a mass of cheek fat that doesn’t go away with weight loss. My mouth is very monkey-like and lax as a result. I have too much facial skin, as when I pull my cheeks back to simulate a “facelift”, I can see my ideal face. Is there any way to fix this besides buccal fat removal, as the results seem very subtle. I’m really looking for a way to “tighten” my face like a facelift but as I’m only 20 this obviously wouldn’t be viable

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Jed H. Horowitz, MD, FACS · Answer

Hello toofacedThere various options available, I would advice you schedule a consultation with  aboard  certified plastic surgeon.

Larry S. Nichter, MD, MS, FACS · Answer

I would recommend Injecting Voluma along your cheek bone toward your hairline to lift your lower 'fat'cheek.  This wont make your cheeks look bigger, but will support your cheek to give you the lift you see when you  "pull my cheeks back" .  You have too much heaviness around your mouth, this will help.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek implants, chin implants, lip implants), liposuction and/or facelifts for over 30 years.  Reviewing your photos (as you mentioned) your cheeks are concave in the front, there is excess fat in front of teethe cheeks and in the lower face and the chin is very weak as are the back segment of the jaw line.   These combine to create an elongated, thin, oval shaped face.  
 Following my beauty principles, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  For concave or flat cheeks in the front, cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.
 I have performed many Chin Augmentations using chin implants for over 30 years.    A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. 
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.
 The back portion of your jaw line is a bit weak and can be augmented, without making your face appear masculine, using precise placement of a dermal filler (I prefer using Restylane Lyft).  There does not appear to be any "jowls" in the lower face which would mean that you are not a suitable candidate for any type of facelift as described below.
 I have performed many SMAS facelifts for over 30 years and have performed many minimally, invasive SMAS facelifts.  "Jowls” are sagging facial tissues and the main indication for some form of a SMAS facelift.  The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last).  The excess skin is then removed and the facelift incisions closed.
 My most popular SMAS facelift is the minimally invasive, short incision SMAS facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
very small incisions and no incisions extend or are placed within the hair.
minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
can be performed in 90 minutes or less, with or without general anesthesia
no incisions within the hair = no hair loss
excess fat can be removed from the face and neck
excess skin removed from the face and neck
cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
most patients fly back home to parts all over the world in as little as 3 days post-op
I combine facial shaping with every facelift procedure.  When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.
Hope this helps.

Help for fat cheeks and a mouth like Jay-Z (Photo)

Answers (4)

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