Some more details: - The right side of my face is worse than my left. - The fatty/droopy lower face is there even when I lose a significant amount of weight. What do you suggest?
August 27, 2018
Answer: Chin and jawline sculpting You have many options. It is all about fat (or volume) in the right places. In addition to facial cosmetic surgery I do feminization procedures in the transgender population and it applies to all sexes and orientations really. The key is Hot is HOT! Buccal fat removal and/or manipulation can be a great and transformational procedure in the right patient. Oftentimes fat transfer or filler injection in conjunction with this procedure is able to give a more “ideal” heart shaped face. This can make a significant difference in patients as a combo. We are able to create shadows and sharpness where you want it. It may seem counterintuitive to add fat when you say your problem is chubby cheeks but what we do is add volume to the highest and most projected point of the cheek bone and taper it to the lower face. This helps to create a shadow just under the malar area. This is especially helpful in thin patients and in combination with buccal fat pad removal is a powerful maneuver. Liposuction of the jawline and sculpting is also helpful in some patients. It really depends on your specific anatomy. All of this can be done in clinic with some calming medications and local anesthesia.
Helpful
August 27, 2018
Answer: Chin and jawline sculpting You have many options. It is all about fat (or volume) in the right places. In addition to facial cosmetic surgery I do feminization procedures in the transgender population and it applies to all sexes and orientations really. The key is Hot is HOT! Buccal fat removal and/or manipulation can be a great and transformational procedure in the right patient. Oftentimes fat transfer or filler injection in conjunction with this procedure is able to give a more “ideal” heart shaped face. This can make a significant difference in patients as a combo. We are able to create shadows and sharpness where you want it. It may seem counterintuitive to add fat when you say your problem is chubby cheeks but what we do is add volume to the highest and most projected point of the cheek bone and taper it to the lower face. This helps to create a shadow just under the malar area. This is especially helpful in thin patients and in combination with buccal fat pad removal is a powerful maneuver. Liposuction of the jawline and sculpting is also helpful in some patients. It really depends on your specific anatomy. All of this can be done in clinic with some calming medications and local anesthesia.
Helpful
August 27, 2018
Answer: Buccal fat reduction Thank you for your pictures and your question! Certainly you can be a little more aggressive (or conservative) on one side vs the other. I usually go over the fine asymmetries with patients just to ensure that we approximate symmetry as much as possible. In your frontal picture it appears as though there may be some masseter issues as well that would need to be addressed down the line with some botox/disport - again it'd be best to examine you in order to get a better idea of just how much improvement we can expect to see. Once you get a good consultation, then you can decide what is what is best for you. I hope some of this helps! Best of luck.
Helpful
August 27, 2018
Answer: Buccal fat reduction Thank you for your pictures and your question! Certainly you can be a little more aggressive (or conservative) on one side vs the other. I usually go over the fine asymmetries with patients just to ensure that we approximate symmetry as much as possible. In your frontal picture it appears as though there may be some masseter issues as well that would need to be addressed down the line with some botox/disport - again it'd be best to examine you in order to get a better idea of just how much improvement we can expect to see. Once you get a good consultation, then you can decide what is what is best for you. I hope some of this helps! Best of luck.
Helpful
