Whats wrong with my face? It looks so big and round (Photos)

Question

For couple of years my face looks so big and round, it looks like I'm obese, even tho I'm really skinny, i dont want to neglect it anymore, can i pls get some opinions, and which doctor should i visit?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. While there is nothing “wrong” with your face, you may want to consider Botox injections to slenderize the jawline. Sometimes, the masseter (chewing) muscle can become enlarged and create a wide appearance due to clenching or grinding of the teeth, or due to genetics. When Botox is injected into the masseter muscle, its size is reduced to provide a slimming effect to the lower third portion of the face and provide results that can last for 3-4 months on average. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can discuss your concerns and aesthetic goals with you and help you decide on the best treatment option.

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.

Alejo Villarreal, DDS · Answer

There is nothing "wrong" with your face. At first glance and from the limited pictures you have provided, consider looking at the size ratio between your neck and the width of your face. This effect typically makes male patients believe they look "unbalanced" or as though they have a big face. 
Also, your temples are sunken in relation to your cheeks, which adds to the round effect you perceive. 
You could explore a few cosmetic avenues to bring balance to the middle and lower third of your face and thus make your face look more balanced with your neck width and overall face.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Have a consult with a Facial Plastic Surgeon as they can evaluate and discuss removing some fat in that area. 
Best of luck!

Whats wrong with my face? It looks so big and round (Photos)

Answers (4)

Answer: Plastic Surgeon

Answer: Plastic Surgeon

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Whats wrong with my face? It looks so big and round (Photos)

Answers (4)

Answer: Plastic Surgeon

Answer: Plastic Surgeon

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Everything you need to know about Cheek Augmentation

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