How to fix heaviness in lower face? (Photo)

Question

The fullness in my bottom cheeks really bothers me, It’s uneven and heavy looking. I had chin/neck lipo done but the weight there still bothers me. I’m 25. I’m considering cheek filler as a way to lift/balance? Also skin tightening, masseter Botox, and thread lifts. I’ve hated how I look in pics forever because of this and I’m getting married in September, I just want to feel pretty :’)

Michael A. Persky, MD · Answer

Hello CC,
Congratulations on your upcoming wedding!!!  I would treat you with targeted micro-focused ultrasound that will lift and tighten your face and exentuate your jawline.  The most important aspect of your treatment is that you choose an expert physician who has experience with the technology.  Feel free to contact me with any further questions.  Good luck and be well.
Michael A. Persky, MD
Encino, CA

Anna Chacon, MD, FAAD · Answer

I completely understand how you feel—wanting to feel confident, especially before such a special moment like your wedding, is something many of my patients express. The heaviness you’re noticing in your lower face can come from several factors, including residual fullness after chin or neck liposuction, soft tissue laxity, or natural facial structure.

From your description and photo, it sounds like your lower face has retained some volume that’s giving a slightly weighted appearance. A combination approach—done subtly—can make a real difference:

Midface or cheek filler can restore gentle lift and structure to the upper face, helping balance out the proportions and visually “lighten” the lower area.

Skin tightening treatments (like radiofrequency or ultrasound-based options) can help tone mild laxity and define your jawline.

Masseter Botox is helpful if part of the fullness is due to muscle bulk, though this must be assessed carefully to avoid over-slimming the jaw.

Thread lifts can also add a small lift, but are best when skin quality and tissue tone are good.

The key is a conservative and strategic plan—often, enhancing lift in the midface creates the harmony you’re looking for without over-treating the lower face. You’re already taking the right steps by exploring your options thoughtfully, and with a balanced approach, you can absolutely achieve that refreshed, confident look in time for your wedding.

David Hansen, MD · Answer

A little more aggressive lipo of the jawline would make a big improvement and especially if you get facetite and morpheus done at the same time under local.

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