Actual Real Self Patient Comment:What can be done about fullness in lower face/saggy cheeks? Esp on the right near the corner of my mouth, theres a bulge that looks really bad from the side. Also, what would help with a “flat” face? I’ve had filler to my cheeks, nose & chin. Im hesitant to get buccal fat removal bc I’ve read it can make your cheeks look hollow as you age. Do I need facial lipo, kybella, facelift, facial fat transfer? Or vline surgery to fix the largeness of my lower face? I’m 26, 5’ 3” & 118lbs. Thanks!

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Dr. Persky’s Reply: First of all you have a beautiful face and great skin. I would treat you with botox in your masseter muscles to thin your jaw angle, narrow your lower face) and a strong lifting filler at your pre-jowl area(supporting your natural ligaments) area and same filler to your anterior chin (to project it forward.) I would avoid buccal fat removal, Kybella, lipo, fat transfer, and facelift. If after Botox and strategically placed filler as described above, you still wished more improvement then I would treat you with a skin tightening device such as Ultherapy or Profound RF. Make sure to choose your treating physician very carefully. Feel free to contact me with any further concerns or questions or to schedule a virtual or in-person consultation at your convenience. Good luck and be well.