LAM FACIAL PLASTICS

Hi Dr Lam,

first off, I am very fond of your work and articulation when explaining it. I am a 26 year old male. The symmetry of my cheeks are fine when rested and expressionless, but when I smile they appear to be asymmetrical and do not look even. My left side seems to dip lower than my right. I am a very healthy weight and have never been over weight. I would love to know what is the best method to give my cheeks balance.

I would love a procedure that would solve this and also solve the hollowness my eyes have when I smile as well. I am not too crazy about the space between my eyes and top of my cheeks. In certain lighting I look so tired, I am prone to having baggy eyelids as well. Maybe there are a combination of things I could do or maybe just one would solve all.

I would just like a youthful symmetrical balance when I smile. I would be willing to eventually come see you face to face for a complete consultation but for now was hoping for your best guess. Thanks Dr. Lam.

hmm, tough one for several reasons:
1. you really cannot fix asymmetry during movement when it is not bad at rest. if you make it look better during movement, it will look worse at rest, which would be unacceptable. movement is a product of muscle pull. you really cannot fix that for the lower face. for the upper face like the eyes, botox can be used but that is an expensive ongoing option to fix asymmetry. i use botox as an amazing way for rejuvenation and wrinkle reduction. for ongoing symmetry fixing in a 26 year old that makes no sense unless you are a model and it affects your career. that being said again, it will not help the cheeks only the forehead and eye area.
2. you are young, do not do anything permanent. too much of a risk in my opinion. your face will change and so will your brain about what bothers you. just do not do anything too much right now that you cannot undo later.
3. stop looking at symmetry i really think it is over played. focus on balance to look better. to understand that, watch this video:
http://www.youtube.com/watch?v=OKDhO5iWnqo
thanks for the kind remarks
best,
sml

Thanks,

you make great points I have not thought of. What about for baggy eyelids? I read that laser tightening could help. What would you suggest? Thanks.

baggy eyelids is a whole 'nother thing. that can be from a ton of different reasons. do they swell? are they from allergies? are you born with bigger eyebags? are you too thin and have actually hollowness. the one thing i hate is cutting on the lower lids. i think there can be a major risk of problems. if they are just baggy, then an incisionless (transconjunctival approach) is what i prefer. if they are hollow, then fat transfer but preferably in someone in mid to late 30s because of metabolism changes in someone really young. would have to be very conservative (which i have done in very select twentysomethings.) o/w fillers are always a safe option if you go with a reversible hyaluronic based product.
watch these videos to understand my thoughts better:
1. http://www.lamfacialplastics.com/galler ... uvenation/ (watch all 4 videos to really understand my thoughts)
2.http://www.lamfacialplastics.com/galler ... s.flv.html (if you are talking about color issues, etc.)
best,
sml

I like your conservative approach with everything. You are not just about the dollar bills you are very compassionate for your patient and passionate about your work. I live about 8hrs away from plano but if I ever come to a decision to do anything I will certainly make the drive to see you without hesitation. Thanks for all your quick and informative answers.

thanks. too kind.

dr. lam wrote:hmm, tough one for several reasons:
1. you really cannot fix asymmetry during movement when it is not bad at rest. if you make it look better during movement, it will look worse at rest, which would be unacceptable. movement is a product of muscle pull. you really cannot fix that for the lower face. for the upper face like the eyes, botox can be used but that is an expensive ongoing option to fix asymmetry. i use botox as an amazing way for rejuvenation and wrinkle reduction. for ongoing symmetry fixing in a 26 year old that makes no sense unless you are a model and it affects your career. that being said again, it will not help the cheeks only the forehead and eye area.
2. you are young, do not do anything permanent. too much of a risk in my opinion. your face will change and so will your brain about what bothers you. just do not do anything too much right now that you cannot undo later.
3. stop looking at symmetry i really think it is over played. focus on balance to look better. to understand that, watch this video:
http://www.youtube.com/watch?v=OKDhO5iWnqo
thanks for the kind remarks
best,
sml

that is really great info DR. but i have got the same case but em a bit older than him , is there any effect of age .colon cleansing reviews

how old?