Hi Dr. Lam
I'm a 33 year old woman, and I have always been told I look a lot younger than I am, however since I was about 27 years old, I have noticed quite significant sagging in my lower cheeks / jawline / chin area, and volume loss in my mid cheek area. I never had very prominent upper cheekbones, but now my face looks very flat. I have quite a long / rectangular face as it is, and this accentuates that in a way I am not happy with.
I have been looking at the options of having Botox injected for a lower facelift but am not sure if this is the best thing for me. Perhaps combined with some fillers for the mid face as well.
Also, ever since I was about 14 years old, I have had what appear to be under eye bags. I am not actually sure if they are technically bags or not. They do not vanish no matter how much sleep I have. They also are not discoloured, but just appear slightly puffy under my eye beneath an area slightly higher (between the eye and the bag-area) of more sunkenness. The puffiness causes the skin to look like 2 faint brown lines under my eyes, whereas if I hold the skin taught, the brown colour goes away completely, so I assume it is shadowing of some sort from the puffiness. When I hold the skin taught, I look so much fresher and younger.
In any case, a year ago I had some Restylane injected into that under eye area and it looked better. It was only a very small amount and more as a sort of “sample” of how it would look were I to get more injected later (my doctor had a small amount leftover from my nose and asked if I wanted to put it anywhere in that very small dosage).
At first I could feel it under my fingers and was pleased with the appearance. It seemed to wear off after about a month and I could not longer feel it there. Is this normal for such a small amount injected?
I would be nervous to have more injected in this area, as I did not have any swelling or bruising from the small amount used last time. I have seen some people who have used fillers in this area and they sometimes look very swollen and puffy, and not just for the first week or so.
Overall, I really want more of a soft, youthful heart-shaped facial shape and less tired-looking eyes. I do not want the hard razor-sharp cheekbone look or the puffy, wax-figure look.
I would really appreciate if you could advise what you personally would recommend for me, and thank you very much for your help!