LAM FACIAL PLASTICS

My face is thin and their is not a lot of depth of volume in my cheek, anterior cheek or tear trough area. I decided to get my tear troughs filled with restylane to get rid of the hollows.

Result:
Because a volumizer such as restylane was added to my tear trough, there is this uneveness of volume now from my tear trough to my upper cheek, making the restylane volume deposits more obvious around my eye like something is there. I have heard people speak of lumpiness in the tear trough after getting a filler injected, but could the product which looks like lumps really be from a lack of depth and volume in surrounding tissue such as the upper cheek really be the root cause of why the restylane is so obvious in my tear trough right now.

Those with thinner faces without a lot of volume usually need volume in the upper cheek so that the product in Tear trough area blends in better and looks more natural, right??

If I do get my upper cheek done, it may cause a little more hollowness in my tear trough again as I will need some adequate volume in my cheek area to really hide the product.

I want my face to look feminine. What does a femine youthful face look like, if you can address the tear trough area specifically. Does a natural feminine looking face have full upper cheeks with a tiny bit of hollowness under the eye, because that can be my result if I get this done. I don't know how any one could create the highest cheekbones that are seen in magazines that are airbrushed celebrities. I am not in to all that, I just want the most natural look not made up look. I am female by the way. My dog's name is Elvis so I chose that as my username. Look forward to hearing back from you on your thoughts and opinions.

I hope the above post made sense, after rethinking what I wrote, what I mean to say is that I desire a little bit of hollowness around my eye, I don't want it filled to much as I don't like the high cheekbones look. I want the bags under my eyes like I used to have and all the natural aspects I was born with, what I don't want is a look that looks artificial made up, that is why I think it is so important to keep some of my genetic traits, but still add a little bit of youthfulness and feminity. I have never had a real feminine face as it was always thin and hollow in some areas, so I am wondering if I can achieve a more feminine natural face and what you think will help me create that.

Hi,
I'm glad that you explained the Elvis thing. I was getting confused. Here are my responses:
1. As far as needing to do the cheek area in conjunction with the lower eyelid area, I don't think that is necessary in most cases if the lower eyelid is done well. I usually do them in tandem so I can't say I have seen a lot of problems. However, I have done quite a few just the lower eyelids and have not had any problems even in thin skinned patients.
2. As far as preserving your old identity but making some minor modifications to feminize your face, that is all possible. Generally what I do is I look at your old photos with you and then I look at your current face, and we decide together with my guidance of course on what would make you look the best. Even if I do a little creative shaping to make the face look more feminine, I will not change your identity. A little volume (I mean well controlled and not overdone) is not going to take your identity away. I know how to shape a face. All of that being said, generally, the shaping and creativity comes with fat transfer, which is permanent compared with a temporary fill like Restylane. Restylane really only has limited creative and rejuvenative potential since it would be cost prohibitive to exceed 4 to 5 syringes. When I do fat transfer, I tend to use between 25 to 45 depending on the individual.
best,
sml