Will Cheek Augmentation Decrease My Nasolabial Folds?

Q: Dr. Eppley, I’m reaching out due to concerns about my facial appearance, particularly related to asymmetry and changes in my smile. Over time, I’ve noticed that my right jawline appears more collapsed, and I no longer show my teeth when I smile. Despite having one syringe of filler on the right side of my jawline and additional filler in my chin, I’m not satisfied with the results and am looking for more permanent solutions.

In the past, I’ve had jaw reduction surgery and my cheekbone repositioned, but now I’m interested in exploring options to achieve a more balanced and defined jawline. Specifically, I’d like to consider a customizable wraparound jawline and chin with enhanced volume on the right side, as well as potential improvements to my cheek area to reduce the visibility of my nasolabial folds. Additionally, I’d like to know if it’s possible to push my upper and lower teeth forward, as I’m experiencing changes in how my smile looks.

Given my history of previous surgeries, I’d appreciate your guidance on whether these adjustments are feasible.

Thank you for your time and attention. I look forward to your response!

Please see the attached photos of me:)

A: Thank you for your inquiry and sending your pictures to which I can make these initial comments:

1) Only orthodontics or upper and lower jaw advancements can being your teeth forward.

2) Cheek augmentation, unless it is of significant size,  is not going to reduce the appearance of the nasolabial folds. Such a cheek augmentation seems contrarian to your prior cheek reduction efforts.

3) While jaw augmentation can be effective at addressing asymmetries, particularly after V line surgery, as well as creating more jaw definition, it is not going to affect your smile in any positive manner.

Dr. Barry Eppley

World-Renowned Plastic Surgeon