I always knew that my face, as well as the faces of other people, is not characterized by absolute symmetry and did not see a big problem in that. However, over time, I began to notice that one side of the face looked not just slightly different, but frankly worse than the other: the skin and muscles on it were less elastic, and the wrinkles were deeper. Worried, I went to a specialist to find out the reason for the changes happening to me. “There really are no absolutely symmetrical faces in nature,” says Irina Ivanova , cosmetologist-dermatologist, doctor of the highest category at the Doctorplastic clinic. — The left side is always softer, feminine, slightly elongated vertically. The right one is wider and less feminine. It should be noted that such physiological asymmetry is practically not perceived visually. It is due to the fact that the hemispheres of the brain regulate the motor skills and sensory functions of the halves of the body differently, and therefore the facial activity of different sides of the face is somewhat different. Another thing is acquired asymmetry, which arises for completely different reasons. Here are the most common ones."
Dental problems
Dentists never tire of repeating that the loss of a tooth, and especially several, is also a serious aesthetic problem. The connection between a full set of teeth and a beautiful oval face is the most direct. After tooth extraction, the bone partitions from which the tooth socket was formed gradually dissolve, and a dent forms on the jaw. At the same time, the jaw is deformed, slightly decreasing in height and diameter. This leads to tension in small facial muscles and the formation of new wrinkles or the deepening of old ones. If several teeth are missing in the lower jaw, the angle of its location may change, and the soft tissues of the face may shift, forming wrinkles and creases. Timely prosthetics will help avoid jaw deformation and maintain beautiful facial contours. Artificial analogues of teeth will not allow the jaw to decrease in size and will support the functioning of the chewing muscles and jaw joints.
Jowl lift with threads
Go to the mirror and slightly lift the skin in the cheekbone area upward. Do you see how the oval of the face has straightened out and the chin has become more youthful?
Installing threads creates the same effect - it returns the sagging tissues back to the top. After half a year, the threads dissolve and leave behind a strong, collagenous frame, which maintains the achieved result for about 4 years.
Expert comment:
“Reinforcing shavings alone is fundamentally wrong. The flutters are just a consequence. The reason is the prolapse of soft tissues. Therefore, first of all, you need to strengthen your face in the area of the cheeks, cheekbones and temples. Strengthening them will pull the fringes up and prevent them from sagging quickly.
To enhance the effect of the procedure, I usually recommend eliminating excess subcutaneous fat, which over time will move down again and lead to the formation of new jowls. To solve this problem, along with reinforcement, a course of Dermaheal Eyebag Solution will be administered - a lipolytic that breaks down fat and at the same time strengthens the skin.”
Andrey Iskornev, plastic surgeon.
What does cosmetology offer for facial rejuvenation?
Now that you have understood the basics of dental pathologies that affect the appearance of the lower third of the face, let's look at the main range of cosmetic procedures that are aimed at maintaining facial tissue and skin in tone and which have an externally rejuvenating effect.
Let us immediately make a reservation that most of these procedures do not have a permanent effect, and in order to always look young (not only in the soul, but also in appearance), these rejuvenation procedures must be repeated regularly.
So, modern rejuvenation methods guard your beauty
Sunken cheeks
Such a violation of occlusion as an open bite is characterized by a violation of the closure of teeth, the formation of a noticeable gap between the incisors and canines of the upper and lower jaws. A gap can also form in the side sections. Disocclusion of the front teeth leads to the fact that the mouth is constantly slightly open, the lips do not close. This makes the facial expression look surprised. The presence of a gap in the lateral sections of the dentition leads to retraction of the cheeks, similar to that observed with the loss of large and small molars.
It turns out that jowls “after 40” can be avoided
Hollywood beauty standards have long been shaping the fashion on faces and in everyday life: beautiful, high cheekbones and the effect of sunken cheeks even after 50.
The procedure for removing Bisha's lumps performed at a young age is a reliable prevention of the formation of jowls after forty. By the way, it is used not only to get rid of excess cheek fat.
This technique has a dazzling bonus for correcting the shape of the face: you can noticeably highlight the cheekbones and create the effect of sunken cheeks a la Angelina Jolie, lighten the lower part of the face, visually making it narrower and more prominent.
During the procedure, Bisha's fatty lumps are not completely removed. This approach allows you to get “thoroughbred” and young, blooming cheekbones, avoiding the effect of a haggard face.
Diagnostics
To select a treatment regimen, the doctor conducts an initial examination:
- clarifies the medical history, conducts an examination;
- physical examination is used to assess anomalies in different positions, determine the presence of tumor formations, edema, injuries and consequences, the condition of teeth, oral tissues;
- X-rays are used to assess the condition of the nasal sinuses, rows and individual units; if necessary, examination of the spinal column and skull is prescribed.
- sonography of the salivary glands and sinuses is performed;
- for a detailed examination of the tissues, the dentist may refer the Patient to an MRI or CT scan;
- analysis of bite, supercontact (if any), occlusion is performed using a complete orthodontic examination.
Additionally, consultation with the following specialists may be required:
- neurosurgeon (prescribed CT scan to examine the brain);
- neurologist (the innervation of the muscles of the facial area is assessed, including the movement of the eyebrows, cheeks, eyelids and others);
- otolaryngologist (audiometry, puncture, tuning fork and other types of studies are performed).
The conclusion is made based on the results of the examination; additional laboratory tests may be prescribed, for example, if bacterial or infectious lesions are suspected. A treatment plan is drawn up only after the diagnosis has been completed and the results have been carefully reviewed.
Treatment for inflammation of the facial nerve
Drug treatment
Treatment of trigeminal neuritis is complex. The disease is first treated with medication - the patient is prescribed drugs that will alleviate the situation. These include painkillers, decongestants, vasodilators and B vitamins. Most often, the recommended medications are tablets, but you can speed up the recovery process by using ointments and gels. Sometimes doctors prescribe intramuscular injections.
In special cases, the recovery process of the facial nerve may be slowed down. Then the patient is prescribed glucocorticosteroids, which improve the metabolic processes of nervous tissue. Various biostimulants and hyaluronidases also contribute to a speedy recovery.
You cannot prescribe medications for yourself. Be sure to see a neurologist or neuropathologist at the first symptoms to determine the diagnosis and treatment strategy. Recovery medications are recommended to patients on a case-by-case basis, paying attention to the presence of chronic diseases, symptoms, and so on.
Surgery
Another way to treat the facial nerve is surgery. However, doctors turn to this option quite rarely - only when the trigeminal nerve is ruptured. Surgery is also required if there is no effect from the conservative method after six months or a year. Surgical intervention is only relevant during the first year of the presence of the disease; later, the muscles on the face irreversibly atrophy.
The surgical process involves suturing the damaged area of the facial nerve to restore its motor function.
Visual reduction in facial height
The height of the lower third of the face is reduced in patients with a deep bite, in which the upper teeth overlap the lower teeth by more than half the length of the crown. Unlike distal occlusion, with deep occlusion, the dentition does not touch either in the area of the anterior or lateral teeth due to the fact that the upper jaw is much larger in size than the lower jaw. A severe degree of occlusion is characterized by the fact that the teeth rest against the soft tissue of the gums and injure them.
It would seem that the height of the teeth is not so large, the decrease in the longitudinal size of the face is 5 mm or less. But this is often enough to create a noticeable disproportion. The impression is complemented by the protruding lower lip and the habit of pursing the lips to avoid turning the excessively long lower lip outward. Pursed lips visually become thin, the mouth is always tense. People with high foreheads may have a noticeable disproportion between the upper and lower thirds of the face. If the forehead is not high enough, then all facial features are visually assessed as small, and the face itself becomes small.
Contour plastic surgery of jowls
Facial reinforcement with Radiesse gel or RegenLAb plasma filler. The drugs are injected deeply into the periosteum area under the cheekbones. Thanks to this technique, the face restores youthful volume, acquires clear, graceful contours and a heart shape.
| Michelle Pfeiffer | Elizabeth Hurley |
In the injection area, gels as a bonus start the process of skin restoration and help to significantly refresh it, eliminate wrinkles and smooth out folds.
Remember! There is no point in injecting gel or lipofilling directly into the lower jaw. This will solve the problem (and only briefly) for those whose sagging is caused by excess skin and is not accompanied by excess fat.
Home care and self-massage for cheek tightening
It is almost impossible to tighten your cheeks at home. Especially if the process has gone far. But when the first signs of sagging cheeks appear, measures can be taken to delay these unfavorable external changes. The measures mentioned include the use of high-quality cosmetics, self-massage, taping and preventive exercises. Cosmetics
All means to minimize the problem of sagging cheeks fit well into the overall strategy of a grueling fight against age-related changes. Lifting effect, restoration of lost tone to the skin, moisturizing, stimulation of cellular renewal - these properties should be possessed by cosmetic products that interest us.
To increase the intensity and frequency of skin cell turnover, use gentle exfoliants. Peeling with fruit acids, accompanied by applying a moisturizer, would be quite appropriate here. Cosmetics with peptides that stimulate the regeneration of cells and tissues of the dermis have proven themselves well. On sale you can find serums and creams that model the contour of the face and create a tightening effect. It is also appropriate in this case to use cosmetics with antioxidants. For example, with coenzyme Q10 and omega-3/6/9 fatty acid complex. These products help maintain skin tone and reduce the negative effects of free radicals. Don't forget about moisturizing serums, creams and masks. Give preference to products containing hyaluronic acid, niacinamides, and glycerin. Maintaining the optimal water balance of the skin and deep layers of the dermis helps prevent the processes of aging and loss of skin turgor like nothing else.
Self-massage
There are a number of reasons and factors causing this problem:
Self-massage can be done manually or using special gadgets. Existing methods of varying degrees of complexity require only one thing from you - not to give up what you started. Below is an example of a very simple self-massage to prevent sagging cheeks. Run your right hand over your chin. Your palm should then slide along the edge of your lower jaw to the base of your left ear. Stay here for half a second, and then move down along the neck to the shoulder. Repeat this sequence at least 10 times. Do the same in a mirror with your left hand. Your movements should be gentle, careful and smooth.
Taping
Taping is a pleasant and easy way to combat sagging cheeks. With the help of elastic bands - tapes, certain parts of the face are fixed in order to return them to the desired position. In the case of cheeks, with the help of tapes, the cheeks are gently lifted and fixed for a given time so that an almost perfect oval of the face is obtained. The effect of taping is usually not very long lasting, and many sessions are required to achieve it.
Gymnastics to restore symmetry or how facial muscles work
Facial muscles are constantly working. However, if this occurs unevenly, asymmetry may occur. This problem also often appears with age. If this is not associated with the presence of serious diseases, then the problem can be eliminated with the help of gymnastics.
Exercises to eliminate facial asymmetry:
- The palms hold the muscles and skin of the forehead, while the eyebrows rise as much as possible up and down;
- We open our eyes as wide as possible and hold this for three counts, relaxing our eyes;
- We inflate our cheeks as much as possible, count to three and retract them, again counting to three;
- We inflate and deflate the cheeks one by one;
- Smile from the top of your mouth without showing your teeth, and then form your lips into a tube;
- We move the jaw forward, left and right.
We perform each exercise ten times. If done regularly, exercise will give the first results within a month.
Diseases
The cause of acquired asymmetry can be various diseases. “First of all, dysfunction of the facial nerve,” says Irina Ivanova. — With this disease, weakness of the facial muscles develops, the corner of the mouth droops, the upper eyelid droops, the palpebral fissure becomes wider, the nasolabial folds smooth out, and the face on the affected side acquires a pained expression. Injuries, fractures, especially displaced ones, and the consequences of unsuccessful plastic surgeries are also often the reason why the two sides of the face look different.”
According to experts, you can encounter the problem of facial asymmetry at any age. But over time, unfortunately, it becomes more and more noticeable. Simply due to the fact that bad habits live with us longer. “However, do not despair,” says Irina Ivanova. — Asymmetry, as a rule, can be corrected. First of all, it is necessary to eliminate the causes: contact a neurologist, dentist, or orthodontist. There is physiotherapy, gymnastics for facial muscles, massage. To correct violations of proportions and volumes, cosmetologists use contour plastic surgery. Botulinum therapy is also used successfully. In the most severe cases, surgical correction is possible.”
Surgical methods of correction
The best answer to the question of how to correct large cheeks and the situation where one cheek is larger than the other is plastic surgery. The operation in this case is called chicklifting. Specialists at the SM-Plastic clinic perform it in two ways: traditional and minimally invasive.
The first, traditional option involves access to the soft tissues of the cheek through conventional surgical incisions in the lower eyelid area. Today, 90% of such operations in our medical center are performed using minimally invasive techniques. In this case, all manipulations are carried out through several small punctures of the skin, which significantly shortens the postoperative period. SM-Plastic surgeons often combine surgery to lift sagging cheeks with liposuction (removal of excess fat tissue). In addition, with plastic surgery, you can simultaneously adjust their shape and size using lipofilling. This is especially true if one cheek is larger than the other and it is necessary to achieve symmetry.
The duration of such interventions ranges from 1.5 to 3 hours, and they are performed under both general and local anesthesia - it all depends on the volume of correction.
Individual consultation
Thank you for your application. Our operator will contact you from 8:00 to 22:00 Applications received after 22:00 will be processed the next day.
Habit of sleeping on one side
Sleep, as you know, is a necessary condition for beauty. However, if you are used to sleeping on one side, you risk losing your beauty while sleeping. The fact is that the tissue on the side of your face, with which you press against the pillow, slowly but inevitably deforms. The oval gradually changes, a network of small wrinkles forms around the eye, deeper folds lie between the eyebrows, and vertical lines form on the cheeks and chin. As cosmetologists say, if you prefer to sleep on one side, then it will quickly become clear which one. The best way to avoid asymmetry and wrinkles while sleeping is to eliminate any contact between your face and your pillow. You can do this by training yourself to fall asleep lying on your back. This way you will not only avoid prolonged pressure on the muscles and skin, but also maintain normal fluid flow throughout the night.
How to remove jowls at home
Expert comment:
“There are cases when it is not at all necessary to resort to the services of doctors to get rid of jowls. Often, overweight young people simply need to lose weight. Excess fat on the face will disappear, elastic skin will tighten, and the facial contour will become smooth and graceful.
The main thing is to avoid rapid weight loss, otherwise the skin will sag before it has time to shrink. It is best to lose weight by 4-5 kg per month under the supervision of an endocrinologist in combination with physical activity. Fat “burns” only in the muscles, and to get rid of fat in the cheeks you need to tense all the large muscles of the body.”
Maxim Vasiliev, plastic surgeon.
Symptoms of inflammation of the trigeminal nerve
Experts include short-term, but acute and intense pain in different parts of the head as the main symptoms of facial neuralgia. Shooting attacks spread over the entire surface of the face - lips, eyes, nose, upper and lower jaw, gums and tongue.
Patients also report the following symptoms:
- Metallic taste in the mouth
- Muscle weakness
- 2-3 days before facial expressions are affected, pain occurs behind the outer ear, spreading to the face, back of the head and eyes
- Facial asymmetry
- Inability to close the eye on the affected side
- Drooping corner of the mouth
- Dry mouth
- Slurred speech
- Cross-eyed strabismus
- Uncontrollable tearing
- Disorders of taste buds
- Increased drooling
- Facial muscle spasms
- Increased or decreased facial sensitivity
- Temperature increase
Due to discomfort and pain, the patient begins to develop a phobia and increased anxiety. He tries to avoid poses and movements that provoke discomfort.
Exercises for jowls
If you are not lazy and devote only 15-20 minutes a day to yourself, then gymnastics will return a blooming, fit look to young people. People with pronounced age-related changes, unfortunately, will not be able to remove jowls with exercises, but the complex proposed below will help slow down further sagging of the skin:
- - puff out your cheeks strongly for 30 seconds every day and roll the air in all directions,
- - pursing your lips like a tube, “blow out” an imaginary candle 50–55 times daily,
- - press your index fingers firmly to your cheeks and try to smile, overcoming resistance. This is a great exercise to strengthen your facial muscles!
How facial rejuvenation changes quality of life
Correct facial features, well-groomed appearance - all this has long been a postulate of beauty. Any of the methods listed above can make changes in your life and give you self-confidence.
But in those methods of restoring and “putting in order” the lower third of the face that we have described, there are methods that eliminate the cause
, but there are methods that eliminate only
the symptoms
.
The highest quality option for facial rejuvenation
If the cause of the development of defects is adentia or any other pathology of the dental-jaw system, then first of all it is necessary to eliminate it. And then - proceed to radical cosmetological procedures. It is this combination that will bring the most lasting anti-aging effect.
In terms of costs for maintaining muscle tone and skin elasticity, the combined option is much more profitable. It's easy to calculate it yourself.
The achieved rejuvenating effect will no longer need to be frequently adjusted by new repeated cosmetic surgeries or procedures, for which you have to pay both money and health in general.
ATTENTION!
Any external intervention in the tissue structure does not pass without leaving a trace. And you need to try to reduce it to a minimum.
