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.
Habit of chewing on one side
Most often, this is again a consequence of the loss of a tooth (or teeth). We chew on one side of our mouth because there is simply nothing to chew on the other. As a result, the facial muscles on the one hand, not receiving the proper load, weaken, while on the other they become hypertonic. Overstrained muscles literally pull on facial tissues, creating creases and visible asymmetry. It should be noted that the risk of developing an aesthetic defect is especially high if you like chewing gum. In this case, the chewing muscles experience uneven load for a long time.
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
Correcting the situation with the help of cosmetologists
The most effective conservative methods for eliminating this defect is a visit to a cosmetology salon. The doctor will be able to determine the root cause, the degree of neglect of the problem, and also choose a set of procedures that will help in the fight for the beauty and youth of the skin. Among the existing tools:
- hardware cosmetology;
- injections;
- non-injection drugs;
- cosmetical tools;
- massage and physiotherapy.
With the combination of all these approaches, it is possible to achieve not only a visual reduction of the defect, but also completely remove it or significantly slow down the sagging. All methods should be aimed at improving turgor, stimulating one’s own synthesis of collagen and elastin in tissues, reducing the number of damaged, dysfunctional cells, and their renewal.
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.
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.”
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.
Jowl prevention
Any problem is easier to prevent. Therefore, in order not to look for methods to get rid of it in the future, you should follow a few simple recommendations:
- perform small gymnastics for the face every day for 10-15 minutes;
- do not forget about the use of skincare moisturizing and lifting cosmetics;
- try to follow a daily routine, get more rest;
- avoid the negative impact of stressful situations, if they occur - take sedatives that reduce the destructive effects of stress factors;
- move more and eat right to avoid the accumulation of fat deposits;
- give up alcohol and smoking;
- drink enough fluids, make sure that there is no tissue dehydration;
- do not eat too salty foods, minimize salt intake in the diet;
- try to maintain correct posture, especially when working at a computer or when viewing content on mobile gadgets;
- select cosmetics that suit your skin type;
- When going outside, even in the cold season, use creams with UV protection.
These are fairly simple tips that are easy to implement to prolong your beauty and youth.
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.
How to make your cheeks slimmer?
So is it possible to get rid of chubby cheeks? Can. There are different ways.
Using ultrasound
The main remedy in the fight for a slim face is Ultherapy - a modern ultrasonic deep lifting procedure. Such lifting can remove gravitational ptosis - a natural process caused by weakening of the ligamentous apparatus with age. Altera is the best procedure to date for reducing the volume of subcutaneous fat, tightening soft tissues, and forming clear facial contours.
Ulthera Therapy is the only procedure in the world with high-intensity micro-focused ultrasound technology for powerful skin tightening. It includes both direct skin tightening and subcutaneous fat tissue, facial muscles, collagen and elastin fibers. This lift gives a pronounced and long-term rejuvenation effect. Tissue tightening occurs using focused ultrasound, which has the ability to penetrate to a depth of 4-4.5 mm. This is the level of SMAS - superficial muscular aponeurotic system. It is located under the skin and connected to it into a single frame. Ultrasound heats the subcutaneous layers. When the temperature rises there, the collagen fibers and connective tissue of the fatty layers thicken. The skin begins to tighten. And in order for the effect to be natural and long-lasting, an internal renewal process begins in the skin. Altera is a one-time procedure with no seasonal restrictions and no rehabilitation period. After the procedure, the skin renewal process continues for 2-3 months, after which the patient’s appearance is radically transformed! The effect of the procedure lasts up to 5 years!
Using fillers
Dense modern fillers with a sculpting effect help to visually reduce the volume of the cheeks. These include the German Radiesse and the French Sculptra.
Radiesse based on calcium hydroxyapatite can not only smooth the skin, but also activate the process of producing new collagen in it. Accordingly, a powerful internal rejuvenation process occurs in the tissues.
This gel is dense, so with its help you can completely harmonize your appearance - the drug is injected into certain areas, which is why the face begins to appear thinner. In this case, the smallest anatomical features of the face are taken into account. For example, with the help of the drug you can create beautiful cheekbones that will begin to attract the attention of others.
The first result is visible immediately after the procedure. Radiesse is evenly distributed in empty areas of the subcutaneous layer, returning the tissues an aesthetically attractive, but not excessive, volume. 2-3 months after the injection, macrophages (utilizer cells in the skin) absorb the gel carrier, calcium microspheres remain, they stimulate the production of new collagen. After administration of the drug, the face will look young and healthy for at least 2 years. Longer-lasting effects are also noted.
The new generation drug Sculptra works on a similar principle: by adding volume in one place, you can achieve the effect of reducing volume in another.
The main active ingredient of Sculptra is polylactic acid. This is a powerful biostimulator of collagen types 1 and 3. It is also called “young collagen”. After the introduction of polylactic acid, the skin is noticeably tightened, deep folds and wrinkles disappear. Polylactic acid is a safe component. Over time, it completely disintegrates and is eliminated from the body naturally.
The effect after injections lasts for 2 or more years. From time to time, the patient may need to administer 1-2 additional bottles to look perfect.
Estefil (AestheFill) also belongs to polylactic acid preparations. As soon as this hydrogel enters the skin, it begins to actively fill the voids that form as a result of skin aging and the loss of its own structural proteins. Once in the target area, the drug particles begin an immediate process of tissue renewal and collagen formation, due to which the volume is completely replenished and even deep wrinkles are smoothed out. This happens precisely because of the special properties of Estefil molecules, which, due to their porous structure, provide the most effective collagenogenesis. Fibroblasts (skin cells) begin to work both outside and inside the microspheres.
In addition, polylactic acid actively stimulates the production of hyaluronic acid by mature skin cells. The uniqueness of the filler is that after the disintegration and complete removal of its main active substance from the body (on average, this process takes 3–4 months), what remains at the location of the gel is not a void, but new collagen and elastin. Accordingly, the result will last a long time - until the moment when, under the influence of age factors, the breakdown of your own collagen and elastin begins.
Using thermolifting
This is a non-surgical method of skin tightening by intensely heating the soft tissues of the face with high-frequency radio energy. Warming up the deep layers of the skin causes compression and compaction of the collagen fibers that make up the dermal framework, which leads to a noticeable increase in skin turgor and modeling of the oval of the face. High temperature activates the process of fat breakdown, resulting in a decrease in the thickness of subcutaneous fat tissue.
To achieve optimal results, a course of 6-12 procedures is recommended, carried out once every two weeks. The result lasts up to 2 years.
Non-surgical liposuction is also performed in the cheek area and under the lower jaw using the Ultraliposonic device. The device combines ultrasound and radio wave energy (RF-radio wave thermolifting). The device acts precisely on the most problematic areas of the skin, where there are obvious fat deposits. In this case, neighboring areas of the body are not affected. High-intensity ultrasound energy is focused at a specific depth, breaking up fat cells, and radio wave energy heats the tissue, making the breakdown products more fluid. Radio wave energy, heating the skin tissue, stimulates fibroblasts to form new structural proteins - collagen and elastin. After the appearance of young collagen and elastin, a pronounced lifting effect is observed. This is very important when reducing body fat. After all, when fat disappears, the skin begins to sag, which looks extremely unaesthetic and immediately adds age. Therefore, it is good when it is possible to immediately start the skin tightening process.
With the help of lipolytics
These remedies help not only get rid of chubby cheeks and double chin, but also solve the problem of how to remove sagging cheeks. The preparations, which are injected into problem areas, contain components that promote the breakdown of subcutaneous fats with their subsequent transformation into energy. In addition to these components, the products contain elastin, collagen, hyaluronic acid, and caffeine. Thanks to these components, blood flow and lymph flow are stimulated, metabolic processes are normalized, and the mechanism of synthesis of natural collagen and elastin is launched.
This effect of lipolytics allows you to get rid of the fat layer, tighten the skin, due to which the oval of the face is corrected.
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.
How to align different halves of the face
If you have identified the fact that the face has significant differences on both sides due to some kind of disease, then to determine the cause, you need to visit a doctor. The specialist will prescribe tests for you, perform an examination and advise the correct treatment.
Asymmetry can occur as a result of drug use. In this case, the face often becomes gray.
To determine the cause of pathological facial asymmetry, you need to visit a doctor. In fact, you may need a number of specialists, but it is best to visit your doctor first.
In this case, you will not waste a lot of time visiting unnecessary medical professionals. The specialist will make a list of doctors you need to visit.
What doctors may be needed for asymmetry:
- Neuropathologist;
- Ophthalmologist;
- Surgeon;
- Orthodontist;
- Dentist.
Once the cause of your illness is discovered, you can undergo treatment and return everything to normal. However, in some cases, additional plastic surgery may be required after treatment.
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.
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Why do such violations occur?
Most often, such defects are the result of age-related changes. Over time, the amount of collagen in human subcutaneous tissues decreases, as well as the intensity of its production. And the long and strong fibers that this protein forms serve as a kind of frame that secures the soft tissues of the face. It is this “reinforcing” collagen network that allows our skin to remain smooth and elastic, successfully resisting gravity. Accordingly, with age-related collagen deficiency, wrinkles appear more and more often, and soft tissue sagging occurs.
Often, another reason for large and sagging cheeks is excess body weight. The cheeks and chin are the so-called fat depots of our body, places where deposits accumulate especially intensively. Finally, enlargement and sagging of the cheeks can occur due to facial swelling. This disorder is a symptom of various diseases of the renal and cardiovascular systems.
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.
Reasons why one half of the face is larger than the other
Many people complain that one side of their face is different from the other. This becomes noticeable when carefully examining yourself in the mirror or in unsuccessful photographs. Some, noticing that their cheeks are different, begin to “sound the alarm” fearing that they are sick.
In fact, slight asymmetry is present in absolutely every person. This is what makes our face alive, unique and inimitable.
To make sure that each person is not symmetrical, you can take several photos of your friends and cut them into two equal parts along the line of the nose in a photo editor. Now one of the right halves is “mirrored” and connected to the other, and we do the same with the left parts. Take such photographs of several people, and you will see that the faces of the right and left halves of the same person are very different.
However, different halves of the face are not always the norm. Let's look at what factors can lead to pathological changes.
Reasons why one side of the face looks very different from the other:
- Improper development of bones and joints, as well as connective or muscle tissue. Such problems can be more or less pronounced, they can only be corrected with proper makeup or plastic surgery.
- Inflammation of the cheek can also lead to its enlargement. After eliminating the problem, the face acquires normal contours.
- Severe strabismus can also develop facial asymmetry. The same applies to torticollis.
- Facial muscles can become severely distorted when nerves become pinched or die. This problem often occurs with strokes and heart attacks.
- An incorrect bite or missing teeth on one side can lead to facial asymmetry. Flux can also cause a similar problem.
- A fracture of the facial bones that did not heal properly.
- The habit of chewing, sleeping or squinting to one side is the most common cause of facial asymmetry.
There are many reasons. Some of them can be avoided by taking timely treatment and controlling your facial expressions.
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.
One side of the face is larger than the other: normal or pathological
If you notice that the sides of your face are different, first of all, you need to determine whether it is pathological or normal. To do this, you need to know the symptoms of the pathology.
If there is facial asymmetry, parchment skin may be present. This symptom is associated with a genetic disease.
Asymmetry, which is considered normal, should not be too obvious. If this is a normal facial structure, then the difference is noticeable only upon careful examination.
Symptoms of abnormal facial asymmetry:
- The affected side is swollen and the tissue may be hard;
- The corners of the mouth and cheek on the affected side are drooping and drooping;
- The affected half of the face loses mobility;
- The folds on the forehead and nose suddenly smooth out sharply;
- The eye on the affected side becomes narrower, or, conversely, larger;
- The eyes, nose and lips on the affected side lose mobility;
- There are speech disorders;
- The affected part is painful.
Even one of these signs suggests that asymmetry is the result of a serious problem. In this case, it needs to be treated.
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.
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.