Other areas of the face can also be improved without leaving any sign that you have had surgery, other than the fact that you look better. Lower eyelid fat bags can be removed from the inner, backside of the eyelid, leaving no scars. Jowl fat can be removed from inside the mouth. Cheek implants, which can have the effect of enhancing and balancing facial features as well as producing a more youthful look, are generally inserted through incisions under the lip inside the mouth. Double chins and poorly defined necklines can be recontoured with very small liposuction instruments passed through tiny incisions behind the earlobes and in the crease under the chin. Even neck muscle tightening can be done with only a slightly longer incision under the chin. The same approach is used for chin enhancement, using implants that I custom design to your particular need.

Another approach to facial contouring and rejuvenation is fat injection. Fat is harvested from your own body stores (like it or not, an almost inexhaustible resource), and prepared for reinjection. It is then used to fill in lines and wrinkles, correct hollows, and enhance structures such as cheekbones, jaw lines, and lips. Often, several sessions are needed to achieve the final result. The great attraction is that the material comes from your own body so that allergic reactions are impossible, the material (your own fat) is free, and the process uses needle injection so that surgical scars are avoided. Alternatively, there are permanent grafts that are well tolerated by the body that can also be implanted without leaving noticeable marks behind. I have had particularly good success in lip enhancement using one of these, made from a Gore-Tex material. A newer, softer version has now been released which studies show works even better.