I have a very round and wide appearance, and I'm considering buccal fat removal. However, I'm concerned that it might make me look older and gaunt.
Regarding the unique shape of your bottom, it is likely a mild embryological abnormality that occurred during the early stages of your body's development. The fusion of the two halves of your body did not occur evenly, resulting in your distinct bottom shape. While leaving it as is is a viable option, it could potentially be improved with finesse liposuction and a skin rearrangement procedure. It's worth noting that this condition is different from spina bifida, but there is a similarity in the concept of uneven fusion during embryology.
If the fullness is primarily in the lower anterior cheeks, it may be due to buccal fat, while if it is more prominent in the lower posterior cheeks, it could be related to overdeveloped masseter muscles. It is also possible to have both conditions simultaneously. Consulting with a board-certified facial plastic surgeon in person and discussing goals and options after a physical examination would be the best course of action.
Buccal fat removal and masseter Botox are potential treatments to reduce fullness in the cheeks and jowls. Multiple treatments may be needed to achieve the desired appearance.
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