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39 Yr Old Woman - Do I Have Jowls? Fat? What Procedure Do I Require?

asked 1 year ago by natasha1009 in Atlanta
Latest answer by Brent Moelleken, MD
Question viewed 583 times
Tags: jowls, female

Hello, I'd appreciate an evaluation of my facial issue. Are those jowls or fat that I have? Do I require liposuction or a mini-lift? Anything else that you could recomment would also be appreciated. Thank you and best regards! M

8 answers to 39 Yr Old Woman - Do I Have Jowls? Fat? What Procedure Do I Require?

+2

Treatment of jowls- facelift vs. liposuction

Patients with jowls are usually better off having a facelift and necklift rather than liposuction alone. Liposuction alone can leave the face blocky appearing.  Modern facelifts can elevate the deep tissue to create an appealing face. Patients think facelifts are only for patients who are old.  This is no longer the case.  Now that modern incision techniques enable better concealment of incisions, it is possible to do facelifting procedures in younger patients... more
Brent Moelleken, MD

Beverly Hills Plastic Surgeon
+2

Options for prominent jowls in a 39 year old.

Liposuction alone is not generally a good option for jowls and I would advise proceeding with both a lower face lift and micro-cannula liposuction of the jowls as a combined procedure with consideration of lipoinjection or fillers to the pre-jowl sulcus (marionette lines). In some instances, conservative resection of buccal fat could be an adjunctive procedure.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+2

What Facial Procedure Would Make me Look Better?

Regarding: "39 Yr Old Woman - Do I Have Jowls? Fat? What Procedure Do I Require? Hello, I'd appreciate an evaluation of my facial issue. Are those jowls or fat that I have? Do I require liposuction or a mini-lift? Anything else that you could recomment would also be appreciated. Thank you and best regards! " Liposuction would deflate fat and cause skin excess and even irregularities. The BEST option bar none would be a Short Scar Facelift such as the MACS Facelift. It... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+2

Treatment for jowls

These are jowls and are more severe on the left than the right. You can see the depth of the marionette line coming down from the corner of the mouth especially on the left and the concave area to the side of the chin again more so on the left that are hallmarks of jowls. A lot of different treatments are proposed for this ranging from liposuction to thermage but in my opinion the gold standard is a facelift type of procedure. Since the aging changes to the neck are minimal this could be... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+2

Jowls of face

It does look like you have some early jowling to the face. This is usually best treated with a lower facelift but can be sometimes camouflaged with facial filler.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Procedure for Jowls

I agree with the previous posts on this topic. Your findings are definitely consistent with jowls and the best way to address this issue is with a form of "mini"lift, or cheek lift.  In my hands, the term "mini" lift is used to describe the cheek and jowl portion of a Facelift, without specifically addressing the neck. However, this lift involves a SMAS imbrication, which provides a better, longer lasting result than skin only, or SMAS plication (folding over of... more
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon
+2

Cheek lift

Yes, those are jowls and are descended cheek fat settling along the jawline.  Since your neck looks fine, I'd suggest a cheek lift which is the cheek part of a facelift.  Not a mini lift either as this will leave you unhappy.  You have many great plastic surgeons in Atlanta!
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Treatment for Jowls

What you are identifying in your photo are indeed jowls.  Jowls are essentially soft tissue that has sagged over time and includes some fat.  Limited liposuction would help but would not solve the entire problem.  I suspect that you are a better candidate for a full face-lift rather than a mini-lift as although your eyes are not in the picture, I would think that you have some mid-face issues that should be addressed at the same time.  As an alternative to surgery,... more
Joseph Campanelli, MD

Minneapolis Facial Plastic Surgeon

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