Alternative Procedure to Tighten Jawline?
- Asked by lpucci in New Jersey
- 4 years ago
What is the best option for tightening the jawline for the very beginning of jowls? I am only 43 and have been told that I am not ready for any type of Facelift; however, I don't like the appearance of my lower face.
I have tried Thermage twice and it has not produced the effect I had hoped for. Thank you
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Treatment for Early Jowls
Thanks for the great question -- this is one that comes up a lot during consultations. I see a lot of women in their 40's who are fit but have some early jowls. This can be really frustrating. Many of these patients have tried one or more of the highly-touted non-surgical remedies (e.g., Thermage, Ulthera, Titan, etc.)... with disappointing results. For this group of patients, a mini-facelift can be a fantastic option. This type of lift uses a short-incision ("S-lift" approach) around the ear and elevates the jowls along with the connective tissue layer of the face (SMAS). Downtime is significantly less than with a more involved face and neck lift, and the procedure can be paired with liposuction for the under-chin area. In the right candidate, I think this is a great option.
Web reference: http://www.sanfranciscofacialplasticsurgery.com/facelift.php
40 year old with early jowls
At 40 years old and a touch of jowls, I would agree with the surgeons who have suggested camouflage techniques such as Radiesse. This often works well, is safe, and does not hinder your ability to do other procedures in the future. It does not surprise me that you are dissatisfied with Thermage, I don't believe I have ever met a patient who was. I would encourage you to avoid all of the various machines that claim to provide a facelift without surgery, patients rarely see the promised changes, or even any change at all for that matter. At your age I encourage you to be conservative.
Web reference: http://www.dr-apo.com/surgical-procedures/facelift/
Treatment for jowls with a mini facelift cam be your best option
To answer this question for you I would really need to see your photos as any advice otherwise would just be a guess. Jowls can be SLIGHTLY improved with SKILLFULLY performed liposuction on SOME people. But in general the safest and most effective to improve the jowl is with a Facelift. I have done facelifts on many people in their early 30's who had significant jowls ( who had already had treatments like liposuction and Thermage etc). The results can be amazing and the patients have been thrilled and wished they had done the procedure even earlier.
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Lower Face Lift Photos
Alternative procedures for tightening jawline
You might consider Mittleman pre-jowl implants, which are a type of chin implant which is flat in the chin, but has a "bump" in the area of transition between chin and jowl ("pre-jowl"). It nicely smooths the line of the jaw.
Another approach is a combination of very light lipo of the cheek combined with filler or fat injection into the "pre-jowl" area.
These procedures do not tighten the skin per se, but they give the jawline a uniform and youthful appearance. You might want to give this a temporary try by injecting Radiesse into the prejowl area. If you don't like the effect, it's OK, one can manually massage and flatten the filler to reduce the effect. If you like the effect, you might want to continue periodically reinjecting Radiesse or trying the Mittleman prejowl implant, or the combo of lipo with fat injection.
Alternative procedures to tighten jowl line
In my experience if you are trying to avoid surgery your next step would be to give Fraxel laser treatment a chance on your skin to see if this would tighten it sufficiently to meet your goals. If not, a minimal procedure such as a u-lift incision around the bottom of the ear may be required. In my practice, I am always happy to treat with no incisions if it works. But if it doesn't work we move to more advanced procedures. My personal experience with Thermage was disappointing, though I'm aware many people obtained successful outcomes with it.
Different options to tighten the jawline
Patients today have many different options to tighten and recontour the jaw line. Patients may consider a dermal filler that can help camouflage a small amount of sagging along the jawline. Patients may consider a lower face or neck lift to help redraping the tissues of the lower face and clean the edge of the jaw. These techniques are often combined with fat injection to help replace some of the fat that is naturally lost in the aging process. For best results, you should work with a board-certified plastic surgeon who has great deal of experience in lower facelift techniques, dermal fillers, fat grafting, and facial rejuvenation they will be able to assess the and let you know which combination of techniques will help meet your personal goals.
A good facelift is really the only way to get what you want.
It may only take a minilift of a type that lifts the jowl upward where it used to be and sutured there. You probably won't need a full lift. See an experienced facelift surgeon and you will spend less money in the long run. The recovery is normally a week, but can be more.
Radiofrequency Tightening May be Your Best Bet
Deeper chemical peels can offer some thightening but rarely correct true jowl formation. You may have to wait until you are ready for a mini-facelift
Ultherapy for neck tightening in Los Angeles
One of the more useful options for tightening the jowls and jawline is a procedure known as Ultherapy. This is performed as a non surgical treatment.
Raffy Karamanoukian MD FACS
Mini Facelift is effective & preventative for early jowling
Certainly fillers, fat injections and micro-liposuction can help with early jowling, but for a very effective treatment option a properly done Mini Lift is a great way to go when a traditional facelift is too aggressive for your needs.
A Mini Lift will provide you with natural and long lasting results. Since you have early jowling your results will be natural and subtle and many people will think you lost weight. If you change your hairstyle a little most won't even think you had anything done but look refreshed.
In many ways it will be considered preventative in that when the jowls are lifted in a proper technique they will not go further down as they would have without the surgery. At some point time will catch up with you but at a later time!
All the best,
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