Effective and Long-lasting Procedure for Lifting Jowls?

Effective restoration of the face which is done with a “Lift & Fill” facelift where the central facial and malar deep fat compartments are filled with your fat and then the deep layer SMAS is used as an anchor to lift the deep layers of the face, This facelift has longevity and allows for a natural, youthful result.

The correction of the aging perioral area is more complicated. If there are deep folds around the lips (commissures) then the facelift will help with deep nasolabial folds. If there are deep creases as well as fine perioral wrinkles, then a facelift with fat compartment lifting, and filling, as well as laser resurfacing are in order.

In summary,


• If there are jowls with extra skin and deep nasolabial folds, then restoration using the “Lift & Fill”
SMAS facelift is essential.


• If there are deep creases in the corners of the mouth and deep perioral wrinkles, then deep fat augmentation of the commissures, Juvederm injections to the lips, and perioral Erbium-type laserbrasion works well.
 

Many people think that a facelift will leave your face looking stretched and artificial, like you have just been through a wind tunnel. If this is your concept of the procedure, there is good news: techniques have come a long way in the last decade; now taking a "layered" approach to restoring a youthful look to the face. These modern techniques are not designed to simply stretch the skin, but to tighten the interlacing network of connective tissues that joins the facial muscles beneath the skin. The result is a smoother, longer-lasting and better rejuvenation, compared to old-style superficial skin tightening procedures.

For addressing jowls, especially when past filler treatments like Restylane have provided limited results, you may want to explore more targeted and longer-lasting options. Consider treatments such as non-invasive skin-tightening procedures like C02 laser or radiofrequency microneedling, which stimulate collagen production for a firmer appearance. For more significant lifting, surgical options such as a mini facelift or a neck lift may provide the most effective and durable results. Since your skin is in good condition, these treatments can likely enhance your natural structure beautifully. Consulting with a qualified professional will help determine the best approach tailored to your specific needs and goals.

Great question!
There are a variety of options to address this area with different longevity. Filler, like you had, can sometimes help soften the contours and camoflauge some of this fullness, but will likely last several months to maybe a year before it begins to dissolve. There are other non-surgical options which accomplish similar things like tightening the skin with differing lengths of treatment longevity. However, the best, long-lasting option to address this area is a deep-plane facelift.

The most effective and long-lasting treatment for lifting jowls, particularly in someone with good skin quality at 51, is a facelift. This surgical procedure directly addresses the sagging skin and underlying tissues, repositioning them to create a smoother, more defined jawline and eliminating jowls. It offers more dramatic and enduring results compared to non-surgical options. There are many types of facelift, and even more "signature" catchy-named options, but in general it is well established that the deep plane lift gives a more durable result.

Hello, hope you are well. In general, the best way to treat jowling reliably and definitively is with a facelift. Your photos demonstrate mild/moderate jowling and a bulge underneath the chin from excess adipose tissue (fat) in gravity dependent areas. There are some minimally invasive options you could consider like FaceTite with liposuction to sculpt the lower face and neck while tightening the skin, but these are less effective than what can be accomplished surgically. A facelift and neck lift require skin incisions and anesthesia, but the results are transformative when properly executed.
Best,Dr. Tower

Excellent question! I think a facelift with necklift and liposuction would address your concerns. With the facelift and necklift, I usually work on the SMAS (connective tissue layer underneath the skin) as well to help lift the lower face and improve the jowls. The combination of liposuction will remove some of the fat around the chin and chisel the jawline. Fillers are good, but they are short-term solutions that help camouflage rather than fix your concerns.

Hello,

A facelift is the gold standard to address jowls, cheek and neck laxity. In your case, liposuction neck contouring would additionally help shape the neck and jawline while the facelift would help restore and lift the tissues.
Fillers alone in the marionette and pre-jowl sulcus can help modestly camouflage the hollows and laxity temporarily. They will not provide a lifting effect, nor address the neck.

Warm regards,
Dr. Pedy Ganchi
Village Plastic Surgery

In order to answer your question adequately, a physical exam in person would be required. However, based on your pictures and your age, you are a good candidate for a deep-plane facelift. This will reposition your tissues effectively and eliminate the jowls in the best possible way. Skin only and SMAS-type facelifts do not always release of tethering points of the cheek, and are often ineffective in eliminating the jowls, marionette lines and nasolabial folds. Gentle liposuction of the neck might be required at the same time to further sharpen the jawline. 
Dr. DM

When the skin has good elasticity,  a small amount of liposuction to the jowl and injectable filler or fat transfer in the depressions in front of the jowl  can be a good intermediate level improvement. This would be particularly for people that want to avoid or delay a facelift.The treatment of choice however would be a combination of facelift and neck lift which allows release of the tight attachments of the ligaments in front of the jowl and longer lasting control. Contouring of the  neck improves the definition of the jawline which is attenuated when the volume over both neck and lower face appears to be blending slightly.

A more conservative approach (non surgical) can be achieved with facial fillers on some younger patients like you. Sometimes you will require the expertise of a more experienced injector and your sub-optimal results might be related to that. Many patients can be helped although it is a temporary result that might need to be repeated or "touched up" once or twice a year. A more permanent, reliable and effective result can be achieved with a facelift that includes SMAS management and very gentle re-contouring liposuction of the jowl areas. I encourage you to discuss your issues with a board certified plastic surgeon in order to clarify the best plan of action. Good luck!