Not a problem - just some time in the OR. Take a look at my web site link. You'll see many patients with "jowls" that have a good long term follow up improvement.
What's the best way to get rid of jowls that are beginning to appear from the corners of my mouth down to my chin? It's especially noticeable in my profile view. About a year ago, I had Restalyne treatments in the areas just below the corners of my mouth with only limited success. Is there any longer-lasting, more effective treatment specifically for "lifting" jowls? I'm 51 years old and have really good skin otherwise. I'm including two side by side pix after I was snorkeling in Aruba last spring, so I look really bad, but it pretty clearly shows the jowls issue.

Not a problem - just some time in the OR. Take a look at my web site link. You'll see many patients with "jowls" that have a good long term follow up improvement.
Surgical approach would include a face and neck lift with release of the depressor anguli oris muscle and mandibular ligament. there is a need for sculpting the fatty tissue at the jowl area and adding fat to the depressions on the sides of the chin to make a smooth line at the jaw line.
Tissue fillers such as Restylane can be beneficial but you have to understand that they are rather "temporary" procedures. The fillers do help add volume to lines, and areas with lack of volume. They are minimally invasive with little or no "down time" and many people find... more
The answer depends on the commitment you want to make. As you have seen, lesser procedures such as fillers. skin resurfacing, mini-lifts, and imlants will minimally improve the appearance. There is nothing wrong with this approach, but the ultimate result would be achieved with a facelift including liposuction... more
There are many options and there is no one right answer. It may depend on your "appetite" for correction. As you have had restylane, you are now familar with what we would call a camouflage procedure. These are interventions that compensate or mask the signs of aging without necessarily correcting... more
Based on your photos, it might appear that another round of fillers could be of benefit. A well performed cheek and neck lift (facelift) would also be very beneficial in eliminating the jowls, smoothing the jawline and removing the fat in your neck. All of these would produce an very nice benefit... more
109 posts
11 Feb 2009
Hi SanDiegoBarb, There are other options outside of a facelift to help with your lower face/jowl area. A completely non-surgical option is Thermage which can help tighten the loose skin in your face. The results are at best subtle and do take a few months before being noticeable however it is very low risk. A minimally invasive procedure that works well in defining the lower face/jaw/neck area is SmartLipo. I routinely use the SmartLipo procedure to help sculpt the lower face/jowl area for people who do not desire a more aggressive facelift procedure. Recovery time is very minimal and much less than compared to a facelift procedure (even a mini-facelift). Both Thermage and SmartLipo can be combined together to give you an even more dramatic and longer lasting result (which I use a lot in combination). I hope this info helps!