Non Surgical Face Lift: Q&A
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Options to Address Jowls without Using Fillers?
Simple question. How can I lift my pre-jowls? I'm 35, good skin, have had radiesse in the past and happy with the amount of volume on my face. BUT my jowls are a little saggy. I don't want to add fillers. I have sustained my V shape face by rejecting fillers in the jaw. Is surgery the only way to lift my small jowls? Thanks!
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14 Doctor Answers |
Asked by
Ling Ling
+2
Fillers are for filling
Your question is a good one. With the advent of safe and effective fillers its tempting for physicians and patients to use fillers in areas where they may not be ideal. Fillers are great for augmenting areas that don't have enough volume like the cheeks or the lips. When used in the jowl area they don't really treat the underlying problem.The jawline skin and underlying muscle are falling and need to be tightened. A small incision around the earlobe can be used to access the SMAS...
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Options to Address Jowls without Using Fillers?
If your jowls are a certain size, or depth, then a minimal incision face Lift that dissects the SMAS and emoves skin is the best solution IMHO. If however, the jowls are quite small..you could try a tightening treatment like Thermage or Ulthera.
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Surgery is the best option
A SMAS based lower facelift is always the best way to lift the prejowls. If a surgeon is working on just this part of the face, a more limited incision can be used, similar to a mini facelift incision.
Another option we have been using with good results has been to use the Cynosure Sidelaze to tighten the face and neck skin. This relatively new treatment uses only laser energy to help tighten this area. The results are not as good as formal lifting of the...
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Jowls and Non Surgical Facelift
Dear Ling Ling,
Depending on your exam, a little in office, hand assisted liposuction may help you get the results you are looking for
Other options include some fillers above the jowl or cheek to lift up tissues
A mini facelift is another option
Your treatment all depends on what you look like
Best regards,
Nima Shemirani
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Jowling at Early Age
This can be a more complex issue. For a younger patient, when jowling is noticeable, a facelift is not always the answer. Fillers can serve to restore a smoother contour on a temporary basis. Often however, this can be a bony structure issues. A "weak" chin (one that is set back more than usual) can cause the cheeks to look like they are sagging. Chin or "pre-jowl" implants can restore that strong, smooth and full jawline and stretch out the jowls that seem to be there. Non-invasive...
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Several options for early jowls exist
For very small pre jowl sags, fillers do straighten the jawline.They are fast, virtually painless, inexpensive, and last about a year.
Devices such as thermage or ultherapy work by stimulating deep collagen in the area. There is more pain, and more expense, but usually longer results.
Finally,- a small surgical lift can tighten the muscle and skin. This typically would involve slightly more downtime, pain, and cost. but last the longest.
Each person's situation is...
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Jowls and Pre-Jowl Treatment Options
Jowls and Pre-Jowl Concerns can be addressed without fillers by minimally invasive surgical techniques. You have not provided photos so the following are general recommendations that might apply to you. For example if jowls are a problem and it is mostly a fat issue (rather than skin redundancy) then liposuction using a very tiny cannula is helpful. Likewise fat transfer (for example from the Jowls, below the chin or from the tummy) can be used to fill in the slight hollowing in the pre-jowl...
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Non-surgical treatment for jowls
Thermage radio frequency will tighten existing collagen and stimulate the production of new collagen. It tightens and lifts non-surgically without any downtime and lasts about 2 years.
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Non surgical removal of Jowels
An excellent way to reduce the jowel area is with micro-liposuction.ie using a very fine liposuction needle to aspirate fat from the jowel.For enhanced results we perform a fat injection of the fat aspirated from the jowel to the pre jowel area
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Options to Address Jowls without Using Fillers?
Sculptra is a good choice to add volume to your face, by concentrating on the cheek area this will inturn help to lift the jowels up somewhat. Consult with a Board Certified Plastic Surgeon for the best results for you.
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Jowl treatment without fillers
Absolutely, you should consider a mini lift (avoid brand name lifts) instead of additional filler. A good surgeon will tailor the incision and minimize it and hide it if because of your age you only need a minimal procedure. I think you will be very happy, if it is done properly.
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Early jowls - Ultherapy and/or fillers
Ultherapy uses ultrasound heat to introduce controlled injury to the skin. This results in tightening and collagen production. People with good skin and early signs of aging, including prejowls, have very good results. The procedure is noninvasive, and it takes about 1-1.5 hrs in the office. It takes about 3-6 months to see results. I've provided the link to the before and after pictures from the ultherapy website.
In addition, I find that...
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Facial Tigtening Options for a 35 year old
A newer therapy, known as Ultherapy, which utilizes micro-focused ultrasound, can provide adequate facial tightening in the right candidate. In my experience, results have been much more profound in patients in their 30's, 40's, and early 50's. The ultrasound causes deeper facial tissue heating and stimulates collagen production. It is important to recognize that this is not a "nonsurgical facelift", and results take 2-6 months to fully develop.
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Jowls
You could consider either fat grafting (where your own fat is injected) or a short scar facelift to address the pre-jowl areas. Please consult with a board certified specialist who can best address your concerns to obtain the results you desire.
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