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Options for Correcting Loose Jowls?
Have had a neck lift 3 years ago - and am now seeing the ever slight looseness on my jowl line. Would like to avoid a face lift, but am wary about the thread lifts - anything else out there??
Asked 61 months ago by
Latoretta in 98105
+4
Minimal changes along the jawline
First, let's omit those things which are either unpredicable, ineffective, or just a bad idea. Thread lifts, thermage, or other skin tightening non surgical technologies. Let's just say they are not worth the money. That leaves you with two options for my practice. One is radiance, placed just in front of the jowl, which smooths the contours of the jawline without looking puffy or fat.
Immediate, no down time, effective, lasts at least a year, and might build up more duration as your...
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Madison Facial Plastic Surgeon
+3
Necklifts do not correct jowls.
Necklifts don't address the jowl area. All the correction is below the angle of the jaw. An upper facelift will greatly improve or eliminate jowls. Avoid the threadlift. They don't work. I disagree with one of the other surgeons who recommended Thermage. I don't think it works.
+3
A Prejowl implant or Fillers or Fat injections could help laxity
A Prejowl inmplant or Fillers / Fat injections could help with the looseness. The jowls occur for a number of different reasons.
What happens is that when you lose volume in the face, especially the cheeks and jawline area along with volume around the mouth, the jowls become more prominent. As an example, pinch the skin by your upper cheeks just inferior and lateral to the eye. Notice as you do this, that the jowls begin to rise a little bit. Now in front of your jowls is a depression...
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Bellevue Facial Plastic Surgeon
+2
Options for jowls
A common complaint after a necklift is that the jowl area is often not improved. Jowls are a result of the descending cheek that naturally occurs with aging. A standard necklift does not address the jowls specifically.
Rather, a lower facelift is necessary to improve this area. Fillers may help to camouflage the area if the creases in front of the jowls (the "Marionette Lines") are not too prominent. However, fillers alone do nothing to correct the continual laxity of the jowls.
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Boca Raton Plastic Surgeon
+2
Cheek descent after a neck lift
If you had a neck lift alone, the jawline issue you might now be seeing is a result of gravitational descent of the cheeks that were not addressed in the first surgery. If your neck is still nice, you could just do a cheek lift. Alternatively, if the jowls are small, some microliposuction could help plus some filler in the pre-jowl depression.
+2
Options for correcting loose jowls
If the sagging you notice is slight, injectable fillers in the area between the jowls and chin could help to alleviate this, but true jowls are highly resistant to fillers. Long lasting fillers such as Sculptra and Radiesse can be used to decrease the appearance of sagging along the jaw line and have a very natural look, but again only work up to a certain point. However, once true pronounced jowls are present, it’s time to begin educating yourself on surgical facial rejuvenation.
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+2
Non surgical treatment of jowls
Yes, you can avoid surgery and still treat it with fillers. The key is to fill the areas between the jowls and your chin. The reason you notice the jowls is because of the depression between your jowls and chin called , prejowl sulci.
Any filler can be used to achieve this goal. You should try something reversible such as Juvederm or Restylane to see if you like the results. If you like it then you can try something longer lasting like Sculptra
Regards
Bedminster Facial Plastic Surgeon
+1
Liposuction but be very careful!
The fat that hangs over the side of your jaw line or jowl is fat that did not appear out of thin air- this jowl was the fat that belong one to two inches higher on your lower cheek. With aging, this fat has sagged. Removing the fat with liposuction can make it better but at the cost of losing volume. We never want to lose volume. The ideal treatment is a vertical vector (lifting the tissues upward) midface lift. You have no need for a full facelift because you already had a neck lift....
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+1
Correction of Jowls
Correction of jowls depends on the patient's individual anatomy.
A prominent depression in the prejowl sulcus (area before the jowl along the jawline) can actually contribute to this. It is a normal phenomenom for bone loss to occur here. Replacement of volume can help improve this in some patients.
Hanging jowls will likely need a lift procedure
Seek out an experienced facelift surgeon to help determine the best course of action....
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Chicago Facial Plastic Surgeon
+1
Nonsurgical jowl tightening
If after a facelift there is srecurrence of slight jowling than Thermage of the face can be used to tighted the slight jowling and return a better jaw line. Fillers are also an option but act to fill depression rather than tighten.
If texture of the skin is an issue, Fraxel Repair will address this and give the added benefit of tightening the jowline.
Annapolis Facial Plastic Surgeon
+1
Many options for loose jowls
It sounds like your mid face is beginning to sag and you're developing some jowls, a common pattern of aging. You've probably lost some volume in your cheeks as well. There are procedures to address this area, and they will target your individual problem, whether it is volume loss, mid face sag, loose skin, or some combination. I would caution you regarding thread lift procedures that often promise more than they deliver.
Your surgeon will have to evaluate what you need, but it will...
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+1
Loose jowls
The best thing for loose jowls is either a lower facelift or a full facelift. Sometimes the jowls can also be camouflaged with injectable fillers.
+1
Loose Jowls
Hello.
You had a Neck lift 3 years ago, and probably still good. Now you are seeing the begining of the aging in the mid face. The problem with aging is the displaced fat and the laxity of skin, therefore, any procedure should address both or you will be left with a deformity.
Either you wait till it bothers you as the neck did or adress the mid face with a Mini face lift. Beware of Thread lifts and other so called non invasive procedures.
+1
Loose jowls correction
Hi Latoretta,
Consider a minimally invasive procedure such as a mini-jowl lift. Face lift procedures are becoming more and more specific because younger patients want to treat specific areas of the face. They are procedures that just lift the jowls and tighten the neckline with minimal downtime. Make sure that whatever procedure you choose, the SMAS and Platysma is tightened. Stay away from non-surgical procedure, they are not worth the time or the money.
+1
Necklift can be done again-results can enhanced with SmartLipo of Neck, Affirm Fractional CO2 laser
I have been very pleased with the natural result of rejuvenating the lower face and neck with--combined procedures-which I describe as a Lower Face and Neck Lift with SmartLipo/ SmartLifting of the Neck (laser-assisted surgery to melt and sculpt any fat on the neck and tighten the skin by controlled heating of the neck skin using the Cynosure SmartLipo MultiPlex) and Affirm Fractional CO2 laser resurfacing of the Face and Neck. This surgery can be safely done under use of 2 oral meds for...
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+1
Fillers to the pre-jowl area
If the laxity you are noticing is very slight, you might want to consider a filler known as Radiesse to the pre-jowl area. The pre-jowl can be defined as the relative depression that occurs between the chin and the actual jowl. The is caused by the dense ligamentous attachments between the skin and the jawline in this area.
I like Radiesse because an immediate result is obtained and it lasts 9-18 months in terms of cosmetic benefit. This technique should be aesthetically beneficial for a...
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+1
Slight adjusment will do the trick
Hi there- the most direct and effective method of dealing with your slight bit of recurrent sag around the jawline would be to perform a minor adjustment of your lift- I typically do these in the office with just a bit of local anesthesia, and it takes about 45 minutes. There is no significant bruising or swelling, and most people need only Tylenol for a day or so. In the end, this technique will give you the improvement you want, almost immediately, is low risk, and solves the problem,...
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