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??
Options for Correcting Loose Jowls?
Doctor Answers (24)
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.
Web reference: http://www.zubowicz.com/subpag,23-atlanta-facelift.htm
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 body replaces it with collagen. Other option is a small surgical tuck up. Call it a minilift, jawlift, necklift, microlift. The name doesn't matter. What matters is that you consider a small, very focal surgery to help tighten the residual that you see. I have not been impressed with the laser lipo results.
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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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 and volume loss call the prejowl area. This area along the jawline and closer to the lips and in front of the marionette lines can be filled in as well.
Also, along the jaw in front of the ear can also be filled in and this can have an effect on the jowls decreasing. Sometimes people fill in the prejowl area with fillers and fat injections to reduce the appearance of the jowls through a camouflage type of correction. In terms of volumizing with fillers, you can also use fat injections for the same thing and you can add more volume with fat than you can, a lot of times, than with filler.
Fillers are quite a bit more expensive than fat for filling in volumes. Sculptra is another option in between fat and fillers. Sculptra can last over 2 years and some are finding more than that. Other options for the jowls include direct liposuction of the jowl area.
Thread lifts, in my opinion, don't work. They pull on the skin for a time being but relax and most of the time I don't think you get any long term improvement. The only time you get long term improvement is when you turn the thread lift into basically a facelift done in many traditional ways.
I hope that helps!
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.
Web reference: http://www.drbogue.com
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.
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.
Web reference: http://www
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.
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
options for correcting loose jowls
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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