Jowls Are Starting to Appear, What Do I Do?

asked 3 years ago by anon
Latest answer by Nicole Schrader, MD
Question viewed 6,063 times
Tags: jowls, nasolabial folds, sagging, smile lines

I am in my late 30's. I noticed that the area on the side of mouth (smile lines) is sagging a little. Do you think I need a lower face lift or will something like restylane or juvederm work better?

5 answers to Jowls Are Starting to Appear, What Do I Do?

Jowls or Marionettes?

As we age our skin becomes thinner and less elastic. Gravity adds a downward and, due to anatomy, a slightly medial or pull toward the center of the face. These are the reasons that we begin to see accentuation of the nasolabail folds and the start of the marionette line (the continuation of the nasolabial folds below the mouth) in our late thirties and early forties. In addition as the deep facial tissues descend the jowls appear. This is a great time to attack the aging process head on... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Fillers for early jowling

There is a period of time between when the dreaded jowls start to show up and the time when surgery is warranted. During that time, fillers such as Juvederm placed carefully along the jawline and in areas of hollowness in the face can go a long way. Minimally invasive treatments such as fractionated laser, radiofrequency tightening procedures, chemical peels can all help. Regular skin care and microdermabrasion treatments and a retinoid if appropriate are also helpful. Patients should... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

Juvederm and Restylane fill lines, they don't take away jowls

With the plethora of new technologies in medicine, it is very easy to get confused with what injectables can and cannot do. Botox is a neurotoxin that paralyzes muscles. It is generally used by plastic surgeons to paralyze muscles in the face, and softens the wrinkles associated with overuse of these muscles. Restylane and Juvederm, on the other hand, are synthetic fillers. They are used under the skin to fill natural lines, or to plump up areas. The most common areas of use are in the... more

Eric Chang, MD
Baltimore Plastic Surgeon

Autologous fat for early jowling

Early jowling can be nicely treated with filler augmentation.There are different options like Perlane, Radiesse or autologous fat. Micro fat injections can improve significantly early jowling by augmenting the chin and jawline. This option can improve the results of a mini facelift and provides a very natural result.