What Can Be Done About Premature Jowls and Sagging Lower Face? (photo)

Dear seekingPS,


It sounds like you were seeing a knowledgeable and conservative plastic surgeon

Liposuction would probably leave you with underwhelming results, loose skin, and possibly scarring

I think a conservative necklift would look great where the excess fat and neck skin can be removed from hidden incisions...the jowl can be addressed through this approach as well


Best regards,

Nima Shemirani

From the photographs, it appears that neck laxity and jowling are present.  The best non-surgical option is ulthera; however, multiple treatments (2 or more) would be necessary and still not produce equivalent results to a lower face / neck lift, whereby fat is removed and tissues tightened. Good luck!

You can tried Thermage fist as a non surgical option to thigh the skin the result is limited but is a non surgical procedure otherwise  you need a neck lift.

It's hard to say without an exam. My guess is that a little bit of micro-liposuction would improve the area without causing sagging. I am not a fan of Ulthera. A lift might help as well. I don't think lasers, peels or Fraxel will work. Sometimes fillers can camouflage  the jowl.

Ultherapy has improved and we are seeing very nice results in patients who are noticing some slight laxity in the lower face but not enough to justify a facelift. This is typically patients in their 40's to early 50's. We sometimes combine it with a conservative amount of liposuction for enhanced results.