How do I get rid of my sagging jowls? (Photo)
Doctor Answers (20)
My approach to your problem would be staged: improve the bone support with cheek and chin implants; thicken the skin and fill depressions with fat grafting; remove redundant skin with face lift. The sequence of procedures will depend on your time frame. With your wedding around the corner, I would recommend staying conservative for now.
Good luck and be well.
In my opinion an anatomic chin implant will solve 80% of the problem. I have to say in my experience that chin implant surgery is maybe the noblest, simplest, most rewarding and less noticeable procedure in face plastic surgery. You will get an immediate more balanced face and defined jawline. Also your neck improves.
I said 80% of the problem because you do have sagging.
Surgery should always be the last option even in Aesthetic. In case that surgery is the only or best choice so try to get the less invasive treatment with maximal result.
I think you will very happy with an anatomical chin implant. In case you don´t you can get a facelift late on but remember that facelift surgery is a delicated procedure with possible complications or revisions even in the more experinced hands than a simple chin implant. For me this is the most inteligent decision here for this young patient.
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A proper facelift, is one that properly corrects the internal support layer without any direct pull on the skin. Avoidance of skin tension on the incision is essential for a good scar, that is one that is invisible; but this is critical for a younger person having a facelift (under 40) because younger skin has more elasticity that tends to stretch the incision so the scar widens to be visible.
One doctor correctly pointed out the prejowl hollow, that is the significant hollow of the jawine between the jaw proper and the chin. This is a structural predisposition to showing jowls. For you to have a good result requires correction of the bone with a bone like implant placed at the same time as your facelift. Then you would have a good and lasting result.
Some other suggestions offered, (fat injections, skin tightening) are simply too minimal to make a worthwhile difference as they do not address the anatomical situation.
I'm 23 years old, do I need a facelift?
Jowls at age 23
Best treatment for Jowls
Jowling at age 23
Appropriate options include inectable fillers, prejowl implant. I would discourage you from starting with a facelift as these other treatments will be more successful and are less invasive.
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