Surgery the Only Option for Sagging Jowls?

Thank you for your question. For patients in their 40"s with minimal sagging of the jowls the non surgical options include: Botox or Dysport to Treat the DAO Muscle-this muscle pulls the corners of the mouth down and creates the crease in front of the jowl-relaxing the muscle can lessen this fold Filler injection into the fold (Marionette Line) in front of the Jowl-There are many fillers, I use Perlane but Sculptra, Juvederm, Restylane and others may be used. This technique... more

Gloryvine, This is an excellent question that, as a facial plastic surgery specialist, I get asked on a daily basis. There are several options for sagging jowls in someone in their early 40's. The most conservative treatment is to mask the appearance of the jowl by filling the creases around the mouth. Usually using a hylauronic acid filler such as Restylane will serve this purpose well. These fillers usually last about one year. Second, if the skin is not sun damaged and still retains... more