Will Pixel or Other Laser Tighten Up my Jowls?

Lasers are a big part of our practice. They are wonderful in the right areas. They tighten slightly. They do not, unfortunately, change the deep architecture of the facial tissues and redistribute the jowl tissue upward the way a skillfully performed facelift can. Jowls form not only because of looseness of the neck skin, but because of drooping of the deep tissues and loss of volume. These are all problems that lasers just don't treat effectively. If it is too early to have a facelift,... more

Lasers won't tighten this area to your satisfaction in my opinion. You have a small depressed empty area just in front of the jowl along the jawline. This area fills in nicely with Restylane and generates a smoother more youthful jawline. This can help you hold off on surgery such as a cheek and neck lift which is the only other way to make a significant improvement in that area.

While there are many indications for laser resurfacing, this does not appear to be one of them. While laser can improve skin tone, texture, and fine lines, it cannot elevate the jowls and restore a youthful jawline in the same manner as a facelift. Judging from your photo, you may be a good candidate for Restylane, Radiesse, or other injectable intradermal filler in the labiomental creases (marionette lines). These can improve the appearance of the jowls by softening the shadowing that... more

Lasers and other laser-like devices (Thermage, etc.) will likely disappoint you if you are looking for improvements in your jowl region. Injectable fillers can help to soften the transition from jowl to chin, where you have a subtle break. Your concern about looking too puffy is understandable. We usually don't try to achieve a 100% correction and often stage the treatment into 2 spaced 4 weeks apart. As mentioned earlier, a facelift will give you the most significant and long-lasting... more

You are obviously a beautiful woman that would have great results with a midface lift in an effort to replace those jowls back where they belong. I agree with you that too much filler will lead to that chipmunk look. Take the plunge and you will be happy that you did. A subtle lift can go a long way. Also, today's lifts can be performed through a minimal incision.

Laser therapy would not do much for your jowl area. I agree though that improvement in you prejowl area could be seen with filler. If the jowl is a significant area of concern, I would suggest liposuction, possibly with some form of facelift.