38 years old and I'm noticing lower face aging. What would you recommend to fix the sunken in areas of my lower jaw? (Photo)

Question

I'm 38 years old and I'm noticing lower face aging , what would you recommend to fix the sunken in areas of my lower jaw..lower facelift?

Raffy Karamanoukian, MD, FACS · Answer

Unlike other tightening treatments, Ultherapy only requires a single treatment every one to two years and has long-term effects in skin stimulation and collagen production. Ultherapy is ideal for men and women who are experiencing mild to moderate skin laxity and desire a noticeable and long-term skin tightening treatment without the complications and risks of more invasive surgical procedures. Ultherapy can be combined with dermal fillers, Botox treatments, chemical peels, skin tightening lasers, and skin facials. Our plastic surgery and cosmetic center in Santa Monica offers Ultherapy as a complement to other skin treatments and cosmetic rejuvenation procedures.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Ali Riza Öreroglu, MD · Answer

Based on the photos I’ve seen, there is sagging mainly in the lower face and around the jaw area. In this case, Lower Facelift would be the most suitable option. A Lower Facelift is an effective surgical method to correct sagging and looseness in the lower face, define the jawline, and tighten the area around the chin. This procedure targets sagging that occurs with age and provides a younger, firmer appearance. If the sagging is only in the lower face, this procedure on its own may be sufficient. However, to make a final decision, a physical examination will be necessary.

Lucian Ion, FRCS · Answer

Thank you for your question and for sharing your photograph.

I notice a degree of hypertrophy of the masseter muscles, which contributes to a slightly squarer appearance of the face and enhances the contrast with the lower part of the cheek, creating a stronger shadow. For a more harmonious change, I would suggest considering a combination of:
	•	Short-scar deep plane facelift: To improve facial contours and rejuvenate the lower face and neck.
	•	Botulinum toxin injections to the masseter muscles: To reduce muscle volume and soften the overall jawline.

To get an idea of the impact a deep-plane facelift could have on your appearance, I recommend examining your face while lying completely flat and looking in a mirror. This gives a relatively good representation of the effect the facelift can achieve.

Chet Mays, MD · Answer

Thank you for your inquiry! We would love to see you in person and discuss your options.  Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals!

Gary M. Horndeski, MD · Answer

You are young for a face lift. One thing to consider is a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This may conceal the sunken areas you dislike. This takes about 1 hour to perform under local anesthesia and costs $3,000.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Jeffrey M. Darrow, MD · Answer

Thank you for your photo. You appear to be an excellent shape and thin. As all of us age, unless we are putting on weight, we lose volume in our face and volume of our bone structure. Some of the concerns that you have should be helped with some judicious use of fillers to restore volume to the these areas to accent your youthful contour and shape.  This is a minimally invasive procedure, which can be performed in 5 to 10 minutes in the doctors office and has essentially no downtime. Speak to your board certified plastic surgeon. Best wishes.

Zoran Potparic, MD · Answer

It appears that placement of filler would solve your current problem. Fat grafting may be considered in your case as well. T does not look like you need a major surgery like face lift. Good luck.

Connie Hiers, MD, FACS · Answer

I do not recommend surgery for you, but radiofrequency with micro-needling, Secret, would be helpful to tighten up your jaw line. Sculptra injections could help fill in the dented areas. secret can be repeated as you age to help maintain and treat the aging skin.

Darryl J. Blinski, MD · Answer

Based on your nicely posted photo, I would recommend a mini face neck lift with muscle plication, rafting or HA fillers to areas of face. Fee from $8000-$15,000. Best of virtual consult with.

38 years old and I'm noticing lower face aging. What would you recommend to fix the sunken in areas of my lower jaw? (Photo)

Answers (9)

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