Addressing lower facial heaviness/skin laxity (photo)

Morpheus is a non-surgical procedure utilizing a multi-modality approach by emitting needling combined with radiofrequency to the underlaying layers of the skin. This procedure addresses a number of concerns, including lower face laxity (jowls) as well as contouring and remodeling the face.
Skin needling paired with radiofrequency is designed to target skin, tissue, fat and collagen of the face. The lower face can be contoured due to Morpheus creating a mild slimming/fat reduction effect with contraction of the skin, to tighten and lift the jowls.
Due to this being a non-surgical option, it is recommended to undergo a course of three treatments, spaced 4-6 weeks apart, with maintenance at 6-12 monthly intervals thereafter to continue and preserve the facial rejuvenation process.

Morpheus may be paired with treating the masseter muscles with muscle relaxant to create even more slimming of the lower face.

If you're experiencing lower facial heaviness and mild skin laxity but want to avoid surgery, there are several non-invasive and minimally invasive options to consider:

Masseter Botox – While Botox in the masseter can slim the jawline by relaxing the muscles, it does not directly address skin laxity. It’s more effective for those with a bulky jaw due to muscle hypertrophy rather than sagging skin.

Injectable Fillers – Strategic placement of dermal fillers, particularly along the jawline and chin, can provide contour and lift to counteract heaviness. Hyaluronic acid fillers or biostimulatory fillers like Radiesse or Sculptra may help restore structure.

Ultrasound or Radiofrequency-Based Treatments – Treatments like Ultherapy (ultrasound) or Thermage (radiofrequency) stimulate collagen production and improve skin tightness over time. These are non-surgical and have minimal downtime.

Thread Lifting – A thread lift using dissolvable sutures can provide subtle lift and collagen stimulation, offering a non-surgical approach to mild sagging.

Microneedling with RF (Morpheus8, Profound RF) – This treatment combines microneedling with radiofrequency to tighten skin and improve texture by promoting collagen production.

Lifestyle Considerations – Maintaining a stable weight, proper skincare, and collagen-boosting treatments like retinoids and vitamin C can help in the long run.

If your concern is primarily skin laxity, a combination approach with skin-tightening treatments and collagen stimulation would be more beneficial than masseter Botox alone. A consultation with a dermatologist or aesthetic specialist can help determine the best personalized treatment plan for you.

masseter botox may actually make this worse because you will have less posterior support to lift up the lower face, thus potentially resulting in more laxity. The biggest thing that I see/suspect is that you may actually need MORE lower jaw support. I would think about possibly chin augmentation (implant or filler) and/or posterior jaw filler (don't know for sure without seeing side photos).