Would you recommend Evoke or Morpheus8 to help with sagging jowls? (photos)

Question

I have a lot of elasticity along my nose and jowls and am wandering If evoke or Morpheus8 is a better choice for me.

Jason Emer, MD · Answer

you have SIGNIFICANT sagging and facial volume loss. to improve this you need an early face/neck lift and if you do not want that then facetite + plastysmaplasty for the neck and threads for the mid face and lower face. YOU NEED volume -- fat, Sculptra, or fillers as most of your mid face is bone and has no facial volume.  long term morpheus every 2-3 months, thermage and Ultherapy twice yearly and needed for sagging prevention or maintenance of the surgery.

if you want a dramatic change necklift/facelift, Implants and fillers will give you that. noninvasive will improve the area and facetite, threads, morpheus, and fillers can be used.  start at home dermarolling to tighten you skin, see emeragecismetics.com where we do free skincare consults daily and recommend MTS roller with anteageMD ampules daily (see dermarolling package).

With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer

Laura A. Katz, MD · Answer

Morpheus8 is a great option for collagen induction, muscle contraction and a small amount of fat destruction if desired.  It works very well along the jaw line.  Results can be appreciated in as little as a month.

Dusan Sajic, MD, PhD · Answer

Th most important Aspect of selecting a board-certified cosmetic dermatologist or plastic surgeon to get the optimal outcomes. The technology or technique is Only as good as a person performing it.
As for your question - really depends on what your end outcome is. There is enough sagging that I would recommend you at least consider surgery. But even then there is texture and volume that would need to be addressed.
Surgery comes with significant downtime and given that you’re still young you can do a sort of test run with a combination of liquid face lift with dermal fillers and other non-invasive procedures and energy devices - like the morpheus8
I don’t think Morpheus8 on its own will get you to your desired outcome. However combining it with accutite as well as co2 laser and both biostimulatory fillers (radiesse or sculptra) as well as hyaluronic acid fillers would get you to around 70% of what surgery would. 
Once you achieve your desired goal be a true surgery or not invasive procedures I do recommend doing radio frequency every 4 to 6 months to maintain the results longer
Whatever you decide good luck. I cannot stress enough that regardless of what you choose make sure you pick a board-certified physician who is certified and either Dermatology or Plastic Surgery

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