I'm 38 & noticing sagging jowls. It's more on my left hand than my right & feel like my cheeks are drooping. Suggestion? (photo)

Question

I don't really want an invasive procedure at this point and wondering if there are good alternatives to surgery. I also want to know how important physical activity is and if jogging is out of the question by making my sagging condition worse. Is there a way to prevent sagging jowls by doing some sort of treatment regularly? Thanks!!

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.  Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Kally Papantoniou, MD, FAAD · Answer

The Ulthera is one of the most powerful tools to non-invasively tighten the skin of the lower face and neck. For the best consultation it would be great to see how your cheeks are....if there are signs of volume loss then addressing this with fillers will help to rejuvenate your midface and elevate sagging skin or pre-jowels. In combination a tightening treatment and dermal fillers will provide the most natural outcome. I recommend seeing a qualified dermatologist to discuss your treatment plan. Best, Dr P.

John L. Burns Jr., MD · Answer

At 38 you are a good candidate for noninvasive alternative such as facial fillers and/or tightening devices such as Thermage or Ulthera.

Camille Cash, MD · Answer

I think you will have the best result from a combination of treatments.  HA fillers can be used to address loss of volume and improve jowling.  Fillers can be combined with Morpheus8.  This treatment combines RF technology with microneedling to improve overall skin tone and texture.  Visit my website or a provider near you to learn more.

Dmitriy Schwarzburg, MD · Answer

You are an excellent candidate for barbed PDO threads. You have a very early stage of skin sagging and this could be easily reversed with PDO threads. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures.

Tracy Leong, MD · Answer

Based on your age and the photos provided, I think you would be an excellent candidate for a noninvasive or microinvasive skin tightening procedure such as Ultherapy or ThermiRF. Ultherapy uses ultrasound heating to tighten the skin and underlying tissues whereas ThermiRF uses radiofrequency heating.  In our practice, we even do a combination of the two in a treatment unique to our practice called Ulthermi Fusion. Please consult with a board-certified dermatologist or plastic surgeon in person to determine a treatment plan that will provide you with the best results. I hope this answer is helpful! Best of luck.

Supriya Tomar, MD · Answer

It is not uncommon to start noticing some sagging at your age. As early as in our mid-to-late 20's we start loosing collagen and elastin each year. At this time, you are a candidate for several non-invasive laser treatments. To improve the laxity you can consider Ultherapy or a Radiofrequency device like Thermage. Ulthera is an ultrasound based device that is FDA approved for non-surgical skin lift. You can also consider treatments that will stimulate collagen production and will help with texture and tone of your skin. Fraxel would be another laser that you can use to stimulate collagen production, it will be corrective and preventative in the long You should have a consultation with a cosmetic dermatologist in your area so you can discuss the best treatment that will suit your current needs. You are at a great age to make a difference in your skin. All the best!

Gail Nield, MD, FRCPC · Answer

Hello. At 38, I believe that you could respond quite nicely to Ultherapy. You mentioned that your L side is more pronounced than your R side. I have often found that this type of asymmetry is due to sleeping on one side more than the other.In your case, it seems that you most likely sleep on your L side.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Non-Surgical Neck LiftYour non-surgical options are dictated by your specific
needs which may include any of the below measures:1)improving banding: Botox2)improving under the chin fullness: Liposuction with oral
sedation3)improving skin looseness: VIORA REACTION radiofrequencyA consultation would allow a doctor to customize your treatment
plan.

I'm 38 & noticing sagging jowls. It's more on my left hand than my right & feel like my cheeks are drooping. Suggestion? (photo)

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