Lower face sag - what could I do to remove these jowls? (Photo)

Question

Hi, I’ve had lots of filler I’ve the years and this is what my low-face looks like right now. So bad! What could I do to remove these jowls? An injector recommended dissolving them, would that help? And how can you even be sure that this is dissolvable and not just loose skin? Any help is appreciated!

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. Hyaluronic acid (HA) fillers are dissolvable. There are also laser and energy devices that can be used for skin tightening. Profound RF works by creating micro-channels to stimulate a healing response and using RF energy to produce new collagen, improving mild to moderate skin laxity in the neck and jawline. The Cutera Titan uses light energy to heat the dermis and stimulate collagen production to tighten the skin.

The best way to determine the appropriate procedure to address your concerns is to schedule an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with extensive experience with injectables. Such experts will know how much product to use and where to precisely inject them, while having an eye for symmetry and facial harmony. During your consultation, your surgeon can assess your skin and recommend the best course of action that will safely achieve the most natural-looking results.

Richard Baxter, MD · Answer

It isn't really possible to offer specific advice about a lower facelift and whether or not dissolving the fillers would be helpful without an in-person evaluation. It depends on several things: Where the fillers are, what type they are, what the condition of your skin is, age, etc. See a plastic surgeon for the best advice.

Brian K. Machida, MD, FACS · Answer

If you follow the injectors advice, your skin will likley have irregularities and may be looser. You should have either a non invasive tightening technique or a facelift.

Darryl J. Blinski, MD · Answer

Thanks for posting the photo. I recommend a mini Face Lift with SMAS plication. Fee $8,000+/- ranges. Seek in person or virtual consults.

Lower face sag - what could I do to remove these jowls? (Photo)

Answers (5)

Answer: Do not dissolve them

Answer: Do not dissolve them

Answer: Lower face sag - what could I do to remove these jowls?

Answer: Lower face sag - what could I do to remove these jowls?

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Everything you need to know about Lower Facelift

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Lower face sag - what could I do to remove these jowls? (Photo)

Answers (5)

Answer: Do not dissolve them

Answer: Do not dissolve them

Answer: Lower face sag - what could I do to remove these jowls?

Answer: Lower face sag - what could I do to remove these jowls?

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Recommended reading

Everything you need to know about Lower Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.