I'm 20 years old with jowls. Would fillers help? (photos)

Question

I'm only 20 years old but appear to have "jowels" on my jawline. I know it's probably just my bone structure because I've had them for as long as I can remember, but would fillers help correct the indent? Thanks!! :)

Daniel Yamini, MD, FACS · Answer

Hi Allisonxo,We work with many young patients with similar concerns in our practice.  What's bothering you is not truly "jowls", but rather a prominent pre-jowl sulcus and possibly a small amount of asymmetric fat in the left jowl area.  You are too young to have true jowling from facial laxity.  Fillers are very safe and can help soften up the left marionette region and the pre-jowl sulcus to some degree.  You might also be a good candidate for microscultiping  with a simply scar-less office procedure to permanently reduce the  asymmetric fat deposit on the left side to create more symmetry of your jawline and jowls.

Nima Shemirani, MD · Answer

Hi @allisonxo! Dermal fillers can help soften the jowls. I also recommend Morpheus 8.  Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Jason Emer, MD · Answer

I think you need an in person evaluation.  This area is the "pre jowl" and sometimes forms a crease but it may be natural for you.  Also, you appear to have large masseters that may need to be treated and if they are, may give you a more defined, less shadowed apperance.  Fillers can easily treat this area if it is determined you have volume loss and need it.  I suggest seeing someone who is young with a conservative aesthetic eye.  You do not want to be overdone or permanently changed at such a young age.  Best, Dr. Emer.

David Hansen, MD · Answer

Radiesse is a great filler for the pre jowl sulcus and lasts about a year for roughly $650/syringe. Juvederm volume also does nice- about the same as radiesse but is more expensive such as $1000/syringe. Sincerely, David Hansen,MD

Jennifer Janiga, MD, FAAD · Answer

Allisonxo,The area you are talking about is the pre-jowl sulcus.  This area can be significantly improved with fillers or fat grafting to the area.  I put the filler deep on the bone structure and it can last longer when placed deeper.  Good luck.

I'm 20 years old with jowls. Would fillers help? (photos)

Answers (9)

Answer: Pre Jowl sulcus is nicely filled in with Radiesse.

Answer: Pre Jowl sulcus is nicely filled in with Radiesse.

Answer: Pre-Jowl Sulcus with Filler

Answer: Pre-Jowl Sulcus with Filler

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I'm 20 years old with jowls. Would fillers help? (photos)

Answers (9)

Answer: Pre Jowl sulcus is nicely filled in with Radiesse.

Answer: Pre Jowl sulcus is nicely filled in with Radiesse.

Answer: Pre-Jowl Sulcus with Filler

Answer: Pre-Jowl Sulcus with Filler

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Recommended reading

Everything you need to know about Dermal Fillers

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