is there a non surgical lifting other than Ultherapy available to improve heavy brows and sagging jowls?

Question

Im 37 with generally good skin and no wrinkles but I'm noticing a heavier Brow and sagging jowls. I've had a CACI facial and couldn't complete the course because I've moved to Budapest. Can you recommend a non surgical lifting technique other than ultheraphy?

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Unfortunately without photographs it is difficult to offer definite advice but most likely a combination of Botox, fillers, and chemical peels can help you achieve your goals.  Be sure to see an ASPS board certified plastic surgeon in consultation to discuss the best treatment options.

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

Janet Allenby, DO · Answer

Hello, Thank you for your question. Without a picture it is difficult to give exact recommendations. With that being said, Botox and Dysport can help lift the brow area. Filler in the lateral cheek can help lift the sagging jowls. Profound may also be another option. Please consult with a local physician in person to determine the best course of treatment. Good luck!

J. Jason Wendel, MD, FACS · Answer

Thank you for your question regarding nonsurgical procedures to slim the face.  There are a few modalities that may help you achieve a slimmer lower half of your face.  The first is the use of Botox in the masseter muscles.  These muscles can become large if you area grinding or clenching your teeth.  By relaxing the muscles with Botox, over time they will relax and diminish in size.  This will result in a smoother and less sharp angle of the jawline.  Secondly, fillers can also be used strategically ,and in addition to the Botox, can help contour the jawline to the shape you desire.  Lastly, some are using Kybella (off label) to melt fat in the lower face (jowls).  This can also be used in addition to the other treatments discussed above.  
To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Camille Cash, MD · Answer

Two that you can explore are FaceTite and Morpheus8.  They can be used alone or in conjunction with each other.  FaceTite uses RF technology to tighten skin and stimulate collagen.  Morpheus8 treatments improve overall skin tone and texture.  We also recommend using medical grade skin care products and wearing sunscreen every day.

Gregg Kennedy, MD · Answer

This is a pertinent question, and it highlights the difference between Asia and the U.S. in terms of non-surgical lifting.  The introduction of absorbable sutures, or "threads", has been wildly popular in Asia and parts of Europe, but has been slow to catch on in the U.S.  The addition of collagen-stimulating techniques, like threads and Sculptra, have revolutionized the treatment of lower face sagging in recent years. They work well with midface fillers, to create traction on sagging tissues.
I have been fortunate to have gained several years' experience in these new methods, and have found them to be safe, effective, and minimally disruptive to the active life.  
Best to you,
Gregg Kennedy, MD

Daniel Chang, MSc, MBBS, MRCS · Answer

Dear budapest01,
Thank you for your question. Non surgical lifting is a common request by people. 
In the absence of a photo, here is a general answer to address your question,
1. Heavier brows can be lifted non surgically with a combination of threadlift and fillers. This can also help shape your brow to a good extent.
2. Sagging jowls can be improved with threadlift to lift and hold the tissue that has descended.
3. Ultimately, all these depends on the extent of sagginess and your expectation. Maintainence can then be effected with energy based devices like Ultherapy, Thermage and Exilis.
I hope this helps.

Ray Bayati, MD · Answer

Hello,a photo would have allowed me to be more specific. My approach to patients with saggy face: First thing I would look into possibility of volumizing the cheek (mid face area). Overtime we lose cheek bone prominence so adding volume there, it is going to give natural look enhancement.Aside from that, specifically on each patient, make a determination, how we can improve the look. I am sure by scheduling a consultation preferably with non-surgeon cosmetic physician, you would know more about possibilities.

Harry Glassman, MD · Answer

We have had great success with EndyMed  in your age group. This technology increases skin firmness in two ways simultaneously by combining micro-needling with a unique type of radiofrequency. As with many non-invasive technologies, it usually requires 3-4 treatments spaced at monthly intervals to obtain the best results.

is there a non surgical lifting other than Ultherapy available to improve heavy brows and sagging jowls?

Answers (13)

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