I’m a 37 woman. I started jowling at 34 and have been getting filler and Botox to temporize it. It’s been operator dependent and lately I don’t feel like it’s making enough of a difference. Is it time for a facelift or should I find another injector? Anything else I can do thats non invasive like morpheus8?
Answer: Facelift Based on that single photo, it appears that a facelift is potentially the best solution to correct the areas you are concerned about. I would NOT recommend anymore filler as this can lead to a very doughy appearance when injected incorrectly or into the wrong locations. You should see a board-eligible or board-certified plastic surgeon with extensive training in aesthetic plastic surgery of the face.
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Answer: Facelift Based on that single photo, it appears that a facelift is potentially the best solution to correct the areas you are concerned about. I would NOT recommend anymore filler as this can lead to a very doughy appearance when injected incorrectly or into the wrong locations. You should see a board-eligible or board-certified plastic surgeon with extensive training in aesthetic plastic surgery of the face.
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Answer: Non Surgical Face and Neck Rejuvenation using Endolift Laser, PDO Threads & Fillers You may consider a Facelift in the far future but there are excellent non-surgical options available to address lax skin of the jawline and neck that offer rapid recovery, minimal downtime and no open visible large scars. A combination of procedures will afford you the optimal rejuvenation. Patients with moderate skin laxity of the lower face and neck are ideal candidates for the Endolift Laser which is FDA approved and used throughout Europe. The Endolift Laser targets pockets of fat in the jowl, face and neck. It stimulates collagen so the skin looks significantly better and tighter. The benefits are that the Endolift Laser is placed through tiny pin holes so there are no scars and the healing is rapid. This is an outpatient procedure with minimal discomfort during or after the procedure. The Endolift Laser is amazing in the hands of well trained individuals who understand how to avoid complications and know the optimal manner in which to target lax tissues. When used in combination with PDO Threads and possibility facial fillers, the results are ideal and the downtime is minimal. You may also benefit from selective facial fillers: Radiesse, RHA or Restylane to contour your jawline and cheeks. This will support lax skin and muscle of the lower face. The combination of the Endolift Laser, PDO Thread Lift and selective Facial Fillers is the choice for patients who wish rapid recovery, have moderate laxity of facial and neck skin and wish a natural and rejuvenated appearance. Botox will not assist sagging skin but when appropriate can diminish prominent neck bands or muscles. Seeking a consultation with a well qualified individual is the first step.
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Answer: Non Surgical Face and Neck Rejuvenation using Endolift Laser, PDO Threads & Fillers You may consider a Facelift in the far future but there are excellent non-surgical options available to address lax skin of the jawline and neck that offer rapid recovery, minimal downtime and no open visible large scars. A combination of procedures will afford you the optimal rejuvenation. Patients with moderate skin laxity of the lower face and neck are ideal candidates for the Endolift Laser which is FDA approved and used throughout Europe. The Endolift Laser targets pockets of fat in the jowl, face and neck. It stimulates collagen so the skin looks significantly better and tighter. The benefits are that the Endolift Laser is placed through tiny pin holes so there are no scars and the healing is rapid. This is an outpatient procedure with minimal discomfort during or after the procedure. The Endolift Laser is amazing in the hands of well trained individuals who understand how to avoid complications and know the optimal manner in which to target lax tissues. When used in combination with PDO Threads and possibility facial fillers, the results are ideal and the downtime is minimal. You may also benefit from selective facial fillers: Radiesse, RHA or Restylane to contour your jawline and cheeks. This will support lax skin and muscle of the lower face. The combination of the Endolift Laser, PDO Thread Lift and selective Facial Fillers is the choice for patients who wish rapid recovery, have moderate laxity of facial and neck skin and wish a natural and rejuvenated appearance. Botox will not assist sagging skin but when appropriate can diminish prominent neck bands or muscles. Seeking a consultation with a well qualified individual is the first step.
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October 30, 2023
Answer: Face and Neck Lift Your pictures demonstrate early skin laxity of the face and neck that manifests as facial decent - squaring off your lower face and neck. There is a chance you may be able to get away with a mini lift to tighten along the jaw and upper neck. To re-establish the aesthetic triangle, however, a modified mini face and neck lift with deep plane tightening of the SMAS and platysma - to lift the jowls and sharpen the neck - would give you the best improvement. Typically, I do that procedure as part of our Wide-Awake-Surgery program – surgery done under local anesthesia in the office. The same surgery is also available in the OR under anesthesia.
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October 30, 2023
Answer: Face and Neck Lift Your pictures demonstrate early skin laxity of the face and neck that manifests as facial decent - squaring off your lower face and neck. There is a chance you may be able to get away with a mini lift to tighten along the jaw and upper neck. To re-establish the aesthetic triangle, however, a modified mini face and neck lift with deep plane tightening of the SMAS and platysma - to lift the jowls and sharpen the neck - would give you the best improvement. Typically, I do that procedure as part of our Wide-Awake-Surgery program – surgery done under local anesthesia in the office. The same surgery is also available in the OR under anesthesia.
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September 25, 2023
Answer: Probably, but hard to tell from the picture Hello and thank you for your question. From what I can tell based on the picture you have provided, there is some possible early/minimal jowling. This occurs with age as the soft tissues of the face start to descend and as we lose volume from fat atrophy and bone loss, resulting in the characteristic changes of facial aging. You appear to have some excess neck skin- I cannot see if there is platysmal banding in your neck. Based on all that, you could make an argument for getting a facelift at this time- but you could certainly hold off a little if you'd like. A facelift would be the best way to address jowls, lower face skin laxity, and soft tissue descent- there are different techniques to manipulate the SMAS layer (an important soft tissue layer under the facial skin) to really control the symmetry achieved in a facelift. At the same time, facial fat grafting can also be done to address volume loss and help further correct asymmetries and restore facial balance. This can be done at the same time as a facelift.
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September 25, 2023
Answer: Probably, but hard to tell from the picture Hello and thank you for your question. From what I can tell based on the picture you have provided, there is some possible early/minimal jowling. This occurs with age as the soft tissues of the face start to descend and as we lose volume from fat atrophy and bone loss, resulting in the characteristic changes of facial aging. You appear to have some excess neck skin- I cannot see if there is platysmal banding in your neck. Based on all that, you could make an argument for getting a facelift at this time- but you could certainly hold off a little if you'd like. A facelift would be the best way to address jowls, lower face skin laxity, and soft tissue descent- there are different techniques to manipulate the SMAS layer (an important soft tissue layer under the facial skin) to really control the symmetry achieved in a facelift. At the same time, facial fat grafting can also be done to address volume loss and help further correct asymmetries and restore facial balance. This can be done at the same time as a facelift.
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August 2, 2023
Answer: When is the right time for a facelift Thank you for sharing your concerns. It's commendable that you've taken proactive steps to address your jowling with filler and Botox.
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August 2, 2023
Answer: When is the right time for a facelift Thank you for sharing your concerns. It's commendable that you've taken proactive steps to address your jowling with filler and Botox.
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June 15, 2023
Answer: Mini Facelift at 37 Thank you for your question. Based on your picture and description of your concerns, a mini facelift procedure could be a good option for you at this point. A mini lift is usually most suitable for people with early aging changes in their 30s and 40s. It can help restore a youthful jawline, remove jowls and improve cheek contour for an overall more refreshed look. If you feel Botox and fillers are no longer achieving the result you're looking for, a surgical approach could be a good long-term solution. If you feel like you are not ready for a facelift yet, non-invasive treatments such as Morpheus8 could be a temporary option to tighten up the skin until you are ready for a more definitive procedure. Take a look at the attached video to determine whether you are a candidate for a mini facelift. Best wishes! Dr. Konstantin
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June 15, 2023
Answer: Mini Facelift at 37 Thank you for your question. Based on your picture and description of your concerns, a mini facelift procedure could be a good option for you at this point. A mini lift is usually most suitable for people with early aging changes in their 30s and 40s. It can help restore a youthful jawline, remove jowls and improve cheek contour for an overall more refreshed look. If you feel Botox and fillers are no longer achieving the result you're looking for, a surgical approach could be a good long-term solution. If you feel like you are not ready for a facelift yet, non-invasive treatments such as Morpheus8 could be a temporary option to tighten up the skin until you are ready for a more definitive procedure. Take a look at the attached video to determine whether you are a candidate for a mini facelift. Best wishes! Dr. Konstantin
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