Left-side jowling. What would be recommended? (photo)

For addressing left-side jowling and achieving symmetry with your right side, there are several options you might consider, especially since Ultherapy and Morpheus have not yielded the desired results. Here are a few recommendations:

Dermal Fillers: Strategic use of dermal fillers can help restore volume to the left cheek and lift the sagging skin, thereby reducing the appearance of jowling. A skilled injector can use fillers to contour and balance your facial symmetry.

Thread Lift: A thread lift is a minimally invasive procedure that can lift and tighten sagging skin using biodegradable threads. This could be a suitable option to address the jowling on your left side.

Facelift or Mini-Facelift: If the jowling is more pronounced, a surgical option like a facelift or mini-facelift may provide more significant and lasting results. This procedure can effectively lift and reposition the sagging tissue.

Fat Transfer: This involves harvesting fat from another area of your body and injecting it into the left cheek to restore volume and improve contour.

Consultation with a Specialist: It is essential to consult with a board-certified dermatologist or plastic surgeon who can evaluate your specific situation and recommend the most appropriate treatment plan tailored to your needs.

Each of these options has its benefits and considerations, so discussing them with a qualified professional will help determine the best course of action for achieving your desired outcome.

Hi there! I see you have developed some asymmetries of your lower face and jaw region. Sometimes this can be secondary to trauma, or even daily habits like which side of your face you sleep on daily. I have a couple of suggestions for you, starting from least invasive to most:1. Injectable filler may help harmonize the left and right jaw if placed judiciously. I caution that this can potentially lead to heaviness of the lower face over time or with too much filler.2. Similarly, strategic fat grafting may help.3. A face lift is a more invasive but more predictable way to enhance your jawline on both sides of the face and decrease the asymmetries, as it can all be corrected intraoperatively. Doing this to one side of the face alone is not a great option, so this would necessitate a procedure to both sides of your face. This is likely your best option.

If Morpheus hasn't helped you may want to consider FaceTite. This minimally invasive procedure is great for those who are not quite ready for a surgical face lift but desire some skin tightening. RF technology is used to tighten the skin both on top of and just below the surface. There is no general anesthesia required. I've included a video I hope you find helpful.

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

My recommendation for mid-face and peri-oral skin saving, as well as jowls is a combination of treatments. First, I recommend botulinum to the DAO and platysma muscles as well as filler to the temples. If that doesn't get you the desired results, add filler to the NLF, marionette lines and jowls. Last, but not least, look into Elacore and Tight&Bright, a combination of IPL and Morpheus for skin tightening.