What is the best option to target my jowls? 27 y/o female (photo)

Question

Hi, I'm a 27 y.o female with a healthy BMI (18.6), however I seem genetically predisposed to jowling and fatty deposits around my lower face and chin. As soon as I gain weight, it goes to my lower face! Please advise me on the best measures to address this!!!

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

Lucian Ion, FRCS · Answer

Thank you for your question and for sharing your photograph.

Based on the image you provided, it appears that the visibility of your jowls is quite discreet. You also mentioned having a recessive or slightly small chin. In this case, I believe that either a carefully tailored chin implant or a genioplasty could help achieve your desired outcome. Both options could provide a slight stretch in the tissues along the jowl line and offer a different contour to the jowl line overall.

To decide more precisely regarding the dimensions and characteristics of the chin implant, I find that 3D imaging and computer simulation have substantial advantages. These tools can help identify the characteristics of the contour of the chin on oblique views and the front view, which are critical to the success of the surgery and go well beyond parameters observed on a true profile view.

I recommend discussing these options with a qualified surgeon who can provide detailed insights and utilise 3D imaging to tailor the best solution for your specific needs.

Anna Chacon, MD, FAAD · Answer

There are several options you might consider targeting your jowls. Here are a few potential options:

1. Non-surgical Treatments: These are less invasive options which can help reduce the appearance of jowls. Treatments such as Kybella can help dissolve fat in the chin area, while dermal fillers can help restore lost volume. Ultherapy, a non-invasive procedure, can also help lift and tighten the skin.

2. Laser Treatments: Laser treatments like Thermage, Ultherapy or Titan can help stimulate collagen production and tighten the skin, reducing the appearance of jowls.

3. Surgical Procedures: If non-surgical treatments do not provide the desired results, a mini facelift or neck lift might be considered. These surgical procedures can help remove excess fat and skin, providing a more youthful appearance.

4. Lifestyle Changes: Maintaining a healthy diet and regular exercise routine can help manage weight and potentially reduce the appearance of jowls. Staying hydrated and protecting your skin from the sun can also help maintain skin elasticity.

5. Skincare Routine: Using skincare products that promote collagen production and skin elasticity can also help. Look for products that contain ingredients like retinol, vitamin C, and peptides.

Remember, each individual is unique and what works best for you will depend on factors such as your skin type, genetic predisposition, and personal preferences. It's always best to consult with a professional to discuss your concerns and potential treatment options.

William Portuese, MD · Answer

You do not have jowls. You have a recessive chin since you're mandible bone just did not grow far enough forward. Strongly consider placement of a chin implant to augment your chin forward and give it some width from the frontal profile which will fill in the pre-jowl sulcus. In our practice, placement of a chin implant can be done under local anesthesia, which takes about a half an hour. Most women require a size small chin implant.

Mats Hagstrom, MD (license on probation) · Answer

Facial aesthetics are based on facial bone structure.
Individuals who have issues with the lower 1/3 of the face usually have issues with their mandible in regards to pure aesthetics.
A small mandible will typically cause a dental occlusion overbite, loss of jawline definition, a premature double chin, premature jowls etc., etc.
 Well done Liposuction can be helpful but the number of plastic surgeons who mastered this procedure is fairly small.
It’s important to recognize that that distribution is not the underlying primary ideology.
Any treatment that does not address the primary problem is going to have partial improvement at best.
Getting a quality assessment for this part of the face is not easy or straightforward so expect different providers to have a different opinions.
 It’s not a bad idea to consult with both providers for plastic surgery and oral surgery backgrounds to get the most comprehensive understanding of primary principles affecting the appearance of this area. 
Best,
Mats Hagstrom MD

What is the best option to target my jowls? 27 y/o female (photo)

Answers (5)

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