How can I remove fat jowls and nasal labial folds? (photos)

Question

I’ve had a few procedures done to try to slim the lower face -but am still left with fullness at the jowls and near the nasal labial folds. Any advice on what would work if anything, would be appreciated. I have had : FaceTite & Morpheus 8, cheek fillers, masceter Botox, endolift already. I’m happy with the filler and Botox but the procedures to remove fat/fullness have not worked

Sam Speron, MD, FACS · Answer

Surgery is not for everyone. In today's day and age, there are many surgical and nonsurgical options to address various concerns one has for their face as they age. In general, surgery is one of the best ways to address jowls. However, skin tightening and all sorts of injectables can definitely help significantly especially for patients that are not interested in surgery. If you're ever interested in surgery, the procedure is much different than what you're probably reading about online. A short scar facelift that addresses the jowls & marionette lines can typically be done under local anesthesia in the office, usually in as little as 20 to 30 minutes. There are usually no drains, recovery is quick and most patients take no narcotics. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and never be pushed out with just one suggestion. Ultimately there are pros and cons to every procedure whether it's surgery or not surgery. It should always be your choice. I have had 80 year old patients be very happy without having had any surgical procedures. I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. You may be a candidate for a mini facelift to reduce early signs of aging, such as jowl formation and mild skin laxity. This procedure can rejuvenate the appearance of the face by tightening the underlying facial muscles and repositioning them as an anchor to support the skin. The refreshed and youthful results of this procedure can last for up to 8 years or more. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your areas of concern and develop the best approach for helping you achieve your aesthetic goals.

Omar Lazos, MD · Answer

This is something you would best discuss with your PS but if you're not against doing a surgical procedure, I believe you would benefit most of taking a this approach to improve the areas of concern and during that appointment they can guide you and give you the suggestions for procedures (chin implant, mini neck/face lift, etc) that will give you the best results to match your expectations.

Gurkan Kayabasoglu, MD · Answer

Hello madame, It is time for a combination of facelift and neck lift. Facelift surgery is an operation that permanently corrects age scars on your face, skin laxity and sagging in the neck. Since we use the Deep Plan technique in facelift surgeries, the effect of the procedure is permanent and lifelong. Facelift surgery is an operation that permanently corrects age scars on your face, skin laxity and sagging in the neck. Since we use the Deep Plan technique in facelift surgeries, the effect of the procedure is permanent and lifelong. I’m the only triple board-certified facial plastic surgeon all around Europe. I’m just focused on this issue. I am a doctor who goes to almost every country in the world and explains my techniques to important doctors with the seminar invitations I receive, so I am definitely the only doctor who can perform your operation very comfortably and successfully. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile (+90 539 204 40 90). You can also book an online consultation and discuss your problems with me. With all respect.

Zoran Potparic, MD · Answer

One of the major factors of face aging is that perioral area (defined with nasolabial folds and marionette lines) looses volume (muscle, bone fat) and kind of, sinks in. Augmentation of lips and entire area with micro and nano fat grafts is one of the options. Nasolabial fold  and lip augmentation with fillers will also work. Hope this helps. Good luck.

Darryl J. Blinski, MD · Answer

Based on the series of posted photos and the failures from "non surgical" devicesI recommend a mini Face/Neck Lift SAS plication with either nano fat grafts or HA fillers to naso labial folds. Fees from $8,000-$12,000. Best to virtual consult with...