Any recommendations to improve my jowls? (Photo)

Hi there,
First of all, you are very beautiful!
I tell my patients that typically after the age of 40, the best "bang for your buck" is surgery as fillers will no longer due the trick and often end up distorting your natural features. Rather than injecting large amounts of fillers to try lifting or camouflaging the jowls, which can cost thousands and appear very unnatural, a facelift surgery would simply reposition the tissues to where they once were and actually appears much more natural than all the things you might try in order to avoid surgery. I also perform facial fat grafting (replace like with like) with all facelifts and one of the areas that it makes the biggest difference is around the mouth/jowls.
Hope this helps!

Hello, To solve your jowl problem deep plane face and necklift operation would be the best option for you. you also have a descending cheeks and some skin excess under you chin. the procedure will correct all of them

I agree you're pretty fit and cute! :) For your concerns, you absolutely need to consider a surgical procedure. Filler is great for some things but once you are looking "fatter" with filler, then it is time to stop and just go ahead and get the lift procedure. For you, I would recommend a full deep plane face and neck lift. If you are open to considering other things, I think you would do great with an upper lip lift, some facial fat grafting, and possibly an upper bleph too. Good luck!

Facelift and neck lift surgery does a wonderful job targeting the lower face and neck for reversible signs of aging. Some of these signs are present in your photographs. Delaying surgery as long as possible is always a good idea, however it sounds as though you are ready for more definitive treatment than can be offered with non surgical modalities.
A good face/neck lift surgery will improve your jaw line definition significantly, treat the jowls, and provide more definition to the neck. Depending on your goals, and concerns, you can consider other treatments for the skin and other regions of the face.
Unfortunately surgery does not prevent further aging as time marches on.
It would be very reasonable to seek a consultation to discuss your options with a board certified plastic surgeon at this stage.

In order to smooth your jowl, and straighten your jawline, the fascia layer of your face, the SMAS, would need to be elevated in a vertical fashion, to elevate the jowl off of your jawline and efface it. This could be done through a mini facelift. A simple skin lift would likely not have long lasting results as the skin is not a support structure. It is a covering. Asking that skin to be a support structure leads to early recurrence of the jowls. Best wishes.

Based on the photos I would recommend a short incision facelift with elevation of the deep plane SMAS. The incision can be limited to the bottom of the ear and should allow for repositioning of the soft tissue for a more youthful appearance and eliminate the jowls. In addition, it appears that you have a long upper lip with limited vermilion exposure and I would recommend a simultaneous upper lip lift to expose more of the upper teeth and pink mucosa.

Great question. Although a consultation is necessary to give a complete answer, the photos certainly show indications that a facelift would address. There is evidence of descent of mid-facial soft tissues jowling, and obliquity in the neck. The only procedure that is going to address these issue comprehensively and naturally is a deep plane facelift. So, I disagree with your previous opinion. Although nobody really wants to have surgery, it remains the gold standard as an answer for the question that you ask.

Hello, hope you are well. Thank you for submitting your question and photos. There is no doubt that the best option to improve your jowls is a facelift--by a longshot. Not a 'mini facelift', but in my practice it would be a deep plane or modified deep plane lift. You can consider some additional enhancements (a lip lift would also be appropriate), but in terms of jowling there is no minimally invasive procedure that comes close to facelift surgery in reliability, efficacy and satisfaction. Fillers are not a durable solution to this problem--at best they can camouflage the aging jawline. However, dermal fillers also add volume and heaviness to the lower aspect of the face which is contrary to a youthful, tapered jawline.
Best,Dr. Tower

I'd suggest a facelift as the best option. That is going to improve the jowls, show off your jawline, and improve your cheeks the most.

I recommend a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This may make the jowls look less intense. You would also benefit from a chin implant which will improve your neck lift and help conceal the jowls.

Best Wishes,

Gary Horndeski, M.D.