Could someone please advice treatment for start of jowling/skin laxity? (Photo)

In my opinion you best option is a facelift.You are still young however you have some signs of premature facial laxity. Threads or other skin tightening devices may improve things temporarily but wouldn't give you back a V shape. Only a facelift would do that. If this is a big concern for you now then I don't think you should wait. Things are likely to get worse in the next few years and at this stage you are likely to get a great outcome with a short scar facelift technique, and without any additional procedures.Best of luck!

Thank you for your question. Without examining you in person, it is impossible to tell what procedure might offer you the best benefit. Facelifts aren’t typically recommended at your age, however, everyone ages at different rates and has unique facial structures, so that may be your best option. The only way to get an accurate assessment of your needs is to schedule an in-person consultation with a board-certified facial plastic surgeon. They will examine you and offer customized solutions that will provide you with a natural, beautiful result. Best of luck!

Hello, based on your photographs, facelift is your best option. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Hi, you have a few options, but facelift is the best option. The laxity/jowls will be improved a some with threads, ultherapy, etc, but to make a noticeable difference facelift is the way to go, either SMAS or deep plane. You are on a younger side for a facelift, but it will make a big difference in your case.

Since your photo shows lower jowl bulges including fullness along the jawline, I think that a cheek or upper facelift is appropriate. This would firm and lift the skin and fat in your cheeks, reducing fullness in the lower cheeks, adding it to the upper cheeks, which creates the more V-shaped look you desire. A smoother more narrow jawline results also.