What is the best way to get rid of chubby pads / pre-jowl sulcus in the lower face? (photos)

Question

I've always had a slightly chubby lower face but with age I've noticed the problem becoming more and more noticeable as my skin has started to sag a little. What is the best way to address these areas on either side of my mouth? There is also some fat gathering along my jawline, although to a lesser extent. I'm 44, in case age makes a difference. Any ideas would be very much appreciated, as it'

Jonathan Kulbersh, MD · Answer

Hello, and thank you for providing photos along with your question. Buccal fat pad removal might be an ideal option if you have overly round cheeks that lack definition. In many cases, this additional fullness from the cheek to the jawline is due to an excessively large cheek fat pad. Partial removal of this tissue can help create cheek definition and a slimmer contour in the lower face.

You can also consider dermal fillers to restore lost volume in the lower face, contour the jawline to create a sharper profile, and reduce the appearance of jowls. Skin tightening using RF microneedling or a laser is also an option to create a smoother contour. To determine the best treatment or combination of treatments, schedule an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can do a proper evaluation, determine your eligibility for any procedure, and ensure the best possible outcome.

Yannis Alexandrides, MD, FACS · Answer

This area represents a gradual laxity of the skin and the under-skin structures of the face. It appears that these changes are only beginning due to the heaviness of the skin and the structure underneath the skin, the most effective procedure will be a Deep Plane Facelift. This can be done with periocular incisions and alterations of the SMAS.

Darryl J. Blinski, MD · Answer

Thanks for great posted photos. I recommend KyBella injections in diluted amounts over 4-6 sessions. Then liquid mini facelift with 1-stitch facelift surgery along with jaw line HA fillers. Expect fees in the $18,000 ranges.

What is the best way to get rid of chubby pads / pre-jowl sulcus in the lower face? (photos)

Answers (3)

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