Solutions to lift and tighten jowls and down turned mouth? (photos)

younger patients need fillers, threads, and morpheus deep RF to help downturning. you can do botox for the DAOs. id suggest weekly dermarolling at home (see link).

most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift.  an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done.

For facial slimming a combination of treatments are always needed.  Options include:
1. Buccal fat pad removal to reduce fat on the lower face
2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping.
3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender
4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined

Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma.

 See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option.  Best, Dr. Emer.

Hi @kt200. I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting. In addition, Botox injections into the DAO muscle can help with the downturned mouth. The injections stop the DAO muscle pulling down the corners of the mouth. Treatment will cause the corners of the mouth to be slightly lifted, giving the mouth a more relaxed, happy, youthful and pleasing appearance.

Thank you for your question and congratulations on your weight loss. There are a variety of options for tightening up the skin after dropping the pounds. One might be a PDO thread lift, which will lift underlying tissue and outer skin to create a more youthful facial contour. Another option might be dermal fillers, which can look quite natural when administered by an experienced, qualified injector. You might also consider a collagen boosting treatment like RF microneedling, which works at the cellular level to increase collagen production and smooth the skin from the inside out. I recommend scheduling a consultation with an experienced, board-certified facial plastic surgeon who can assess you in person and create a customized treatment plan based on your precise needs and goals.

First of all, let me say that you are young and beautiful. You don't really need anything done at this point in your life. The only thing I notice is a slight bulging in the area of your jowls and a slight depression on the sides of your mouth corners due to a skin fold above it. The corners could be lifted with Botox injected into the DAOs, but this could potentially aggravate that appearance. A filler in the depressed area could be helpful. The slight bulge in your jowl area could be treated with micro liposuction in a supper conservative way, done by an expert. Alternatively, filler could be injected on the sides of your chin in the pre-jowl area to straighten your jawline.

To address the down turned mouth, Botox for the DAO muscle can help lift the corners of the mouth. Filler in the cheeks helps the nasolabial folds, not necessarily the corner of the mouth. Instead fillers at the corner of the mouth and chin region are helpful for restoring volume and lifting the down turned mouth

Hi,
DAO muscles pull down the corners of the mouth so Botox injection in these muscle can definitely lift a little bit the corners of your mouth but it does not make your lower face looks fuller. if you want lifting and tightening of skin in your midface which can lift the corner of your mouth, you can schedule for some RF-needling treatments but if you have still fillers in your cheek area they will be going to be absorbed with heating effects of RF.
Best regards,
Dr. Sajjadian

You do not have significant facial aging in your 20s, and in my view surgical procedures like facelift and thread-lift should be avoided. Depending on your examination, a bit of filler may be helpful. This may be considered in the indents in front of your "jowls", and perhaps in the grooves that extend downward from the corners of your mouth. Hope this helps. Dr Joseph

Dear kt200,
What a beautiful face. Congratulations on your weight loss. Yes, weight loss will create volume reduction and even with firm young skin, gentle folds may appear. While I think fillers are the easier, best value for you, you are not fond of them. Let’s review your options:
1. Please consult with a Board Certified Plastic Surgeon with non-surgical and minimally invasive experience.
2. Consider Sculptra, a bio-active and minimally volumizing injectable filler which stimulates skin and soft-tissue collagen firming
3. While not-so-typically used in a patient as young as their 20’s, PDO thread lift may provide a gentle lift of the cheeks, corner of mouth and very mild marionette/jowling following your facial volume loss.
4. Begin a retinoid, anti-aging and skin tightening journey with Dr. Zein Obagi’s ZO Skin Health programs.
5. Botox to the DAO and/or upper platysma may rebalance facial muscle lift but I would not count on that to lift the marionette fold.
I hope this is helpful. All the best!

You appear to be a good candidate for Morpheus8 treatments. They are a good way to improve skin tone and texture. It pairs microneedling with RF technology to remodel the tissues. Visit with a board certified plastic surgeon near you to learn more.

Thank you for your question! I definitely think it would be worth trying botox in the DAO muscle. If you aren't interested in filler for the cheeks then you could consider a threadlift if you have laxity in your skin. Thermage can also help to lift and tighten the face without adding volume. Hope this helps!