Early Signs of Jowling. Best Course of Action? (photo)

Hi, I am in my mid twenties and one side of my jaw is less defined than the other. I seem to have more fat at the side of the mouth running downwards making it look like the side of my face is sagging. I feel it is the very early signs of jowls to come. I would ideally like my jawline tighter and as contoured as possible with the fat gone from the jowl area and more volume in my cheeks so that I have more of a V shape to my face. What would be the best course of action to achieve this?

Doctor Answers 3

Chin jowls area.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Dear Kitten87,

    From looking carefully at your pictures , you do not have early aging but rather Microgenia - short and retruded chin. You also have jowls notching and round face. The solution to you condition is very simple. You need a Mittleman medium chin jowl silicone implant. This procedure will do the following for you : 1. Lengthen your face and project your chin forward, so that it will make you face more attractive due to improvement in the facial balance and harmony. 2. Fill up the jowls notcing. 3. Define and tighten up you neck. Be sure to select a bord certified plastic surgeon who is experienced in facial cosmetic surgery.

                               Best of luck,

                                                           Dr Widder

Best Course of Action for Jowls

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Early jowling in mid-20’s is best treated by the use of a Filler. I would recommend non-operative intervention at this age such as a Filler to camouflage.

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Early jowl formation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Review of your photos suggests early signs of aging. There are a whole range of options that are available to you for reversing the issues that you are noticing. These range from relatively non-invasive modalities like Ultherapy or Thermage, which are used to tighten the facial tissues, to more invasive techniques such as fat redistribution of the face (liposuction/ fat grafting). I believe that you are too young for a facelifting operation. My suggestion would be to start with the least most invasive modality first before considering more aggressive treatment options. I would also suggest that you consult with a board-certified Plastic Surgeon to get a more detailed explanation of your options

Wilfred Brown, MD
New York Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.