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Jowls are usually best addressed with a face lifting type procedures, but fillers can sometimes be used to smooth out the jowl and make it less noticeable. I like to use Radiesse for this purpose. The filler is placed deep under the skin along the jaw bone in front of and behind the jowl to camouflage it. This makes the entire jawline appear smoother and refined. This is done in the office and should take about 20 minutes to perform.
Jowls and Pre-Jowl Concerns can be addressed without fillers by minimally invasive surgical techniques. You have not provided photos so the following are general recommendations that might apply to you. For example if jowls are a problem and it is mostly a fat issue (rather than skin redundancy) then liposuction using a very tiny cannula is helpful. Likewise fat transfer (for example from the Jowls, below the chin or from the tummy) can be used to fill in the slight hollowing in the pre-jowl area (the depression between the chin and the jowl). If loose skin is an issue then a mini-facelift such as a Lite Lift, MACS, etc is helpful.
The best way to correct jowls is with a well done facelift.There are temporary measures patients can do with injecting fillers at strategic places along the jawline. For very early jowl formation, these are quite effective.
That is a loaded question. In some cases a filler should not be used at all especially if the jowl severity is anything more than slight. I suggest you resubmit the question with a photo because then you will elicit more specific responses that you can then use in making a decision of what to do.
The best treatment for jowls is a facelift. Yes, a filler can camouflage mild jowls but in the end, you are better off with a facelift.
As Dr. Moelleken has said, a facelift is the best way to resolve the jowls becasue they are never isolated. They always have other associated facial aging issues that benefitfrom the facelift. You can temporize though with Restylane in the little depressions that exist in front of the jowls.
