Pseudo-sagging/jowls present when smiling? Options? (Photo)

Question

Hi Ive had a 8mm genio, chin shaving,jaw implants, lots of sculptra ... yet I have the look of sagging skin when I smile. At rest my skin doesnt look or feel saggy. I dont have any extra skin that could be excised, I think. How can I treat this issue? It makes me appear much older when I smile and its troubling me. Thanks!

Alan Gonzalez, MD, FACS · Answer

Hello @lAna1227, thank you for your question. It is important to have more information in order to make a recommendation. A consultation is essential to the development of a surgical or non-surgical protocol plan that meets your needs, fulfills your expectations, and takes into account what can actually be accomplished. Your surgeon will be able to evaluate your unique needs during your consultation and develop a treatment plan tailored specifically for you. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Suleyman Tas, MD, FEBOPRAS · Answer

Dear Ana1227,

After looking at the pictures you have attached it is recommended to have a physical examination to further exam your skin. Such fillers tend to stretch out the skin and after a time period when they dissolve it leads to saggy skin which you seem to be experiencing now. A potential solution can be to find an expert doctor to address the sagging jowl possibly with midface lift which would be better if its a scarless procedure, and before the permanent midface lift procedure I recommend to dissolve the previous fillers like in your case sculptra fillers. For a detailed information regarding this surgery you may follow the link attached to this post.

Best Regards,
TAS TEAM

Ajaya Kashyap, MD · Answer

Thank-you for your question! Fillers and surgeries on the jaw can interfere with contours and dynamics of the face. I would recommend an MRI with a careful physical examination by your Plastic surgeon with an assessment of where and how many fillers were injected before planning any further  treatment. Skin excision or a lower face lift may help as will  non surgical treatments. All the best!

Zoran Potparic, MD · Answer

It is very difficult to see dynamics and deformity of this kind on static photos. it would be best to seek a consultation with a board certified plastic surgeon with good reputation in facia plastic surgery. Good luck.

John Michael Thomassen, MD · Answer

The best option is a mini facelift to take up this excess skin.  You should be near your ideal body weight before this so you do not have relapse if you do loose weight in the future.

Brian K. Machida, MD, FACS · Answer

You have a tremendous amount of bulk to your lower cheeks. It would be good to tighten that bulk. It’s best to have a personal consultation to determine if a lift would help.

John A. Kotis, DO, FACS, FACOS · Answer

Hi 
Thank you for your question. I would need to evaluate you in person or thru zoom. With limited pictures, it appears you pre-jowel sulcus needs to be filled. I would consider Morpheus 8 or facetite. please be evaluated by a board certified plastic surgeon. best of luck

Pseudo-sagging/jowls present when smiling? Options? (Photo)

Answers (7)

More Facelift Questions

WE SEND PRETTY
EMAILS

Answers (7)

More Facelift Questions

I'd like to know if it is safe to get subcision after a whole facelift?

How many questions can you ask your surgeon before a procedure? Can I ask for more than one meeting?

How long are internal dissolvable facelift sutures noticeable on your skin?

Why would a doctor remove so much of my hair? Is my only option a hair transplant? (photos)

What should I do before my facelift for the best outcome? Nutrition, vitamins, lotions?

1 year after initial face and neck lift - will my loose skin tighten? (photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS