I Had Injections of Sculptra and Radiesse Done for the Jowls and They Are Still There? (photo)

I had injections done of sculptra and the jowl or fat pads and the extra fat at the chin just under the jaw line are still there on the side of my mouth like folds of fat..drives me nutty. I am constantly having to be photographed with my work and need them gone now! what else can I do? I realize I look great for my age I have always taken care of myself and this plastic surgery and injections are new to me. I dont want to continue to waste money

Doctor Answers 14

Review of your photo shows that you have developed a "boxey" face.

The combination of weight gain and loss of cheek support due to aging results in an appearance like that your photo shows.

The effective solution for this is:

  • A lift which includes a upward component
  • Removal of fat along the jawline to create a more angular jaw

A mini-lift or liposuction alone does not give muchhelp

Fillers do not help because you need lift and shaping.

Dr. Mayl


Fort Lauderdale Plastic Surgeon
4.5 out of 5 stars 7 reviews

Fillers for Jowel Correction

Jowling is produced by age-related facial sagging. This can be corrected by a Facelift directed at lifting the jowls or masked by placing fillers in the notches between the jowls and the chin. One procedure is not really a substitute for another.

As far as the "wasting money" part, this issue comes up all the time in our lives; Do you buy or do you rent? Do you want ANYTHING done to improve your appearance and if so, do you have a lesser, cheaper but repeatable procedure OR do you have the definitive operation, one which is more expensive, has more down time but which is the definitive procedure?  This is a personal decision each woman must make for herself.

The choice of fillers will determine the duration of the filling effect. Hyaluronic fillers (Restylane, Juvederm, Perlane) last 8-12 months or so while Radiesse lasts well over a year. While hyaluronic acid fillers can be reversed-dissolved with hyaluronidase, an enzyme, while Radiesse or Sculptra cannot be reversed and you will have to wait until they dissolve by themselves.

Peter A Aldea, MD
Memphis, TN

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 96 reviews

Treatment options

I would highly recommend that you see a board certified facial plastic surgeon for an evaluation and to discuss your treatment options.  

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 197 reviews

Several options - from least to most

Slight jowls can be camouflaged by injecting a filler such as Radiesse.just in front of the jowl, to blunt the visibility of the angle. This is fast, fairly cheap, and lasts up to a year.

Radiofrequency devices do exist that can produce a small amount of skin tightening there.

Bigger jowls generally need a bigger solution.- generally a lift. 

Christopher J. Peers, MD
South Bend Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

Sculptra & Radiesse for volume

Injections of Sculptra & Radiesse are helpful if someone needs volume or lift. Alternatives to facial injections, if you have good volume, are facelift surgery, neck surgery & Ultherapy. Ultherapy, if you have good volume, is a noninvasive, minimally downtime procedure which allows for tightening and may help with jowls. The important thing to remember when treating jowls with Sculptra and Radiesse is to do it in such a way that it creates lifting and does not make the jowls worse. But Sculptra and Radiesse are not the same thing as a facelift.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.5 out of 5 stars 50 reviews

Best treatments for jowls

In general, Sculptra stimulates the production on new collagen.  It may help camouflage the jowls. But to effectively eliminate the appearance of jowls, a midfacelift, facelift, or liposuction are good options.  I would recommend an in-person consultation with a facial plastic surgeon, as he/she will be able to assess your needs and discuss the best treatments that will produce the most effective result for you. Thanks and good luck!

Non-Surgical Facelift with Exilis Improves Jowls

Although a facelift or mini-facelift is your most effective option, Exilis radio-frequency is a safe and effective non-surgical skin tightening alternative that we use for those patients desiring a non-surgical alternative to a facelift.  Initially, Exilis requires 4 - 6 treatments followed by periodic maintenance treatments.

Robert Strimling, MD
Las Vegas Dermatologist
5.0 out of 5 stars 8 reviews

Fillers for Jowls

Sorry for you. Was the person who treated you qualified to do facelifts or only injections? You know how the world can look like a nail when you have a hammer.

Personally, I have never injected a jowl. Similarly, I dont inject big noses to supposedly make them look better.

The best thing you can do is find an experienced plastic surgeon who can correct your jowls in a minifacelift procedure.

Good luck

Richard Sadove, MD
Gainesville Plastic Surgeon
5.0 out of 5 stars 17 reviews

I Had Injections of Sculptra and Radiesse Done for the Jowls and They Are Still There?

 Fillers like Perlane, Radiesse and Sculptra can be used to fill in and soften the Marrionette Lines that are directly in front of the jowls however, this will not reduce the jowls.  Reducing the Jowls is the primary funcrtion of a Face Lift.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 21 reviews

Are Sculptra or Fillers a waste of money?

The questions and concerns you have are quite common.  For some people, minor folds around the mouth (JOWLS) can be treated or softened with Sculptra or some fillers.  These treatments, though effective, are not a surgical answer and therefore do not always have dramatic or lasting results.

A modern surgical facelift improves both skin laxity and volume loss. Both of these issues contribute to jowls. Sugery helps tighten the skin and additional treatments utilized to improve volume. These treatments can include Sculptra, filler and even fat grafting.

Injections should never be considered a waste of money when they are injected as part of a multistep facial rejuvenation treatment.

I hope this is helpful.

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.