How do I fix my jaw? (Photo)

Question

I’m 37. I don’t like the sagging on my jaw from the side. What is the best way to fix that or make it less noticeable? Thanks.

Serdar Bora Bayraktaroglu, MD · Answer

At 37, early jawline sagging is best addressed with non-surgical or minimally invasive options, as a full facelift is premature.Structural Fillers: Strategic placement along the chin and pre-jowl sulcus camouflages early jowling by creating skeletal support and smoothing the jawline contour.RF Microneedling: Energy-based treatments stimulate deep collagen production to tighten lax skin.Targeted Liposuction: Removing minor submental fat can sharpen the jaw-neck angle.Mini or Short-Scar Lifts: For mechanical repositioning, targeted minimally invasive lifts offer a lasting solution.Consult a board-certified facial plastic surgeon to evaluate your anatomy and determine the ideal path.

Muhsin Yilmaz, MD, FEBOPRAS · Answer

At 37, I would first want to determine whether what you’re seeing is true skin laxity, early jowling, loss of volume, or a combination of these.
If it is mainly mild laxity, some non-surgical tightening treatments may give a modest improvement, but they won’t reposition descended facial tissues. Once there is actual jowling and loss of jawline definition, a lower facelift or face and neck lift is generally much more effective than repeatedly trying to tighten the skin.
If you are relatively young and the problem is still subtle, I wouldn’t rush into a full facelift without an assessment. Depending on your anatomy, a more limited lifting approach may be enough.
I’d also be careful with simply adding jawline filler. If the problem is lax tissue rather than lack of projection, adding more volume can sometimes make the lower face look heavier instead of actually lifting it.
The best place to start is a face-to-face consultation with an experienced facial plastic surgeon who can assess your skin, deeper tissues, chin and jaw projection, and neck together. Once you understand what is actually causing the loss of definition, it becomes much easier to choose the right treatment.

Semih Yildiz, MD, FEBOPRAS · Answer

The photos are limited, but they show mild softening along the jawline and a small amount of fullness under the chin rather than severe sagging. At 37, the best option depends on whether the issue is skin laxity, early jowling, fat under the chin, chin projection, or jawline definition.

If the skin quality is good, non-surgical options such as carefully placed filler to the chin/jawline, neuromodulator to the neck bands, or energy-based skin tightening may make the area less noticeable. If there is true loose skin or early jowling, a mini-lift, lower facelift, or neck lift gives a more reliable change, but that may be more than you need. An in-person exam is needed to assess skin elasticity, bite/chin position, fat distribution, and whether a surgical or non-surgical plan fits your goals.

Ali Riza Öreroglu, MD · Answer

I generally prefer to conduct a physical examination first, but from what I can gather from your photos, you seem to be a suitable candidate for lower facelift surgery.

Correcting the area known as jowls in the lower part of your face with a facelift will make you look younger and healthier. If you aim to have a feminine jawline, it should be enhanced with fat injections. From what I can gather from your photos, you also seem to be a suitable candidate for a chin implant. However, it's important to have a one-on-one discussion with the patient and conduct a detailed evaluation to determine a precise treatment plan.

John Michael Thomassen, MD · Answer

A mini facelift with a short scar would allow tightening of the SMAS tissue in the lower face and correct this sagging.

John Reilly, MD, FACS · Answer

Hello,
Jowling usually requires a facelift procedure to provide maximal results as it is not necessarily a skin problem but involves the deeper structures which have descended and are pushing on the skin. In an effort to delay a facelift you can address  the visible problem which essentially is the appearance of a "depressed" area between the roundness of the chin and the roundness of the jowl. Applying a bit of filler or fat to that one area can create the appearance of a straighter jaw line.  
Good luck.

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

The main problem noticeable in these images is the volume under the jawline. This is made out of of a combination of tissue types: lower part of the submandibular glands, digastric muscles and a small amount of deep-seated fatty tissue centrally.

There is also a very small amount of fatty tissue that disrupts the contour of the jawline.

The deep plane necklift intervention can address the volume excess and produce a sharper contour of the jawline. Sometimes this can be done without any skin tightening. 3D imaging and simulation allows calculation of these differences and to determine with good precision whether skin tightening is necessary or not for the degree of volume correction anticipated. As a result of volume reduction in the deep plane, the chin usually appears also stronger, in particular on profile.

The anterior necklift procedure involves a scar under the chin only. It also allows reduction of small amount of volume along the jawline; the isolated necklift procedure involves also a small amount of skin tightening is usually around the earlobe.

Reza Rod, MD · Answer

You are a little young for a facelift. Injectable can help balance your facial features. Research injectors in your area making sure it is an RN injector or a doctor.

William Portuese, MD · Answer

Since you're only 37, your skin tone should be acceptable. You could undergo a simple neck lift procedure, which accomplishes removing the fat deposits in your neck located most likely above and below the platysma muscle in your neck, which also includes a platysma plasty to significantly improve your jawline. Three small access incisions are made underneath the chin and behind each ear. No skin removal would be necessary.

Pasha Mostofi, MD, DMD, FAACS · Answer

Hi there, 
Jaw definition can be affected by a few things:
1. The bony position of your lower jaw (mandible) to your upper jaw (maxilla). For example, your mandible could be retruded or protruded or even at be in excess or deficient from a vertical standpoint. It's hard to tell without an x-ray to appreciate your bony relationship. However, from you profile view, it looks like you might be a little deficient vertically, notably in your chin area. This could be address either with a chin implant or some type of jaw surgery if it was deemed appropriate. 
2. Skin laxity. There is some "jowling" that I can appreciate from your profile photo. This can be due to skin laxity with time or again be related to the position of your jaw or chin. Jowling and major skin laxity is addressed is with either a face/neck lift, although, I considering how young you are this isn't something I would recommend right away without a proper clinical workup. 
3. Volume. This is where dermal fillers might help add definition to your lower jaw if you are looking for a less invasive option. Dermal fillers come with there own set up pros and cons, but this is something you could discuss with an experienced injector &/or surgeon. 
My recommendation to you would to be evaluated by a facial surgeon to understand which option could best benefit you in achieving your goals. Hope this helps!

How do I fix my jaw? (Photo)

Answers (15)

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