Jowls Are Starting to Appear, What Are The Best Options?

Thank you for your question!  FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime. Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Great Question!
As we age the skin envelope and the underlying retaining ligaments of the skin loosen.  This leads to decent and drop of our cheek fat pads. Gravity is undefeated!!!  Bone also atrophies (gets smaller) which leads to a less prominent jawline and can lead to jowl formation.
Depending on the deficit, your age, and your desire for results there are numerous treatments for this issue.  Proper diagnosis by a Board Certified Cosmetic Surgeon is of the utmost importance.
If the soft tissues of the mid-face are in adequate position, and your chin is slightly deficient, a chin implant can be used to strengthen the jaw line and fill the pre-jowl sulcus.  This procedure has relatively little down time and the incision can be placed in the mouth or underneath the chin.
In other patients who have more ptotic (droopy) skin, and soft tissue, a face-lift, with emphasis on mid-face rejuvenation may be a better option. If the problem is more within the neck and overall the neck is full with poor jaw definition, neck and jowl liposuction may be used to highlight the mandible.  
In younger patients with more minimal complaints, fillers can be used to strengthen the jawline and fill the pre-jowl sulcus.  
Every patient is different, and your surgeon should be able to present you multiple options, and explain the advantages of one technique over another.  
Best of luck!
Dr. John R. Nesiba

As we age unfortunately things like jowls happen.  Good news though, there are options.  Depending on your age and treatments that you have tried in the past would depend on whether I would recommend a face lift.  I like to use fillers first to see if this improves the problem and to see how long it may last for each individual.  If fillers last 6 months or more then that would be a good option for you to keep from going under the knife.  The filler that I recommend for treatment of this area are normally a series of Sculptra treatments or Restylane Lyft to the cheeks to help provide fullness and decrease the appearance of the jowls.  If you would rather not do fillers since they are only temporary, then a face lift may be an option for you.  You should visit an experienced plastic surgeon to discuss these options and see which one he recommends for you.