Which is better, a lower face lift or will something like restylane or juvederm work better?
Answer: Fillers for early jowling
There is a period of time between when the dreaded jowls start to show up and the time when surgery is warranted.
During that time, fillers such as Juvederm placed carefully along the jawline and in areas of hollowness in the face can go a long way.
Minimally invasive treatments such as fractionated laser, radiofrequency tightening procedures, chemical peels can all help.
Regular skin care and microdermabrasion treatments and a retinoid if appropriate are also helpful.
Patients should maintain optimal physical fitness to avoid excessive jowling that comes with frequent yo yo weight gain/loss patterns.
Patients should also avoid sun exposure and cigarette smoking, but I am nagging.
Minilifts should be carefully considered. As you can see from the posts, minilifts are not minimally invasive procedures that lower trained doctors do as an alternative to traditional facelift surgery. They are in fact real surgery. They leave real scars. They cause real pain. Minilifts performed on younger patients need to have an exceptional skill level to avoid detection. They should be performed by surgeons skilled in and experienced with full facelift surgery.
Even doing that facelift eventually doesn't mean the patient will no longer require maintenance; this will still be necessary for the patient who will not go down without fighting.
People who look absolutely fantastic for their age usually do many of the things above.
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CONTACT NOW Answer: Fillers for early jowling
There is a period of time between when the dreaded jowls start to show up and the time when surgery is warranted.
During that time, fillers such as Juvederm placed carefully along the jawline and in areas of hollowness in the face can go a long way.
Minimally invasive treatments such as fractionated laser, radiofrequency tightening procedures, chemical peels can all help.
Regular skin care and microdermabrasion treatments and a retinoid if appropriate are also helpful.
Patients should maintain optimal physical fitness to avoid excessive jowling that comes with frequent yo yo weight gain/loss patterns.
Patients should also avoid sun exposure and cigarette smoking, but I am nagging.
Minilifts should be carefully considered. As you can see from the posts, minilifts are not minimally invasive procedures that lower trained doctors do as an alternative to traditional facelift surgery. They are in fact real surgery. They leave real scars. They cause real pain. Minilifts performed on younger patients need to have an exceptional skill level to avoid detection. They should be performed by surgeons skilled in and experienced with full facelift surgery.
Even doing that facelift eventually doesn't mean the patient will no longer require maintenance; this will still be necessary for the patient who will not go down without fighting.
People who look absolutely fantastic for their age usually do many of the things above.
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CONTACT NOW Answer: Jowls Hi @RealSelf Admin. Three great options for jowls include PDO threads, dermal fillers, and Morpheus 8. I recommend an in person consultation to explore the best treatment option for you. Best of luck, Dr. Nima
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CONTACT NOW Answer: Jowls Hi @RealSelf Admin. Three great options for jowls include PDO threads, dermal fillers, and Morpheus 8. I recommend an in person consultation to explore the best treatment option for you. Best of luck, Dr. Nima
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December 29, 2020
Answer: Multiple treatment options for jowl formation Thank you for your question. The best treatment for you will depend on the severity of your skin laxity and jowl formation. Most patients do not need to move to surgery right away if they treat the problem early. In this case, injectable dermal fillers can often be used to restore definition to the jawline and eliminate the jowls. Since jowls often form as a result of volume loss in the midface, we can also add some filler to the cheek area for additional lift and smoothing. Another option might be RF microneedling, which boosts collagen levels in the dermal structure to tighten the skin from the inside out. Once the skin laxity and fat repositioning become severe enough to warrant surgery, make sure you work with a very experienced, board-certified facial plastic surgeon to ensure the best possible result.
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CONTACT NOW December 29, 2020
Answer: Multiple treatment options for jowl formation Thank you for your question. The best treatment for you will depend on the severity of your skin laxity and jowl formation. Most patients do not need to move to surgery right away if they treat the problem early. In this case, injectable dermal fillers can often be used to restore definition to the jawline and eliminate the jowls. Since jowls often form as a result of volume loss in the midface, we can also add some filler to the cheek area for additional lift and smoothing. Another option might be RF microneedling, which boosts collagen levels in the dermal structure to tighten the skin from the inside out. Once the skin laxity and fat repositioning become severe enough to warrant surgery, make sure you work with a very experienced, board-certified facial plastic surgeon to ensure the best possible result.
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February 28, 2020
Answer: Mini Facelift & Mini neck lift -- FaceTite RF for internal skin tightening + Neck Liposuction for definition/contouring 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
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CONTACT NOW February 28, 2020
Answer: Mini Facelift & Mini neck lift -- FaceTite RF for internal skin tightening + Neck Liposuction for definition/contouring 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
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January 28, 2020
Answer: Lower face lift Hello and thank you for your question. There are many non-surgical options to help maintain volume and keep the face "lifted". Without an in person consultation, it is hard to make recommendations. We provide collagen building procedures such as thermage with an injection of sculptra. Both are stimulating collagen to smooth and lift the face and neck. This is done yearly with an injection of sculptra monthly until you have reached your goal. Results are visible in 3-6 months. For a more immediate result, fillers are a great option. Voluma in the cheeks can create a more lifted, youthful appearance while shaping the face and defining cheek bones. Voluma is a thick filler lasting up to 18 months. Voluma can also be utilized to shape the jawline and smooth the appearance of jowls. Vollure, which is a medium thickness filler, can improve lines around the mouth and the lips. Vollure can also help "lift" the areas treated. Vollure lasts up to 10+ months. Finally, volbella, volbella is a very thin, smooth product best used under the eyes, around the mouth to soften lip lines and define the lip border. Volbella can be placed in the tear troughs to decrease hollowness and shadowing under the eye. Volbella also can smooth out lines in the lips as well as define the lip border. Volbella also lasts 10+ months. All of the procedures can be done to create a nice balance of the face while remaining natural and elegant. Be sure your provider has experience and is board certified!
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CONTACT NOW January 28, 2020
Answer: Lower face lift Hello and thank you for your question. There are many non-surgical options to help maintain volume and keep the face "lifted". Without an in person consultation, it is hard to make recommendations. We provide collagen building procedures such as thermage with an injection of sculptra. Both are stimulating collagen to smooth and lift the face and neck. This is done yearly with an injection of sculptra monthly until you have reached your goal. Results are visible in 3-6 months. For a more immediate result, fillers are a great option. Voluma in the cheeks can create a more lifted, youthful appearance while shaping the face and defining cheek bones. Voluma is a thick filler lasting up to 18 months. Voluma can also be utilized to shape the jawline and smooth the appearance of jowls. Vollure, which is a medium thickness filler, can improve lines around the mouth and the lips. Vollure can also help "lift" the areas treated. Vollure lasts up to 10+ months. Finally, volbella, volbella is a very thin, smooth product best used under the eyes, around the mouth to soften lip lines and define the lip border. Volbella can be placed in the tear troughs to decrease hollowness and shadowing under the eye. Volbella also can smooth out lines in the lips as well as define the lip border. Volbella also lasts 10+ months. All of the procedures can be done to create a nice balance of the face while remaining natural and elegant. Be sure your provider has experience and is board certified!
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October 29, 2019
Answer: Jowling 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
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CONTACT NOW October 29, 2019
Answer: Jowling 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
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