59 years old- What would be the best treatment to treat my jowls? (Photos)

Hello and thank you for your question and pictures! A Mini Facelift can usually be an option on most realistic patients anytime after the age of 35-40. It really depends on your anatomy and genetics. It is best to talk to your surgeon because everybody has different techniques and recovery time is usually based on a number of factors. If we are just talking about a short scar facelift, this can typically be done in the office under local anesthesia. I strongly feel that it's very important to have an honest conversation with your surgeon about your particular situation, lifestyle, work environment and specifically which procedures you're having done so that you both have the most honest answer about your recovery and are realistic with expectations and results. Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the jowls.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

First, congratulations on the weight loss. A robust HA filler injected appropriately to the upper outer cheek region would help to provide cheek projection and volume and create a more oval, heart-shaped face. Likewise, a robust HA filler injected appropriately in the region of the posterior angle of the mandible would help to straighten and define the jawline, lessening the jowl formation there and even to some extent improving the upper neck region immediately below below. A less robust, more cohesive HA filler fanned through the region immediately around the mouth would help to lessen the crepeyness and parallel laugh lines that are visible in the profile photo. And finally, an even lighter HA skin booster could be injected in the next region to diminish the cords and crepeyness there. Be wary of the claims you will no doubt encounter for the purported benefits of relatively expensive fraxel lasers, RF or ultrasound devices. Unfortunately, the hard science to date to support these claims lags woefully behind the advertising and media hype that promotes them. Make sure to consult with a board certified cosmetic dermatologist and ask to see his/her personal before and after photos before agreeing to proceed. Best of luck.