Think I'm developing premature jowl sagging at 22. Is it what they call "smart phone face"? What is the best treatment? (photo)

Question

In good lighting you can see a bit a excess fat and sagging skin on my lower cheek parts. It's more noticable on the right side of my face and I think it's because I usually sleep on my right. I'm only 22 and I recently noticed this but when I look at older pictures I guess it has been like this for at least 2 years?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

There are a lot of options for improving this area and this often means fillers for the folds themselves but also lifting around the mouth and cheeks to build underlying anatomical support. In our practice we combine sculptra with other fillers "layered" on top and lasers, rf treatments/ultherapy and peels to get the most conservative natural look. Please see a facial sculpting expert. Best, Dr. Emer

Laura Riehm, MD · Answer

Thanks for your question and posting a picture.  If you have some fat under your chin, you may be a candidate for Kybella.  I think more likely, it is just a bit of skin laxity that at your age can usually be tightened with a series non-invasive bulk heating treatments.  These treatments go by various trade names, but mostly do the same thing with different little twists.  Treatment prices and discomfort levels vary greatly.  We choose Pelleve for skin tightening because of the affordability of treatments and zero discomfort.  Best of luck.

Think I'm developing premature jowl sagging at 22. Is it what they call "smart phone face"? What is the best treatment? (photo)

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