What’s the best treatment option for my sagging jowl? I’m a 28 year old female. (Photos)

Question

I started noticing sagging in my jowl this year. The weird thing is, the sagging is only in the right side of my face. It’s still nice and perky on the left side. I’m overweight (5’4”, 170 pounds), and wonder if losing the weight could reduce the noticeability of the jowl? Also: why did this happen so early? Stress? Lifestyle? I work a computer job, so I’m wondering if this could be screen face? Also, should I consider cool sculpting, fillers or something similar?

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your question and pictures.  Yes, losing weight can help change the shape of your face.  I would suggest trying to lose the weight first and possibly try some cheek fillers.  These are temporary but will help to add some volume and symmetry to your face.  You could have some liposuction under the chin and jawline to contour and give more of an L shaped neck and really define the jawline which is very slimming.  Please have a consultation with a board certified plastic surgeon.  All The Best

Jed H. Horowitz, MD, FACS · Answer

Hello cfaulknI would advice you visit a board certified plastic surgeon fo physical examination to help you make the right decision.

Chad K. Wheeler, MD · Answer

there is a variety of causes to jowls in youth.  Significant weight gain or loss is probably the most common.  I suggest obtaining an ideal weight before attempting to address the jowls as future weight loss may have an impact on the appearance.  Jowls older people is often a sign of bone loss in the face and lack of support which can be addressed with facial fillers and surgery but this does not appear to the case here.

Sabrina Fabi, MD · Answer

There could be many reasons at the root of your sagging. The foods you eat, stress levels, amount one sleeps and the amount of exercise you get can have a negative impact on your bone and skin quality. If you smoke, your skin dries and thins out at a younger age than in nonsmokers, for instance. 
As for your immediate problem, Sculptra or Voluma in the midface could add back some of the volume you lost and thus remedy the sagging and early jowls. Ultherapy can also contour and lift the face. Consulting a board-certified dermatologist will let you get some more specific remedies that not only solve this particular problem but ensure that your skin remains in good shape through the coming years.

What’s the best treatment option for my sagging jowl? I’m a 28 year old female. (Photos)

Answers (10)

Answer: Jowls in youth

Answer: Jowls in youth

Answer: Sagging Jowls at 28? Use Fillers and Lasers to Resolve Early Jowls

Answer: Sagging Jowls at 28? Use Fillers and Lasers to Resolve Early Jowls

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What’s the best treatment option for my sagging jowl? I’m a 28 year old female. (Photos)

Answers (10)

Answer: Jowls in youth

Answer: Jowls in youth

Answer: Sagging Jowls at 28? Use Fillers and Lasers to Resolve Early Jowls

Answer: Sagging Jowls at 28? Use Fillers and Lasers to Resolve Early Jowls

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Recommended reading

Everything you need to know about Cheek Lift

Our mission is to create a world where every investment in modern beauty is Worth It.