35 year old with jowls - how can I lift the area? (Photos)

Question

I’m getting married in 7 months and feel self conscious about my Jowls. Is there anything that can help lift them so they look like the image of my pulling my skin upwards?

Yucel Sarialtin, MD · Answer

Hello,
Thank you for your question. At age 35, mild to moderate jowling is often related to early skin laxity and soft-tissue descent. Non-surgical treatments can help improve this to a degree, but it’s important to set realistic expectations.
Treatments such as Endolift or HIFU can be good options to tighten the skin and improve jawline definition. Many patients do see noticeable improvement, especially when laxity is still mild, and these treatments can be done well ahead of your wedding with minimal downtime.
However, the lifted look you see when you pull the skin upward with your hand can only be fully achieved with surgical procedures such as a facelift. Non-surgical options will not create that same level of lift.
That said, Endolift or HIFU can still give you a firmer, more refreshed appearance and may be a very reasonable choice given your timeline.
Warm regards,Op. Dr. Yücel Sarıaltın

Kally Papantoniou, MD, FAAD · Answer

What you’re seeing when you lift the skin with your hands is more than what non-surgical treatments can fully recreate, but you can still get a noticeable improvement.

At 35, this is often more about early loss of support than significant loose skin. Carefully placed filler can help restore structure and subtly lift the area.

Ultherapy can be added for some tightening, but it’s not going to give that same “pulled up” effect on its own.

In many cases, the best result comes from layering—restoring support first, then tightening if needed.

An in-person evaluation will help determine what’s contributing most and how much lift you can realistically achieve before your wedding.

Jaeil Lee, MD · Answer

Congratulations on your wedding! After reviewing your photos again, it appears that your "jowls" are primarily caused by skin laxity rather than excess fat. In this case, liposuction isn't the answer.
To achieve that "lifted" look without surgery, I highly recommend Ultherapy (HIFU). It uses focused ultrasound to stimulate collagen deep within the skin, providing a natural lifting effect over time. Since your wedding is 7 months away, now is the perfect time to start, as the full results typically peak at around 3 to 6 months.
If you need a more immediate "mechanical" lift for the big day, we could also discuss Thread Lifting. I recommend a physical examination to feel your skin's tension and determine the best energy settings for a visible result.

35 year old with jowls - how can I lift the area? (Photos)

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