Saggy jawline? Not sure what to do about it (Photo)

Question

I can only see it in certain lights. But I feel it. There’s this lump near the center of my cheek, only on one side of my face, like my cheek muscle is sliding down my face. What could be causing this? Just age? I lost a lot of weight recently (around 25 lbs), so maybe that? What procedure could help it feel/appearance? I’m afraid of chin lipo just accentuating that area. Thank you. F,26,146lbs,5’8”.

John Michael Thomassen, MD · Answer

The jowl area is hard to correct with just fillers.  If you have lost weight, the best option would be a mini lift.  It would lift your cheeks and jowls and tighten your neck as well.

Cagil Meric Erenoglu, MD · Answer

If you can point where you're considering about, I may help better.
If it is the jawl area a thread lift (temporary solution) or an endoscopic lift may be of help permenantly. 
If it is the buccal area, a bichectomy will help.

Camille Cash, MD · Answer

From your photos it does appear you have some jowling.  You may consider FaceTite which uses RF technology to tighten skin up to 40%.  Results can be enhanced by adding Morpheus8 treatments to improve overall skin tone and texture.

Arian Mowlavi, MD, FACS (license on probation) · Answer

You have minimal to moderate saggiiness and fullness in your neck which can be corrected witih high definition liposuction using VASER and Renuvion skin tightening. Please consider a virtual consultation with a high definition expert to get a more accurate recommendation.

Mats Hagstrom, MD (license on probation) · Answer

There are a few things that are contributing to your individual facial contour.

Each individual person‘s facial contour or individual “look” it’s primarily determined by skeletal structure.

Soft tissues tend to be very consistent and it is bone structure that makes each person unique and recognizable.

On the lower 1/3 of the face the maxilla is the dominant bone that has the greatest impact. When the Mandible  is undersized compared to the Maxilla the platysma muscle tends to drape the neck in a more oblique fashion causing the following characteristics to happen prematurely. Premature jowls, a less defined jawline, formation of a double chin, and dental overbite occlusion, profile pictures that show the upper lip having more forward projection than the lower lip.

25 pounds is the substantial weight loss and well most people look better being at a lean healthy weight and some people can have facial implications.

A jaw advancement(different than a chin augmentation) is beyond what most people are willing to undergo but your problem if you wanna call it a problem stems from the relationship between your mandible and your maxilla.

In regards to my reasonable approaches fillers around the chin (especially pre-Jowell sulcus) can be helpful as can  liposuction of the chin and neck.

We need standard pictures to make a good assessment but it’s in augmentation may or may not be appropriate as well.

It’s possible to have a Mandible that is small and lacks size and projection and still have a pointed chin.  this facial skeletal combination is difficult to work with and often leaves providers perplexed of what the problem is or what to do.

It is the underlying fundamental reason for you posting your question on real self.

Expect to get different opinions from different providers for this.

Most people will look at soft tissues and not skeletal structures as the problem and solution.

Consider consulting with some oral surgeons or plastic surgeons for the cranial facial surgery backgrounds.

They tend to see things more from a bone first perspective.

I understand clearly that most people are apprehensive of having craniofacial surgery.  it is however important to understand what the primary problem is because it helps people except the limitations of treatments that don’t address the primary problem.

To get at least different opinions consult with local board-certified plastic surgeons, facial plastic surgeons and I would suggest maybe a couple of oral surgeons in your community and see what each has to say.

Like I said, expect different opinions and a bit of diversity in explaining why certain treatments may be better.

Best,

Mats Hagstrom MD

Saggy jawline? Not sure what to do about it (Photo)

Answers (5)

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