Will Ultherapy help 'pull back' my jowls? (Photos)

Question

33 F. I noticed that the skin around my jowls/chin are kind of thick and I can grab some to pull it back to achieve a tighter/leaner look around my jaws (I already have a more square-ish jawline). I think it's too early for a mini-lift as I don't have laxity overall. I just want to "pull back" my jaw line a little bit. Would Ultherapy help, or should I go with threads, or something else?

Jason Emer, MD · Answer

the pulling you are doing is a facelift result. if you okay with slowing down the sagging and tightening slightly then in office morpheus, threads, and thermage/ultherapy will help. if you want a little more than that facetite will help. you need at home dermarolling starting now (see link).

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 morpheus 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.

Raffy Karamanoukian, MD, FACS · Answer

Ultherapy  is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy  is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 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.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Paul Flashner, MD · Answer

Hello Terrific9158- thank you for your question!  Ultherapy is a non-invasive and non-surgical alternative to a facelift.  It will help lift, tighten, and stimulate deep skin tissues to boost your collagen levels.  This will provide you a firmer, more youthful look.  Ultherapy would be a great procedure to help lift and tighten your jowls.

Will Ultherapy help 'pull back' my jowls? (Photos)

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Will Ultherapy help 'pull back' my jowls? (Photos)

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