Saggy skin around jawbone in early 20s. Any recommendations on treatments? (photos)

Question

Hello. I’m in my early 20s and I have a problem with my jawbone. I think it’s excess of skin and I’m trying to work out which procedure would led to eliminate my problem. Two first photos are of how it looks now, last photo is the effect I would like to archive. I would appreciate any recommendations on the treatment. Thank you

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. I am going to disagree with you. If you are in your early 20s, this is not a skin problem unless you have some type of collagen disorder. You are much too young for skin laxity. This is either an anatomical problem such as your bone structure, or another issue such as fat pads or distribution. You need an in-person exam with a board-certified plastic surgeon for an exam and evaluation before you do anything. Do not let someone sell you some kind of BS skin tightening procedure when that is not at all what you need, that is just a way to take your money. Good luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

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

Michael A. Persky, MD · Answer

Hi Loving,I would treat you with a conservative Ultherapy treatment which will tighten the skin and muscles of your face and neck as well as giving you definition of your jawline.  I would also consider Botox to your masseter muscles to narrow your posterior lower jaw area resulting in a more V-shaped face.  Choose your treating physician most carefully.  Good luck and be well.Dr. P

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.  Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Michele S. Green, MD · Answer

I would recommend a combination of Thermage to tighten the skin in the neck and Botox in the neck and masseter muscles to reduce them in size.  You are a young girl and I wouldn't do anything drastic to treat this.  Please consult an expert in these procedures for the best cosmetic results. Best, Dr. Green

Saggy skin around jawbone in early 20s. Any recommendations on treatments? (photos)

Answers (5)

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