Why Does my Face Look So Saggy and Bottom Heavy? Options? (photo)

Liposuction of the jowls and jawline under local anesthesia for roughly $2500 makes a great improvement and is so easy to undergo and you are back to work in 1-2 days with almost no bruising with our special dressing. Sincerely,

David Hansen,MD

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

The lower jowling that is present could be addressed with a mini-lift with special attention to tightening up the jowls present.  Overall skin tone looks fine  otherwise

When we are younger our faces are more oval shaped, as we age it becomes more box shaped causing drooping mouths and square shaped jawlines etc.  A lift is sometimes recommended depending on the severity of the sagging skin. Other options are facial fillers to re-volumize for a more youthful appearance.

The photos show some excess fat in the lower face causing some jowling and marrionette lines.  Either filler to the Marrionette lines , removal of some of the fat or a minimal incision Face Lift to tighten up the jowls could be considered but this would best be addressed during an in person consultation IMHO.