Is Botox suitable for women over 70? Would surgery be better? I am not very lined but my jaw line is sagging. (photo)

Botox works well to soften dyanmic lines such as between the eyes, on the forehead, and the Crows Feet area. It is not used to improve skin laxity of the jawline. You can consider Silhouette InstaLift, FaceTite, or a lower face lift as options for this area. I encourage you to meet with a board certified plastic surgeon to discuss your concerns and learn about the options available.

botox is for movement lines not for sagging of the face. yes botox is suitable for any age if you are a candidate but you need more than botox for overall facial optimization and global improvement. at home peels, lasers in office, face/neck lift, and fillers. botox for prevention of movement lines.

if you want a dramatic change necklift/facelift, Implants and fillers will give you that. noninvasive will improve the area and facetite, threads, morpheus, and fillers can be used.  start at home dermarolling to tighten you skin, see emeragecismetics.com where we do free skincare consults daily and recommend emerageskin roller with anteageMD ampules daily (see dermarolling package).

With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer