I'm developing slight jowls at 42 and freaking out! Any suggestions? (Photos)

Question

Hi I have put on some weight in the past couple of years and recently have begun to notice slight jowls that are appearing on my face. I can’t tell if this is because of the weight gain or my skin is starting to sag and I would love to know some remedy to this, is it surgery? I’ve also developed fine lines on my forehead and I don’t know if Botox is the answer? I’ve never had any of these procedures on my face before and I’m concerned that it should not look on natural with weight loss or gain.

David Parizh, DO · Answer

As we age we have the above mentioned concerns: jowling and increased laxity of the skin. This accentuates the cervicomental angle and blunts it. You can have hollowing under your eyes. Your brows may drop. A comprehensive discussion addressing the above concerns is key. Botox may be sufficient for your forehead with a laser peel. The neck in my opinion is almost always best treated by a surgeon who can address the superficial (skin, subcutaneous fat) as well as the platysma and deep neck anatomy (submandibular glands, interdigastric fat and digastric muscles). Each patient has different needs and goals. The jowls are best treated with a facelift. There are many modalities that will temporize your concerns. Seek out a good surgeon who can not rush and go into further detail to your specific needs. Unfortunately, there are no good shortcuts. Best of luck on your search! If I can answer any specific questions do let me know!

Jason Emer, MD · Answer

In our practice, we perform a non-surgical face lift / skin resurfacing treatment using Renuvion Helium Plasma Radiofrequency. ​To get the most improvement with skin tightening, we combine Renuvion (formerly J-Plasma) with lasers (Fraxel, Clear + Brilliant, CO2), microneedling/PRP, Ultherapy and InMode FaceTite. I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​

Jonathan Kulbersh, MD · Answer

Thank you for your question. Facial liposuction may be a good option to help reduce the appearance of jowls and reveal a more contoured jawline. You might also benefit from some filler along the jawline to enhance definition or a skin tightening treatment like RF microneedling to firm up the skin in this area. For fine lines on the forehead, an injectable neuromodulator treatment such as Botox Cosmetic® can relax the facial muscles for a smoother complexion. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your needs on a more individual basis and reaffirm which treatment options might be best for you.

Jeffrey H. Spiegel, MD · Answer

Hi - well, time catches up with everyone and you're going to start seeing changes with aging.  It's not too late to slow these down, though.
For your forehead:  botulinum (such as botox) is a great place to start.  It will help but you should stick with it.
For the early jowls and your neck (which is coming down as well) you could get a facelift, or, you could do something called "embrace".  This is an office procedure that takes about an hour and will tighten the skin and neck.

Darryl J. Blinski, MD · Answer

You need in person or virtual consults with... I recommend mini FL/NL SMAS plication/HA fillers/sub mental liposuction to attain better results. Fees in the $10,000+ ranges.

I'm developing slight jowls at 42 and freaking out! Any suggestions? (Photos)

Answers (5)

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