Jowls worse after jawline fillers three years ago. Will dissolving old filler fix jowls? (Photo)

Question

I’m in my 50s. 3 years ago I got jawline fillers (Voluma XC). My jowls are worse, could dissolving help my face go back to its old shape?

Frank Agullo, MD · Answer

Dissolving old jawline filler is usually the first move, not the last. Filler placed three years ago is rarely gone. Hyaluronic acid sticks around far longer than the marketing claims, and on the jawline it migrates downward over time, settling into the prejowl sulcus and amplifying the shadow you read as jowls.

Hyaluronidase (Hylenex or Vitrase) in the office can dissolve a meaningful amount in two visits, two weeks apart. Many patients are surprised at how different the jawline looks at week four, often softer and tighter rather than emptier.

After the slate is clean, the real question is whether your jowls are mostly a soft tissue laxity story (treat with RF tightening, deep plane facelift, or FaceTite) or a fat redistribution story (re inject conservatively along the jaw with structural product). Most patients are a mix.

#StayBeautiful,

@RealDrWorldWide

Nelson Lee Novick, MD · Answer

Yes, that's right. You might actually need a robust HA filler cheek augmentation and/or posterior jawline HA filler contouring to address the current problem. 
A full face front face photo and a full profile profile would be extremely helpful to determining how best to address the jawline jowls.
Since the cheeks provide lift to the lower face, it there is volume deficit in the cheeks, then addressing this issue with the use of a robust HA lifting filler would by itself help the lower face and straighten the jawline. Volume loss in the posterior region of the face, near the ears, may also do so, And, the use of a robust HA contouring filler in that region can also help to straighten a saggy jawline. 
Frankly, it is quite possible that these may have all that was needed in the first place, without the need for an anterior jawline volumizing filler. 
You would be wise to consult with an experienced, board certified cosmetic dermatologist filler injector expert. Hope this helps and best of luck.

Camille Cash, MD · Answer

The jowls are a result of skin laxity.  To correct them you want to address this through skin tightening.  This can be done through surgical options like a facelift or you can consider less aggressive options.  The correct procedure will depend on your goals for treatment.  Non surgical treatments to consider include FaceTite and Morpheus8.  These treatments are great for those who are not yet ready for a surgical facelift but would like some improvement to skin laxity.  See a board certified plastic surgeon near you to learn more.

Darryl J. Blinski, MD · Answer

Photo shows jowls agreeing that need laser Junera treatment to tighten 
Fee $10,000. Best to virtual consult with.

Jowls worse after jawline fillers three years ago. Will dissolving old filler fix jowls? (Photo)

Answers (4)

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