What kind of treatment would be the best for jowls at 27? (Photo)

Question

Hi, I’m 27 and already have big jowls. What kind of treatment would be the best? A Facelift? A lipo syringe? I look very old with it.

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

Jason Emer, MD · Answer

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Darryl J. Blinski, MD · Answer

Nice posted photo. I would first do facial ultrasound examine to see if buccal fat or sub dermal fat. Then either buccal fat removal/mini anterior facelift with SMAS/both/HA fillers to mid face. Best to virtual consult with...

Mats Hagstrom, MD (license on probation) · Answer

To make an even basic assessment for facial aesthetic purposes we need proper facial pictures which needs to include a full frontal and profile picture.
Most likely you’ll find on profile pictures that your mandible may be slightly small compared to your maxilla. with this facial skeletal imbalance individuals are prone to getting premature double chins, premature jowls, Typically patients with this have a slight overbite dental occlusion and profile pictures will show the upper lip have a more forward projection than the lower lip.
Your face looks pretty normal in the picture you presented.
To make a meaningful assessment we need better pictures
Facial aesthetics in young people is primarily based on bone structure. soft tissue covering is generally very consistent from person to person and it’s not usually what determines if someone is attractive or less attractive, masculine or feminine etc. etc. The characteristics that identify each of us as the unique individual person is primarily determined by facial skeletal structure.
Best,
Mats Hagstrom MD

What kind of treatment would be the best for jowls at 27? (Photo)

Answers (4)

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