34 year old with sagging jawline. What's the best non surgical treatment? (Photo)

I am 34, 5'5" and 130 lbs. I am starting to be bothered by a sagging jawline and would like some information about non surgical options to help tighten this area. Open to anything with recovery time up to 4 days but would prefer to start with less invasive options. Please advise.

Doctor Answers 7

Sagging Jawline Options

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Great question! Based on the photos you provided, you appear to be an excellent candidate for NovaThreads, a non-surgical lifting technique. Novathreads are composed of dissolvable PDO suture material that is placed under the skin to procedure temporary lifting results (approximately 9-12 months). The procedure is easy, and performed under local anesthesia in the office. Most commonly, this procedure is used to improve the appearance of the jawline and minimize jowls. Alternatively, you may also be a good candidate for ThermiTight, a procedure that utilizes heat and radiofrequency to tighten the jawline. Both of these procedures are considered non-surgical with little/no down time. I recommend consulting with a board-certified specialist who will be able to evaluate you in person and discuss treatment options that will help you achieve your desired aesthetic.

Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 72 reviews

Treatments for Lowerface

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We offer a variety of non surgical treatments that improve jowls and the lower face. Coolsculpting and Kybella are excellent for submental fat reduction, injectable fillers can help improve the jawline, and non surgical tissue tightening with Ultherapy and ThermiRF are effective technologies. I would recommend an in person exam to determine your candidacy.

Dr. Leonard Lu

Non-surgical treatment for jowls

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For a truly nonsurgical treatment, the Apollo tripollar radiofrequency treatment is an effective technique for reduction of fat under the skin, that is responsible for the fullness along your jawline, as well as simultaneous skin tightening. The treatment is a painless office procedure with no recovery time. 6-8 treatments will be necessary at weekly intervals. Some improvement can be visible immediately but the results are usually more gradual, with final results being evident 4 -6  months after completing the series of treatments. A maintenance treatment every 4-6 months helps to maintain the improvement.  If you are open to a surgical technique liposuction with a small cannula will improve the contour of your jawline with limited downtime and very little risk in experienced hands.

Renuka Diwan, MD
Cleveland Dermatologic Surgeon

Indications of a Facelift vs Nonsurgical Candidate

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A #facelift is a surgical procedure designed to remove the major folds and wrinkles that form on our faces with age. Gravity, sun damage, smoking, living in a dry climate, and a variety of factors contribute to the aging process of our faces. Facelift techniques vary from patient to patient to give each person a procedure tailored to produce the best possible surgical result. A facelift will smooth out major folds and #wrinkles, #tighten the tissues beneath your skin, remove #sagging and excess skin. A facelift can also reduce excess skin around the #neck and #jawline.  There is not just one facelift procedure, but a whole range of #facelift procedures. These different techniques have been developed over the years, involving different incisions and lifting the skin to varying degrees. A facelift may also involve the tightening of certain muscles and tissues, or liposuction of areas such as the jowls or chin.

It is important to understand that facelifts are meant to remove major folds and wrinkles, not fine wrinkles. A facelift which removes every line and fold would be too aggressive and would result in an unnatural result. Fine lines and #wrinkles are better addressed by skin treatments such as chemical peels or microdermabrasion, which we also offer at our office.

During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.

Contouring of mild neck and jowl defomity

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Based on your photos I believe that the most predictable result could be achieved with conservative lipo-sculpting of neck (submental area mostly) and jawline (jowls) using small cannula. Recovery time may be slightly longer but in experienced hands there is much better control of result this way than using non-invasive techniques that rely on chemical lipolysis or wave therapy.

You should seek a consultation with a board certified plastic surgeon(s) with experience in different surgical and non-surgical  techniques before making final decision. Good luck.

Zoran Potparic, MD
Fort Lauderdale Plastic Surgeon
5.0 out of 5 stars 19 reviews

Sagging jawline and non-surgical options

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There are several non-surgical options to improve one's jawline.  Kybella injections to remove excess fat with skin tightening.  Fillers may help contour the jawline and lift tissue to improve sagging.  Chemical peels and laser help to tighten the skin.

Poor jaw line

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Excess of fat under the jaw can be treated non-invasively With the use of Kybella.It is an injection to dissolve the fat and will improve the jaw line.


Dr. J

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.