How to treat this prejowl sulcus as it impacts my self-esteem and makes me look old/out of proportion! (Photos)

Question

I'm looking to treat this area around my mouth. I've had these lumps once I was a teenager and I'm now 30 and just paying attention to them more. They are significant worse on the left side. What can I do? I look terrible with this. It impacts me every day and I feel I need one perspective on what it looks like.

Camille Cash, MD · Answer

From your photos it appears you are a good candidate for FaceTite.  This procedure will tighten skin up to 40%.  No general anesthesia is required.  The procedure can be combined with Morpheus8 treatments for optimal results.

Jason Emer, MD · Answer

for this area threads, and fillers do best, morpheus and accutite can be used for tightening.  use an MTS roller to tighten skin.

most of my younger patients do buccal fat pad reduction, facetite/liposuction of the neck, and fillers to chin/cheeks/jawline/temples,  to give them a more chiseled face.  see my IG and links. at home derma-rolling should be started to Improve texture and tone and tightening along jawline (see link where we have a recommended daily skincare and weekly MTS + anteageMD derma-rolling protocol).

For facial slimming a combination of treatments are always needed.  Options include:

1. Buccal fat pad removal to reduce fat on the lower face
2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping.
3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender
4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined

most of my younger patients consider...
5. deep microneelding RF like morpheus every 2-3 months forever to further improvement tightening
6. early face/neck lift if you want a really tight contour and the most extreme improvement in jawline and neck shaping
7. threads, PDO or Instalift, after neck surgery/facetite to further improve the outcomes and give them long term collagen production and shaping
8. Thermage (radio frequency heating) and Ultherapy (ultrasound muscle tightening) yearly to prevent sagging in the future

See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option.  Best, Dr. Emer.

How to treat this prejowl sulcus as it impacts my self-esteem and makes me look old/out of proportion! (Photos)

Answers (2)

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How to treat this prejowl sulcus as it impacts my self-esteem and makes me look old/out of proportion! (Photos)

Answers (2)

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.