Options for sagging cheeks and droopy jowls? (Photo)

Question

I'm almost 42 and have become really bothered by my droopy, always tired looking face. In particular, I'm bothered by increasing asymmetry, bottom heaviness, dark circles, and, most of all, nasolabial and marionette lines/shadows. And my neck! I had Voluma done well by an excellent doctor several years ago, but I hated it. Last year, I did Sofwave with good, but subtle results. I'd like to avoid fillers and get the most longterm bang for my buck. Suggestions?

Nima Shemirani, MD · Answer

Hi @E_80. Thank you for sharing your photos. I recommend a combination of PDO threads and Morpheus 8.

Best of luck,

Dr. Nima

Jason Emer, MD · Answer

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. Cheek augmentation with implants can increase the projection of the cheekbone to create balanced facial proportions and long-lasting results. Silicone implants are ideal for adding fullness and definition to the cheek area as they are safe and easy to customize.
This procedure can also be combined with either a mini-facelift to reduce jowl formation and mild skin laxity, or properly administered dermal fillers to treat the dark circles and marionette lines you're referring to. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to conduct a thorough physical examination and determine the best approach to help you achieve your aesthetic goals.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photos. There are many options available to help elevate your cheeks, jowls and neck. Most of the technology available seem to have mixed results. I still feel fillers and thread lifting stand the greatest chance at improving your problems. Make an appointment with an oculofacial surgeon for comprehensive evaluation and guidance. Good luck!

Darryl J. Blinski, MD · Answer

You have mostly used all non surgical options. Now must consider surgery. Mini Face/Neck lift with SMAS plication & nano fat grafting to many areas of fat along with rhinoplasty. Fee $20,000. Best to virtual consult with...

Options for sagging cheeks and droopy jowls? (Photo)

Answers (5)

Answer: Treatment for sagging face

Answer: Treatment for sagging face

Answer: Options for sagging cheeks and droopy jowls?

Answer: Options for sagging cheeks and droopy jowls?

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Everything you need to know about Cheek Lift

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

Options for sagging cheeks and droopy jowls? (Photo)

Answers (5)

Answer: Treatment for sagging face

Answer: Treatment for sagging face

Answer: Options for sagging cheeks and droopy jowls?

Answer: Options for sagging cheeks and droopy jowls?

Browse related questions

Recommended reading

Everything you need to know about Cheek Lift

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