My face has really began to sag and just look tired. What will be best for my sagging jowls and under eyes? (Photo)

Question

I really hate my jowls I feel like they are pulling my whole face down. I purchased a botox packages thinking I need my Masseter muscles injected but after further research I think I may be wrong. I think I may need fillers in my cheeks and under my eyes instead. with this help my sagging jowls that look like they are just pulling my whole face down and blend right into my neck. I have a bad ice chewing habit that I think helped contribute to this and I am currently trying to break it.

Nima Shemirani, MD · Answer

Hi @jackspot. Thank you for sharing your photos. I recommend a combination of dermal fillers and a skin tightening procedure like Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Best of luck,

Dr. Nima

Brian Maloney, MD, FACS · Answer

Fillers under the eyes and in the cheek can help soften the tiredness and lift the cheek. You dentist will be glad to hear you are beating the ice chewing habit!! You could consider Sculptra, or a hyaluronic acid filler to help define the jaw line where you are beginning to loose some structure, especially at the back of the jaw and corner of the mouth.  Regarding treatment of the jowls and neck, there are several options; facial liposuction alone, facial liposuction with thermi RF, or a facelift. I would suggest consulting with a couple plastic surgeons that specialize in the face to determine which options may be most appropriate for you.

Jason Emer, MD · Answer

you really need a combination of fillers, lasers and skin tightening. I suggest you see a facial sculpting expert to get you options for these treatments in combination or even surgical approaches.  Best, Dr. Emer.

Clifford Albert, MD · Answer

All treatments should be based on the 4 R's
Relax the wrinkle with botulinum toxin
Refill the line with a long term filler like Radiesse
Repave with lasers
Repair with surgery if you need to.
A combined approach is necessary.no single treatment does everything

David Hansen, MD · Answer

Liposuction of the jawline/neck/jowls will give the biggest improvement and is so easy to undergo. You can drive yourself home and be back to work in 1 day.

My face has really began to sag and just look tired. What will be best for my sagging jowls and under eyes? (Photo)

Answers (8)

Answer: Sagging

Answer: Sagging

Answer: Liposuction of the jawline/neck will usually give the biggest improvement and is easy.

Answer: Liposuction of the jawline/neck will usually give the biggest improvement and is easy.

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.

My face has really began to sag and just look tired. What will be best for my sagging jowls and under eyes? (Photo)

Answers (8)

Answer: Sagging

Answer: Sagging

Answer: Liposuction of the jawline/neck will usually give the biggest improvement and is easy.

Answer: Liposuction of the jawline/neck will usually give the biggest improvement and is easy.

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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.