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

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

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.

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.