Non-surgical Procedures to Fix Sagging Jaw Line?

Question

I'm 52 years old. My skin's started to look saggy, specially around my chin and jaw line. Is there any non-surgical treatments to tighten my skin? How much does it usually cost around the Washington DC area? I'd appreciate any info.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Daniel Shapiro, MD · Answer

Thank you for your question. I would suggest Ultherapy for facial skin tightening. Ultherapy deposits focused ultrasound energy below the surface of the skin to stimulate the body’s creation of new collagen. As a result, skin will actually begin to lift and tone over time. Collagen is a natural protein that gives skin its youthfulness by keeping it firmed, toned and elastic. Plus, the treatment is completely non-invasive and does not require downtime. I have seen excellent results with the treatment.

George J. Beraka, MD (retired) · Answer

Hi!
1)  Thermage,  WHEN PROPERLY DONE, can help to clean up and tighten the loose jawline.  Almost everyone gets improvement, but the improvement can be major or subtle.  So you have to have realistic expectations.  See the link below.
2)  Injecting Radiesse or Juvederm between the chin and the jowl (in the "pre-jowl sulcus") can create a much smoother jawline.
3)  In New York, we charge $2500 for Thermage.  It only has to be done once, you see the peak effect in 4 to 6 months, and the result is long lasting.

Barry H. Dolich, MD (retired) · Answer

In a 52 y.o person with jowels and sagging submental skin hte best and most long lasting results still require surgery to repair the underlying  muscles and fascial supports.
In my experience, over30 yrs., lasers and chemical peels are valuable adjuncts but  they cant produce the results of a multi plane face lift.

Non-surgical Procedures to Fix Sagging Jaw Line?

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