Of Facetite, Ultherapy, Ultracel and HIFU, which will have the most improvement and longest lasting results for jawline sagging?

Question

My skin is sagging around the jaw line and I'm looking for advice on best treatment for tightening this area. I am in my mid 40s and the skin sagging at the jaw line is probably due to a combination of ageing and weight loss. I have been considering a treatment to tighten the lower part of my face such as Facetite, ultherapy, Ultracel or HIFU. I have received conflicting advice and find the information available online confusing. Which of those 4 treatments are likely to bring the more significant improvements and the longer lasting results?

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

Nelson Lee Novick, MD · Answer

Without at least photos, it is difficult to comment in any but the most general terms. However, what I can say is that many of the so-called "next big thing" devices, such as the ones you mention, are relatively expensive bells and whistles that are far more supported by device manufacturer backed marketing hype than hard science. So, be very wary in evaluating the claims for these devices and do your due diligence before agreeing to go forward with one or the other of them. By contrast, in experienced hands, the use of volumizing fillers to shape and contour the face (e.g. The Nonsurgical 3D Vectoring Facelift) can not only achieve significant improvement in the mid-face, but secondarily improve saggy, jowly jawlines. In select cases, direct improvement can also be achieved by their appropriate use along the jawline. Results may last up to 1.5 years for the direct treatment of the jawline and up to 2 years when the mid-face is treated. What's more, treatment usually results in immediate "Wow!" results. In my NY office, I typically choose Voluma XC for these purposes, while in my Israel satellite facility, where a far greater number of regulatory agency approved volumizing fillers are available, I typically choose Stylage XXL for the mid-face and Neauvia's Intense Flux for the jawline. Make sure that you are consulting with a board certified aesthetic physician and ask to see his/her personal before and after photos before agreeing to proceed. Best of luck.

Jason Emer, MD · Answer

In our practice, we perform a non-surgical face lift / skin resurfacing treatment using Renuvion Helium Plasma Radiofrequency. To get the most improvement with skin tightening, we combine Renuvion (formerly J-Plasma) with lasers (Fraxel, Clear + Brilliant, CO2), microneedling/PRP, Ultherapy and InMode FaceTite. I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Of Facetite, Ultherapy, Ultracel and HIFU, which will have the most improvement and longest lasting results for jawline sagging?

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