Age 39, non surgical options for sagging face? (Photos)

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

Laxity along the jawline is common. There are non-surgical procedures available to improve the jawline and neck. Endolift Laser is a remarkable procedure using a fiber placed beneath the skin to tighten skin and smooth out fat. This in conjunction with PDO threads to reposition fallen tissue and stimulate collagen are ideal. These procedures are office procedures with minimal down time. These are ideal for those with moderate laxity of the face and neck.

You have dark circles under your eyes and a forward head posture seen when there is an airway issue. Your chin is slightly retrognathic and you have deep nasolabial grooves. This is most commonly due to an under-developed maxilla.

When you watch shows like CSI they find a skull and then digitally add soft tissues to see what the face looked like. It always follows the contours of the bone and insufficient hard tissues are reflected in the face.

Google: "Shrinking Jaws Stanford" to understand the origin of these problems.

This can cause headaches, migraines, sinus issues, sleep apnea, snoring and TMJ disorders.

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Hello-First, congratulations on your weight loss! If you want to stick with non-surgical options; dermal fillers and RF microneedling are your best options. There are a variety of dermal fillers that can be used to help with facial re-balancing, contouring and volume depletion. Radiofrequency/microneedling can be helpful to tighten skin and improve laxity.

Chin implants and buccal fat removal are options but are surgical options. Determining whether you are open to surgical options would be a first step in deciding what type of consultation (surgery vs non-surgical) would be appropriate. Good Luck!

Thank you for your pictures. I would recommend Morpheus8 treatments to stimulate your own collagen and elasticity. If you use filler in the cheek area to help lift the heaviness around the mouth as well as using filler in the marionette lines to smooth the areas some more, you should be happy with the results. Good luck!

There are several non-surgical options that could help improve sagging of the face. I would say that one of the better options would be FaceTite. This is a procedure which delivers heat (using radio frequency) to the layers under the skin and this can produce tightening along the jawline and to the lower face. RF micro needling could be done in addition to FaceTite, as this can produce some skin tightening externally.

No, facelift surgery and surgical chin implants happily aren't the only options these days, and, actually haven't been so for quite a few years already--ever since we learned that volume loss and deficits in the face are responsible for so much of facial sagging and folding, such as smile lines, jowls along the jawline, marionette lines, etc. A robust HA liftting filler placed properly in the cheeks by an experienced injector would not only recontour and lift the cheeks, but improve the under eye regions, as well. A more resilient HA placed properly around the angles of the mouth would help to straighten the angles of the mouth and treat the marionette lines. Another robust HA filler injected properly in the chin can help not only to harmonize the projection of the chin with those of the lips and the nose in profile view and secondarily better define the whole jawline. And all this can done in one treatment session of about thirty minutes or so, if so desired, with results seen on-the-spot and with little to no signficant downtime. So, no creative solutions needed. Just make sure that you consult with an experienced, board certified cosmetic dermatologist and be very cautious when evaluating the claims for this or that fancy, expensive light or energy-based gizmos whose hard science to promote their use lags woefully behind the hard science to back them up, or even when evaluating expensive, invasive surgeries that entail significant post-treatment downtime. Best of luck .

Hello, I carefully examined your face. You have some laxity and sagging, but there is no skin gathering in front of the ears. Therefore, please don't consider a facelift surgery. You are still very young; 20 is too early for facial procedures. You don't need such surgery. I would like to suggest non-surgical treatments that will improve your skin quality and make your face appear tighter. Liquid facelift procedures, which I refer to as non-surgical facelifts, sharpen the jaw contour and give your face a tight and youthful appearance. Radiesse is a special calcium hydroxyapatite molecule that I frequently use, stimulating fibroblasts and increasing collagen, providing a natural lifting effect on the face. Radiesse offers both a filling effect and facial lifting. Based on my assessment of your photos, your mid-face particularly needs attention. You will be very satisfied with Radiesse as it stimulates collagen for many years, gradually making you look younger and tighter. Additionally, I recommend Thermage FLX for you. Thermage FLX is a radiofrequency treatment that can maintain the skin surface at 20° while reaching 80° under the skin. It's a one-time application with long-lasting effects. It is the top-ranked non-surgical facelift treatment globally, relying on superior technology. By examining the results, we see that the effect starts immediately, continues to improve over six months, and then lasts for many years. It's also approved for enhancing jaw contour. I confidently recommend it.

You may want to consider FaceTite. This minimally invasive procedure uses RF technology to tighten the skin. This is safe for the face, neck, and under eye area. Results can be enhanced by adding Morpheus8 treatments. See an expert provider near you to learn more.