What can I do to tighten the lower half of my face in my early 40s? (Photo)

Unfortunately, the one photo, which does not even include the upper cheek region is not really sufficient for an adequate evaluation. However, from what I can see there is a suggestion of volume loss in the upper cheek region and likely volume depletion in the region in front of the ear--both of which are contributing to the loss of tightness and definition of the jawline and the formation of the jawline and angle of the mouth jowls. Happily, both these issues can be corrected in a matter of about fifteen minutes total (in experienced hands, of course) by the use of a volumizing filler to lift and reshape the upper cheeks coupled with another volumizing filler for the preauricular region and the jawline directly. Treatment typically engenders and immediate "Wow!" reaction. My choice in my NY office  would be Voluma XC for the cheeks and Restylane Lyft  for the jawline. In my Israel satellite facility where a far greater number of regulatory agency approved injectable volumizers are available, I would opt for Stylage XXL and Restylane Volyme, respectively. Be very cautious when evaluating the claims for this or that bells and whistles fraxel laser, radiofrequency device or ultrasound machine, as these heavily marketed devices are far more supported by device manufacturer marketing hype than hard science. Buyer beware. Make sure that you consult with a board certified aesthetic physician and insist upon seeing his/her personal before and after photos before agreeing to proceed. Best of luck.

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime. Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer