What are effective jowl removal options?

Question

Over a year since my Buccal Fat Pad Removal and the Jowl sagging is is still significant. I have considered Botox for jowls or Chin Filler to help my weak chin as well. Your professional recommendations are very much appreciated! Thank you!

Nelson Lee Novick, MD · Answer

Literally one hour ago, I treated a person with precisely the same issues you appear to have with immediate, extremely gratifying results. It is quite possible that the prior fat pad removal, by diminishing the supportive and contouring volume of the cheek indirectly led to the more prominent jowls along the jawline you dislike now. Frankly, when creating a treatment plan for jawline jowls, we routinely consider nonsurgical cheek augmentation with volumizing fillers to help lift and shape the cheeks to create a more heart-shaped face and to secondarily diminish smile folds, and jawline jowls. So, a skilled augmentation of the cheeks would be a first thought. Next, the jawline jowls may be more directly addressed by augmenting the area in front of the ears (preauricular region), as well as directly defining the jawline itself with a volumizing filler. Finally, a nonsurgical filler chin augmentation would further help to straighten and define the jawline . No need for expensive bells and whistles devices that to date have far more machine manufacturer supported marketing hype to back them than hard science. 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.

Jason Emer, MD · Answer

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

Camille Cash, MD · Answer

FaceTite combined with Morpheus8 treatments can help tighten the skin as well as improve overall skin tone and texture.  These treatments can be enhanced with fillers or Botox if desired.  See a board certified plastic surgeon near you to learn more.

Bethany J. King, MD · Answer

Thank you for your question. The removal of the buccal fat pad is done to make heavy, round cheeks more sculpted. I assume that’s why you had it done. Taking out the filling underneath the skin will result in any loose skin showing itself more prominently. So, now you’re seeing the effects of aging that shows itself in the formation of jowls. Having Botox in that area will have zero impact on your jowls. O treat jowls, the loose skin causing them needs to be addressed by lifting the skin, which means moving it into a new position and removing excess skin to keep it in that new position. Depending upon what your neck skin looks like, you would benefit from either a mini facelift or lower face and neck lift. Your problem can totally be addressed this way. Best of luck to you.

Leonard Grossman, MD · Answer

For the face to look its best, the person needs to have optimal proportions. Even though your pictures are of limited caliber, it is still obvious that your lower portion of the face is considerably narrower than the upper third of the face. I would recommend evening everything out with the use of some fat grafting which can enhance your chin as well as smooth out the jawline to create improve proportions and a more beautiful appearance. Make sure you find a plastic surgeon who's extremely well-versed in fat grafting techniques to the face. Fat grafting should produce natural and almost permanent results. I hope this helps and good luck from New York City plastic surgery

What are effective jowl removal options?

Answers (5)

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