It’s been about two years since I had filler to help lift my jowls (Photo)

A Robust HA Volumizing filler can work well for not only shaping a contouring the cheeks into a more pleasing Ogee Curve and oval feminine face, but would also secondarily help to improve the hollows and tear troughs under the eyes as well as improve the smile lines. A robust HA contouring filler fanned in the area of the posterior angle of the jaw would help to better define the jawline and diminish jowls. An HA lifting filler can elevate and straighten the downturned angles of the mouth (marionette lines). And finally, a nonsurgical filler necklift combining an HA lifting filler and HA skinbooster./biomodulator can tighten the neck and diminish the vertical bands. You would be wise to consult and experienced,, board certified cosmetic dermatologist filler expert. Best of luck.

As aging progresses, two main changes typically appear on the face: sagging and volume loss. This occurs because collagen production decreases and skin elasticity diminishes over time, causing the skin to droop. At the same time, facial fat gradually shifts downward. In particular, the volume in the midface diminishes, while fat collects toward the jawline, making the lower face appear heavier.
To address these changes, lifting procedures are commonly performed to physically reposition and tighten sagging skin. This is distinctly different from simply filling hollow areas with fillers. While fillers can restore some volume and create the appearance of mild lifting, their ability to improve true skin laxity is limited.
Considering your current skin condition, rather than expecting significant lifting results with fillers alone, face and neck lifting would be more effective in repositioning sagging tissues. This approach can help create a more defined jawline and a fresher, rejuvenated appearance overall.

Yes, you can definitely continue to improve your jawline and jowls with fillers until you are ready for a surgical procedure. Many patients repeat filler treatments every 1–2 years to maintain lift and contour in this area.

For jowl support and jawline definition, I often recommend:

Hyaluronic acid fillers such as Juvederm Voluma or Restylane Lyft for volume and structural support along the jawline.

Radiesse, a calcium-based filler that provides both immediate lift and stimulates collagen over time, can also be a great option for longer-lasting firmness.

Regarding lifting the corners of your smile, Botox can help relax the depressor anguli oris muscles that pull the mouth downward, creating a subtle lifting effect. This is a common combination approach: fillers to restore volume and Botox to soften downward pull.

Since you had good results before, you’d likely respond well again to similar products. If you’re unsure which filler you previously used, your provider can often tell by reviewing your prior records or assessing the tissue feel during consultation.

Hello there P,
There are great non-surgical options for you. I would use voluma and volux to rejuvenate your face, neck, and jawline. Feel feel to contact my office to schedule a virtual or in person consultation for more details. Good luck and be well.
Michael A. Persky, MD
Encino, CA

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. If it’s been about two years since you had filler to lift your jowls and you're looking for additional improvements, trying Morpheus8 could be a valuable option. Morpheus8 utilizes microneedling combined with radiofrequency to target deeper layers of the skin, stimulating collagen production and tightening the tissue. This can enhance the effects of your previous filler by addressing skin laxity and promoting a more lifted and rejuvenated appearance. While it won't directly impact the filler itself, it can improve skin texture and firmness in the jowl area, leading to a more youthful contour and potentially extending the benefits of your initial treatment. This approach can complement the results you've achieved and help maintain a more youthful look. I hope this helps and best of luck!

A face and neck lift will give you the best option, but you may be able to "buy some time" with a combination of other treatments. Botox and fillers can help to lift and sculpt this area. You can also consider FaceTite to tighten the skin of the lower face and neck. This is a minimally invasive procedure that does not require general anesthesia. I've included a video that I hope you find helpful.