Pre jowls, wide lower face. Looking to avoid injectables (Photo)

Question

I have noticed a lot of aging in my face, mainly lower face. I had a lot of issues with my TMJ. I got Invisalign 2 years ago and it helped a lot with my TMJ but it does seem like my face is much wider and my lips a bit thinner. I have a little double chin regardless of my weight. What are some procedures I could look into for a tighter/firmer lower face. I know I would probably have to consider Botox to slim my jaw which I am open to. But do worry that it will worsen the sagging of my lower face

Zoran Potparic, MD · Answer

A conservative liposuction could be good option in your case? In person consultation with a board certified plastic plastic surgeon experienced in liposuction with radio frequency is recommended.

Anna Chacon, MD, FAAD · Answer

I completely understand your concern. Changes in the lower face can be especially noticeable with aging, and your history of TMJ and Invisalign can also affect how you perceive the width and shape of your jaw and lower face.

For tightening and improving firmness without adding injectable volume, there are several options to consider. Depending on the degree of skin laxity and whether there is more of a skin, fat, or structural component, treatments such as radiofrequency-based skin tightening, ultrasound-based tightening, or certain laser treatments may help improve skin firmness and contour. If the double chin is a significant concern, treatments directed at the submental area may also be considered.

Regarding Botox to the masseter muscles, it can slim a wider lower face when the width is primarily due to enlarged masseter muscles. However, I agree with your concern that it should be approached carefully. Over-reducing the masseter can sometimes make existing lower-face laxity or jowling appear more noticeable because there is less underlying muscle support. Given your TMJ history, I would also be particularly conservative with this approach.

The best treatment really depends on what is contributing most to the width and laxity of your lower face. I would prioritize options that improve skin tightening and contour while preserving the support and structure of the lower face.

Pre jowls, wide lower face. Looking to avoid injectables (Photo)

Answers (2)

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