How do I get rid of my sagging jowls? (Photo)

Your jawline is disrupted by deep trough right in front of the jowl - an area called the pre-jowl. If this is not appreciated and treated, any procedure will be disappointing to you and your surgeon. Appropriate options include inectable fillers, prejowl implant. I would discourage you from starting with a facelift as these other treatments will be more successful and are less invasive.

There are many questions that need to be discussed in person during a thorough and complete examination. Have you experienced a large weight loss? Are there any underlying medical issues? Twenty three is very young to develop jowls. There are some minimally invasive procedures you could try such as microneedling with radiofrequency (RF), thread lifting, and various lasers. All are performed in a treatment room instead of an operating room, and there is little or no down time. The results of some procedures improves over months so patients should plan ahead if choosing this option. As an extra bonus, microneedling with RF not only helps to tighten skin, but it also can improve the texture of skin as well. I recommend consulting with a board certified plastic surgeon to discuss your concerns and see what treatment would be best for you.

Jowling in a 23 year-old is extremely rare... but... I do agree that your jowls are significant.  There are all sorts of treatments - from non invasive to invasive.  The non invasive treatments begin with laser treatments, proceed to fillers, then to lipo and finally to a lower facelift.  Truthfully I think that if you proceed with the non invasive treatments you will end up spending a lot of money and ultimately, soon, sign up for a lower facelift.  My personal opinion is to do the last operation first...  Even though I always want to avoid surgery!  Best of luck!

Examining your photos it appears that you have a deficient in the Prejowl area.  At 23 I don’t think you have developed jowls, but the tissue deficit in this area can resemble jowling.  Although your photos do not show a good profile view of your face it seems like you may have a weak chin.  I don’t think a facelift is the answer for you.  A good option would be a chin implant with prejowl enhancement.  I perfom chin implants on patients your age pretty frequently.  Another option would be injecting fillers in this region.  

Thank you for your question and picture.  I always suggest age is not an indicator to whether surgery is appropriate, however, 23 is very young to have scars from surgery.  Filler would be a good option to start off with.  You could create some volume in the cheek area, this can be discussed with a surgeon.  I would discourage you from starting with a facelift as these other treatments will be more successful and are less invasive. If these options do not work then you can perform a lower facelift under local anaesthetic with is less invasive and doesn't have the associated downtime.  Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  All The Best 

Hello,You are going to have a number of treatment options put before you from caring doctors.  In my practice, I have seen success from implants and from face lift with those presenting with similar characteristics.  It's hard to get a true gauge of your chin projection (it's often hard to tell from photos). My inclination would be to consider a face lift and possibly compliment it with an implant.  I have seen very good outcomes in good candidates in their 20's.   

A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift.During your #consultation,  your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect.If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.

The picture in a 23 y/o s most unexpected.  I think the proper solution would be an upper facelift.  You could have this done without general anesthesia.

You're right, it is unusual to have jowls at 23 years of age. This can happen in cases of massive or rapid weight loss, connective tissue disorders, or due to genetics like you said. Assuming there are no contraindications to treatment, at your age I would advise starting with non-invasive treatments. The first option would probably be Ultherapy to your face (and neck, if that skin is loose too). This is an ultrasound treatment that lifts and tightens, and has minimal risks. The results appear gradually and you don't see the effects until a few months after the treatment. While it's often called a one-time treatment, if you have good results and want to see more of an effect, you have the option of repeating it (just wait at least 6 months before repeating). If you want to see something more immediate, you can have fillers placed in the "pre-jowl" area, which is where you see that shadow in your photos. The jowling is more noticable because of the relative lack of volume in the area just in front of it, so if you fill this then the jowl would blend better and be less noticable. It may make the lower face look "heavier" in a sense though. It is hard to give real advice based on 2 partial photos and minimal history, and the recommendations may change once you are evaluated in person. In terms of surgery, the classic way to fix jowls is to have a lower facelift. Since it is February, and you are getting married in August (6 months away), I would say start with the Ultherapy, and in 3 months if you don't see enough improvement, consider doing fillers to the prejowls. It will give you enough time to see if you like the filler, and add more if needed (or dissolve it if you didn't like it) well before your wedding. You don't want to do treatments right before your big day because if you get any bruising or side effects, you want to give enough time for them to pass so that you are photo-ready.

  Jowl liposuction is sometimes appropriate in this situation for younger people with good skin elasticity.Kenneth Hughes, MDLos Angeles, CA