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.