Tightening up the jawline - would FaceTite be a good option? (Photo)

Question

I’ve started noticing the skin around my jawline looking saggy and wondering whether this is jowls (see photo). I’ve had buccal fat removal 12 years ago so concerned this may have contributed. I’m only 35. Would FaceTite be a good option or are there less invasive procedures which could improve the appearance of my jawline? Many thanks

Anna Chacon, MD, FAAD · Answer

At 35, I would be a little cautious about jumping straight to FaceTite without first figuring out exactly what is creating the change you're seeing. What looks like early jowling can sometimes be a combination of very mild skin laxity, facial structure, soft-tissue positioning, or simply a change in volume that makes the jawline look less sharp.

Your history of buccal fat removal 12 years ago is worth considering, but I wouldn't automatically assume that the procedure caused your current jawline appearance. Buccal fat removal primarily affects the mid/lower cheek, and over time the natural changes in facial fat compartments and skin can make previously removed volume more noticeable. Having less cheek volume can sometimes make early laxity or descent appear more prominent, particularly as we age.

FaceTite could be an option if you truly have mild-to-moderate skin laxity or early jowling. It uses radiofrequency energy beneath the skin to create controlled heating, tissue contraction, and longer-term collagen remodeling. Studies have found improvement in lower-face and neck laxity, and ideal candidates tend to be patients with early jowling, mild-to-moderate laxity, and/or some submental fullness.

However, because you're only 35, I would not necessarily assume that a more aggressive tightening procedure is the best first step. If the issue is subtle, noninvasive treatments such as ultrasound or external radiofrequency skin tightening, or RF microneedling, may provide some improvement with less intervention. The tradeoff is that these treatments generally produce more modest tightening than a subdermal treatment such as FaceTite. Evidence for noninvasive RF is encouraging for skin firmness, although the quality of the evidence varies between devices and studies.

One thing I would be particularly careful about in someone who has already had buccal fat removal is removing additional facial volume simply to sharpen the jawline. If the concern is actually related to relative volume loss rather than excess tissue, further fat reduction could potentially make the face look more hollow rather than more youthful.

So, based on your age and history, I would think about this in terms of “what is causing the softness of the jawline?” rather than automatically treating it as jowls. If there is genuine early laxity, FaceTite can be reasonable and is considerably less invasive than a facelift, but if the change is very subtle, I would generally favor a conservative approach first. FaceTite can improve contour, but it is not a substitute for surgical lifting when there is significant tissue descent or excess skin.

Most importantly, I would avoid trying to “over-tighten” a 35-year-old face. The goal should be to restore a clean mandibular contour while preserving the facial volume and proportions you already have.

Michelle Jones Singer, MD · Answer

Thanks for sharing your photo. From what I can see, you do appear to have some early jowl formation, and honestly, you look like a great candidate for FaceTite. At 35, your skin still has good elasticity, which is exactly what helps patients get the best tightening results. While the buccal fat removal may play a small role, FaceTite is definitely something I would consider for your jawline.

Danielle Shanley, MD · Answer

FaceTite is a great option when it comes to removing unwanted fat and tightening the skin. In this case, Morpheus 8 would be the best option for you as you do not have enough fat for a FaceTite treatment. Morpheus 8 is a combination of radiofrequency and microneedling that stimulates collagen and elastin. By doing a series of Morpheus 8 we are able to target your concerns, tightening the skin and exposing the jawline more. Not only would this be a great option for skin tightening but it will also smooth out the texture of the skin. A minimum of 3 treatments is recommended.

Jacob Tower, MD · Answer

Hello, hope you are well. Thank you for posting your question and photo. FaceTite would be a good option for this degree of skin and soft tissue laxity. This is a minimally invasive procedure that does not result in surgical scars, and it is typically performed under local anesthesia. I often combine it with RF microneedling as well (e.g. Morpheus8). Good luck!
Best,Dr. Tower

Lisa Vuich, MD · Answer

Thanks for your question. Based on your images it looks like you would be a great candidate for this procedure. FaceTite cannot be performed on anyone with an implanted device such as a pacemaker or implanted defibrillator. There are otherwise very few contraindications. For an extra level of tightening and smoothing it can be combined with Morpheus8 micro-needling externally (Morpheus8 operates off of the same platform as the FaceTite, it is just a different handpiece). This combination is called EmbraceRF. The Morpheus8 can also dissolve unwanted fat cells such as in the double chin region, further enhncing the contouring. Results begin to be apparent at about 3 weeks post procedure and continue to improve for at least 6 months. Results typically last 5 to 7 years (depends on your rate of ageing).

Camille Cash, MD · Answer

Yes, FaceTite can help to tighten the skin of the lower face and neck.  Morpheus8 is another option to address skin tone and texture.   You can also consider fillers in addition to these treatments.  Fillers, such as Juvederm Volux, are specifically designed to help define and contour the jawline.  See an expert provider near you to learn more.

Farid Brad Mozaffari, MD · Answer

Hi. Thank you for your question and photo. Facetite is a good option from what can be seen in this photo. Less invasive procedure that could help is Morpheus 8, but you would get much better result with the combination of the two. You can start with a series of 3 of Morpheus and see how you like your results and if you want more improvement, then have Facetite done. Keep in mind that who does the procedure is as important on what procedure is done. I would recommend to see someone with plenty of experience in both invasive and non-invasive procedures to determine what is best course of action for you.

Nuket Eroglu, MD · Answer

Hello; this is a period; when sagging of the face and deterioration of the chin contour are frequently observed; which is after the age of 30. Actually, you do not have a serious excess fat in your chin zone. FaceTite is an extremely effective and comfortable application that will so good for you; has permanent results and can be performed in a clinical platform too. When we want to implement a less invasive sort of method, our choice is definitely Ulthera; because Ulthera's low wavelengths, effect the skin and subcutaneous tissue; also stretch the skin. This technique creates a non-surgical face lifting. If you practice for Ulthera's low wavelengths on your face and neck areas, then high wavelengths to your chin, the fat will melt and your chin contour will be revealed. Ulthera is a non-invasive procedure. It is applied in a single session; the results are staying for 2-4 years. It does not effect your social life. It becomes obvious; as soon as the procedure is performed; but as there will be an increase in collagen; every day for 2-3 months, the result will appear as time passes. It is very suitable for people whose age 35 and I think, you will be very satisfied after the process. You can also choose Ulthera for your current complaints. I'm sure you will be satisfied too.

Tightening up the jawline - would FaceTite be a good option? (Photo)

Answers (8)

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