What is the best treatment for premature jowling? (Photo)

Thank you for the question.Even though you are only 35, you have unfortunately experienced sagging that is typically seen in women that are older than you.My Advanced Lift facelifting procedure helps patients erase the signs of aging including deep folds and sagging skin, jowls, and neck. The results of this technique creates a natural and more refreshed appearance while utilizing incisions that are well-hidden and are 60-70% smaller than those of traditional facelifting procedures.This takes about 45 minutes and is performed under local anesthesia here in my office in our fully accredited surgery center.  

 If
one has deep lines only and not skin laxity, one can use fillers in this area as well,
which is preferred in this young age group. If it is true jowling with skin sagging and fat loss,
one can do an early facial rejuvenation type of “Lift and Fill” procedure to correct this.

A full face lift with fat grafting is the best way to address your concern, other options will not last long enough.

There are several surgical and non-surgical approaches.Non surgical include either RF (internal and/or external), ultrasound, and laser (recommend Sciton BBL or SkinTyte).Surgical approaches include Micro-liposuction or a mini-lift. An exam would be required to know which one is recommended for you.

Picture demonstrates some descent of the midface and malar fat creating some development of jowls. I really think a facelift limited to the area between the lids and the jawline is the best treatment. Fillers I think will give some improvement but is not the best choice.

Thank you for your question.A Facelift, although a little earlier than average is the best option for you. Fillers can help you with the early "Jowling" but these will not address the skin laxity. All The Best !

There are several options to manage early jowling.  Although they will not correct the jowling, fillers can be an effective way to camouflage them to some extent.  Surgery is the most effective and long-term method to manage jowling.  I would recommend a consultation with an expert in facial aging to help you determine which direction might be best for you.  Here is a link to more information on facelifts.

You are young for this problem but you indeed have loss of support in this area and the only real fix is a facelift. Fortunately, you can achieve excellent results with some form of minilift and being so young you can expect the results to last a longer time.

The jowling and excess next skin that you have are the early changes of sagging and excess facial skin. The only way this can be removed is with a facelift. There are many other minimally invasive types of procedures that give minimal results and do not correct the problem but sound goodto the patient. These do not give what you were looking for. Surgeons do facelifts for this problem as I did on my wife who had a similar problem. Look for a surgeon who does natural work and you will be happy and it will last for a good decade.   

Each person has individual needs depending on what is contributing to early jowling, so the treatments need to be customized. Ultherapy is a good option for noninvasive skin lifting, but it is likely that fillers such as Voluma would help also. Fat grafting is another option that can add volume to the midface for lifting. When the time comes for a facelift, it can be done with a natural appearing result.