What can I do to improve my sagging jowls next to and below my mouth? (Photo)

Question

I have already had cheek filler which did not really help with anything. This area make me very self conscious, it just droops and seems too have a lot of fat in that area. What are my options besides a facelift or thread lifts? Is there anything that will reduce the fat as well as lift and tighten? Ultherapy? Morpheus8? Kybella?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Alan Gonzalez, MD, FACS · Answer

Preventing facial flaccidityIt's an innovative concept that combines different technologies, preventing facial and body fluids. This treatment innovator logs on to the deepest capabilities of the microcontrolled ultrasound skin, even though our patients are completely natural rejuvenating, producing a skin retraction to maintain the firmness and optimize production ; additional this treatment produces a major hydration increasing the quality and tonality of the skin How long can it last the effect?The duration of the result depends on the age, quality and type of skin, life style and metabolism of each patient, without embarrassment the results can last 12 months or more.
How long does it take to complete this procedure?The duration is about one hour or more depending on the characteristics of each patient and the zones to be treated.
Do you need anesthesia?Depending on the umbrella of pain in each patient, without embarrassment it is recommended to perform local anesthesia for greater comfort and convenience of our patients.
What sessions are required?The results of this procedure are reflected in one session. additional treatments.
Is Incapacity Required?Once the procedure has been completed, the patient can reintegrate into his or her day-to-day activities without any kind of incapacity, without embarrassment following some basic and uncompromising recommendationsbrindadas by the specialist.
How long will it take to see the results?Ultherapy has results that can be seen in short, median and wide space, so its results are progressive, without embarrassment the final effect will be between the quarter or the sixth month.

Jason Emer, MD · Answer

start morpheus, threads, and fillers. consider facetite.

most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift.  an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done.

For facial slimming a combination of treatments are always needed.  Options include:
1. Buccal fat pad removal to reduce fat on the lower face
2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping.
3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender
4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined

Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma.

See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option.  Best, Dr. Emer.

Michael A. Persky, MD · Answer

Good Morning Rachel,
I would treat you with a customized Ultherapy treatment that addresses your concerns.  Please feel free to contact us to schedule your virtual or in person consultation, we look forward to the privilege of helping you achieve and maintain your facial aesthetic goals for many years to come.  Good luck and be well.
Michael Persky, MD
Encino, CA

What can I do to improve my sagging jowls next to and below my mouth? (Photo)

Answers (4)

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