What Procedure Can a 19 Year Old Have to Fix Sagging Cheeks or Jowls

Often the problem in a patient who is very young with jowls may be the structure of the bones, particularly the chin, underneath the soft tissue. 

In the rare patient, the buccal fat may be congenitally too prominent, and may be excessive even in the patient's parents and grandparents.  If that is the case, buccal fat pad reduction may be appropriate, although again this is very young to be considering such a procedure.

Occcasionally, weight loss or submental liposuction can help.

Pictures always help to determine which surgery, if any, would benefit you.

Hello,I feel for you and know that something of this sort is very difficult for a person your age.  The problem is that your soft facial anatomy will change over the next few years and major surgical alteration might ultimately make you more unhappy.  Cheek implants may be something to explore at this time.  Depending on your weight, you may benefit from a program of weight loss.  Get several opinions and make sure that you are examined thoroughly and that you get the results of the examination.  Your underlying anatomy will help you to decide the best course of action whether it be now or several years from now.

If you have been getting comments about jowling at your young age of 19, the effect of gravity must be a significant factor along with the weight of your tissues.  Weight loss could make the jowling effect worse.  Elasticity is usually sufficient at this age, but there are certain conditions where this can fail prematurely, and this should be evaluated.  Your age is not a deterrent to considering structural reconstruction, but do seek the opinion of several qualified surgeons before committing to any procedure.  Based on your description, and without the benefit of a photo, I suspect you may be disappointed with any minimally invasive surface treatments.