I’m 47 years old and my jowls/lower cheeks started to sag. What's the best surgical procedure? (photos)

Question

I hate the droopy lines forming around my mouth. What’s the best surgical procedure?

Sam Speron, MD, FACS · Answer

This is a great question that I hear a lot from my patients. A short scar facelift addresses the jowls & marionette lines. This procedure can typically be done under local anesthesia in the office, patients are up and moving around the same day.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and never be pushed out with just one suggestion. Ultimately there are pros and cons to every procedure whether it's surgery or not surgery. It should always be your choice.

I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. You may be a candidate for a facelift procedure to reduce the appearance of lines and jowls, lift fallen tissue, and define the overall shape of the face.
This surgical approach can correct midface sagging, jowl formation, and marionette lines by lifting tissue and muscles upward in the cheek and outward in the neck. In some cases, excess fat is also removed to create a more defined and sculpted appearance. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and suggest the best approach to address them.

David Hansen, MD · Answer

Liposuction under local with the micro canulas and FacetiteRF  and Morpheus would give a beautiful jawline and neck and is so easy to  undergo with only 1 day downtime for roughly $4750.

Stephen H. Fink, DO, FAOCO · Answer

Thank you for the photos and your question. From the views provided I see fullness of the lower face and with a shadow extending from the corner of the mouth down to the jawline.  Surgery could be planned to reduce fullness by removal or repositioning the volume in the lower face (liposuction and or lower facelift). Additionally, I suspect adding volume to the chin and cheekbones with liquid (fillers) or solid (silicone) implants would be recommended to enhance the results by creating more balance, definition and support for the soft tissues. More photos or in person consultation would be helpful to determine the best options for you.

My Best to you,

Dr. Stephen Fink
Newport Faces Cosmetic Surgery
Newport Beach, California

Jason Emer, MD · Answer

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. Botox and radiofrequency can help slim and contour the jawline. Ultherapy, J Plasma and RF treatments can provide skin tightening and lift. I would recommend getting a formal evaluation with a facial sculpting expert.  Best, Dr. Emer​

I’m 47 years old and my jowls/lower cheeks started to sag. What's the best surgical procedure? (photos)

Answers (8)

Answer: Surgery for jowls and sagging cheeks

Answer: Surgery for jowls and sagging cheeks

Answer: Facial Contouring with Injectable Fillers (Radiesse, Voluma, Bellafill), Sculptra, RF, Ultherapy,

Answer: Facial Contouring with Injectable Fillers (Radiesse, Voluma, Bellafill), Sculptra, RF, Ultherapy,

Recommended reading

Everything you need to know about Lower Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.

I’m 47 years old and my jowls/lower cheeks started to sag. What's the best surgical procedure? (photos)

Answers (8)

Answer: Surgery for jowls and sagging cheeks

Answer: Surgery for jowls and sagging cheeks

Answer: Facial Contouring with Injectable Fillers (Radiesse, Voluma, Bellafill), Sculptra, RF, Ultherapy,

Answer: Facial Contouring with Injectable Fillers (Radiesse, Voluma, Bellafill), Sculptra, RF, Ultherapy,

Browse related questions

Recommended reading

Everything you need to know about Lower Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.