36, how best to treat early jowling? (Photo)

Question

36 year old female concerned re: early jowling, deep nasolabial folds and overall tired appearance. Wondering if issues are best temporized with filler-- would cheek augmentation lift and correct these issues? If so, which filler has the best lifting profile? I assume I'll eventually require a mid face lift, but given that I'm relatively young I would like to hold off as long as possible.

Nima Shemirani, MD · Answer

I would recommend a combination of hyaluronic acid dermal fillers and Morpheus 8.  I recommend Morpheus 8.  Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting. Best of luck, Dr. Nima!

Rod J. Rohrich, MD · Answer

If one has true jowling, there is not a good non-surgical way to treat it
other than a surgical “Lift” and “Fill” facelift. This should be done
in the hands of a Board Certified Plastic Surgeon with
expertise in facial rejuvenation to
get the best natural looking results.

Robert M. Lowen, MD · Answer

Every patient presents with their own unique anatomy, so the same answer would not be right for everyone.  Age is certainly a factor, since the definitive treatment for jowling is a facelift, in my practice that would be an extended subcutaneous jowl lift that effectively resuspends the  descended tissues between the angle of the mouth and the lateral face.Some alternatives include simply reducing the bulging fat with liposuction or laser, e.g., Precision Tx.However jowling usually is not the first sign of facial aging. That is usually in the upper face, below the eyes, as tissue sags downward, the tear trough becomes more visible, and the upper cheek loses its round contour, and becomes fat deficient.Treatment at this stage is done best with fat grafting, replacing what has been lost to age and gravity, and in some cases just the appearance due to genetics.When a patient has a narrower face, fat grafting could be suggested to round out the lower face contour, filling in some of the contour between the jowl and chin point, as well as treating the jowl with either reduction or facelifting

Jason Emer, MD · Answer

I suggest a formal facial rejuvenation consultation.  There are a lot of options including fillers, skin tightening procedures, ThermiRF etc.  There are many lasers that can help the skin complexion and wrinkles, tighten skin and increase collagen long term.  A formal consultation is needed with an expert who can work with long term goals.

Toby Mayer, MD · Answer

The treatment for saggy skin and jowls is facelifting.  Loss of volume over the cheeks can be corrected for 1 to 2 years with fillers otherwise cheek implants will correct them permanently.

36, how best to treat early jowling? (Photo)

Answers (9)

Answer: Early Jowls and Nasolabial Folds

Answer: Early Jowls and Nasolabial Folds

Answer: Treatment of early Jowling etc.

Answer: Treatment of early Jowling etc.

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Everything you need to know about Dermal Fillers

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

36, how best to treat early jowling? (Photo)

Answers (9)

Answer: Early Jowls and Nasolabial Folds

Answer: Early Jowls and Nasolabial Folds

Answer: Treatment of early Jowling etc.

Answer: Treatment of early Jowling etc.

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

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