Loss of lower face volume - how can I improve the look of "poochiness" and jowling? (Photos)

Question

I am 40 years old and have never lost a significant amount of weight. My lower face volume has just massively depleted in the past few years. I have smile lines that radiate outward but what bothers me the most is this “poochiness“ that leads to shadowing and a marionette look and some joweling. I had filler in that area probably 6-7 years ago. Could it still be there and leading to this issue? What can I do to help correct this besides a face lift which I think I’m too young for currently (would love one eventually?

Gary M. Horndeski, MD · Answer

I recommend an eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Loss of lower face volume - how can I improve the look of "poochiness" and jowling? (Photos)

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