Solution for Marionette Lines, Drooping Cheeks and Jawline - Options?

I'm in my mid-thirties and have concerns with my cheeks, jowl area, and under eye area. As a follow up to my original post, I'm attaching a photo, which shows the areas of concern I have for more specific input on the best approach/procedure. I am wondering if fillers would work or would some other approach be better? I believe that I have a familial type aging in those areas, as I've had cheek dents since I was a child, but all much less apparent when I smile vs. having a relaxed expression.

Doctor Answers 6

Fillers for facial fill

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Fillers are a great way to improve hollow regions. This can provide excellent improvement in younger adults that notice facial wasting or droop.  This can also complement facial lifting surgery in older patients.

Solution for Marionette Lines, Drooping Cheeks and Jawline

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Hi Noreaster!

Based on your picture and your description, it seems like a good filler treatment can help you.  

The fillers to which I am referring are non-standard placements of FDA approved products for volumization of the face.  I would begin with the nasolabial folds, the marrionette lines, and also into the pre-jowel sulcus.  The type of filler does not matter in these areas as much as the placement of the filler itself.  

In the picture, it also appears that you may have a retrusive or small chin.  In many cases, a small chin may accentuate the appearance of the jowels and marionette area thus enhancing what may appear as early aging signs in the face.  An in-person evaulation or pictures from the side, and 3/4 views would help to determine this.  While a filler treatment in the chin area may help with this appearance, a chin implant may be a better way to get longer lasting cost-effective results.

Good Luck

Dr. Torkian - Lasky Clinic, Beverly Hills

Behrooz Torkian, MD
Beverly Hills Facial Plastic Surgeon
4.3 out of 5 stars 17 reviews

Dermal fillers for midface volume

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Hi there! Thank you for the images. 

Personally, I would suggest some mid-face / lower face rejuvenation using hyaluronic acid based dermal filler in the midface to create lift and soften these lines. Dermal fillers can be used with great results to improve proportions / contours. Personally I would use Juvederm Voluma with microcannular to reduce risk of bruising too. 

Hope this helps and good luck,

Best wishes, 

Dr Rupert

Solution for Marionette Lines, Drooping Cheeks and Jawline

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A person’s age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift. During your #consultation,  your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect.

If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.

Solution for Marionette Lines, Drooping Cheeks and Jawline

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Thank you for submitting your question. Botox can help alleviate some of the dynamic lines in the lower lip, and chin. It will may also help lift the corner of the mouth. For facial volume, consider fat transfer and/or fillers.  Make an appointment with an expert injector to discuss the best treatment plan. Best Wishes

Fillers to address volume loss

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Fillers are great for replacing volume lost from aging, which is what you have. You may want to consider Voluma, the latest from Juvederm.  Voluma has been specially formulated to restore facial volume lost over time and is the first of its kind.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.