Thank you for your question and for sharing your photo. It's common to notice changes in the contour of your face as you age, including the development of jowls. Non-Surgical Options: Dermal Fillers: Fillers can be used to add volume to areas around the jowls, such as the cheeks and jawline, to create a more lifted appearance. Benefits: Minimally invasive, immediate results, and little to no downtime. Botox: In some cases, Botox can be used to relax the muscles that contribute to the appearance of jowls, providing a smoother jawline. Benefits: Quick procedure with minimal discomfort and downtime. Ultherapy: This non-invasive treatment uses ultrasound energy to lift and tighten the skin by stimulating collagen production. Benefits: Non-invasive, no downtime, and gradual improvement over several months. Minimally Invasive Surgical Options: Thread Lift: This procedure involves using dissolvable threads to lift and tighten the skin. It can be performed under local anesthesia. Benefits: Immediate results with minimal downtime, and the threads stimulate collagen production for longer-lasting effects. Laser Treatments: Various laser treatments can tighten the skin and improve the appearance of jowls by promoting collagen production. Benefits: Non-surgical with minimal recovery time, and can also improve skin texture and tone. Surgical Options: Facelift: For more significant or persistent jowls, a facelift may be the most effective option. This procedure provides long-lasting results by removing excess skin and tightening underlying tissues. Benefits: Dramatic and long-lasting results, addressing not only jowls but also other signs of aging in the lower face and neck. Considerations: More invasive with a longer recovery period compared to non-surgical options. Consultation with a Specialist: Personalized Assessment: I recommend consulting with a board-certified dermatologist or plastic surgeon who specializes in facial aesthetics. They can evaluate your concerns and discuss the best options based on your anatomy and desired outcomes. Safety and Comfort: Your specialist can explain the benefits and potential risks of each option, helping you make an informed decision. It's important to choose a treatment plan that aligns with your goals and comfort level. Best of luck with your aesthetic journey! Best regards,