Does Thermage Work for Jawline Sagging and Jowls?

Is Thermage the best way to tighten your jowl?  I would say unequivocally, No.  A Facelift procedure is most likely to address your concerns.  Can Thermage provide some benefit?  It can.  However, the results on Thermage have been very mixed and it might not be the best way to spend your money.

Although Thermage will work in this area, I would recommend the Ulthera treatment for the lower face and upper neck areas. Raffy Karamanoukian, Los Angeles

When I tighten the jaw line, to elevate the jowls, I treat the face to help lift, and the neck as well after I focus on the jaw and peform vectors of treatment from the jowl up the cheek. The neck treatment helps pull down at the angle of the jaw so the two different forces can help tighten the line

Many patients simply wait to long to seek age reversal treatments. You are smart to seek advice at the first sign of a problem. It is highly unlikely that someone 44 years old has laxity severe enough to justify the cost and risks of a facelift. On the other hand, someone who has done nothing and is in their 60's likely needs drastic treatment to see results. Please see a reputable doctor who will outline your options and weigh the relative need and risk for each procedure. In my hands a combination of filler along the jaw line, Botox into the upper neck and Thermage can be the perfect trio to help you avoid surgery.

Thermage is a non-invasive (no incision!) treatment that can tighten skin,renew facial contours, and stimulate your body to make healthier collagen—thebuilding block that provides structure to your skin.
The procedure uses radiofrequency technology called ThermaCool that has beenclinically proven to tighten and gently lift skin to smooth out wrinkles andrenew facial contours. Fast and easy, Thermage requires no downtime from normalactivities. And unlike laser treatments, Thermage can be performed on patientsof all skin types. Thermage can be used not only for sagging facial, neck, andeyelid skin; but also all over the body, including flabby arms, hands, andlegs. Now approved by the FDA for improving cellulite. Tighten and lift withoutsurgery, injections, or downtime.
However, Thermage can have variable results if not performed by an experienceddoctor. The best way to protect yourself is to consult a board-certifiedplastic surgeon who is professionally bound to engage only in techniques thathave been deemed safe--after rigorous testing.

If  your skin is in good and healthy condition and you dod not have a lot of aging in terms of loose skin then it sounds like you are an excellent candidate for Thermage.  It sounds like you are perfect both from your expectations and skin quality.  Good luck with the treatment and write back in!

I am a Plastic Surgeon so surgery is certainly an option I offer my patients when it's appropriate.  As a Plastic Surgeon it's not necessarily good for business to tell you that Thermage works...but it does...however, it is not a facelift and will not give you the results that a facelift will give you.  If your issues are severe, then a significant treatment is indicated.  But, if your issues are mild, then Thermage is certainly a minimally invasive way to get an improvement that you could only otherwise get with surgery.  I perform Thermage as part of a series with three other skin tightening modalities and patients tend to be happy.  Should I as a surgeon sound positive that I can make a patient happy without surgery?  That's a whole different discussion!

Thermage is one of the best non-invasive, no down-time procedure for jowls.  When you perform a Thermage, if you do one half of the face first and show the patient the treated side versus the non-treated side, they are always impressed with the improvement and want to make sure you treat the non-treated side the same!  The beauty of Thermage is that it can hold off an more invasive procedure such as a face-lift if done early enough.  You are at the perfect age to start Thermage.  I will sometimes see a patient for a Thermage consult who has too much laxity or neck jowling that would be better served with a facelift or necklift and we will refer them to a plastic surgeon we trust.

We did a study (submitted for publication, presented at ASDS and American Academy of Cosmetic Surgery) comparing the improvement in the jowl and submental areas of 30 patients.  They were divided into 3 groups: Thermage alone, Smartlipo alone, Thermage and Smartlipo.  The best results(rated by physicians) were in patients with the combination of Thermage and Smartlipo.  The happiest patients were the ones with Thermage alone.  Since objective results were very close and patient satisfaction is the most important factor I stopped performing Smartlipo.

Thermage alone does work given appropriate expectations....it is not a facelift but is a viable less invasive alternative for those not wanting surgery.

Thermage is a good way to tighten the jawline and reduce the appearance of jowls. You are young, and you say that your skin is in good condition which I take to mean that you don't smoke and you do not have a lot of sun damage. You sound like a great candidate for Thermage. You may have a combination of sagging skin and the loss of volume that comes from aging. Thermage tightens the skin, giving you more definition in the jawline and minimizing your jowls. Many people who complain of a sagging jawline and jowls also have a loss of volume in their cheeks. Volume replacement can be achieved with Sculptra, Radiesse, or Juvederm, to name a few. This will further help to lift the lower face and define the jawline.