How to tighten the area around marionette lines and jowls so my smile looks more like the one in the above pic? (Photos)

Question

I’m 28 years old. My weight does fluctuate, but the area in my lower face and jawline always seem to hold on to fat (extra skin?) which makes me look older than I am. I also feel that my facial features could be more balanced between chin, mouth, and nose, but I’m not sure what I should start with to achieve that result. My teeth are pretty small and I would like Vaneers some day but would like to see if there is anything I can do in the meantime.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

A combination approach will give the most improvement. I recommend fillers for the lines themselves but also lifting around the mouth and cheeks to build underlying anatomical support. In our practice we combine sculptra with other fillers "layered" on top and lasers, rf treatments, J Plasma and peels to get the most conservative natural look. Please see a facial sculpting expert. Best, Dr. Emer

How to tighten the area around marionette lines and jowls so my smile looks more like the one in the above pic? (Photos)

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