I would like to find the best treatment to tighten and sharpen my jawline and to remove jowls? photo)

The most definitive way to treat a jowl is with a lower facelift.  Energy devices such as Profound or FaceTite are an option but on a fraction of the result.  I have performed many lower facelifts on women in their 40's and it is becoming more common than ever in my practice.  Of course and in person exam need to be performed to ultimately make this decision.  Consult with experienced surgeons and see what they offer. 

Thank you for your question.  The best treatment for jawline tightening at 46 is a mini facelift.  It is possible to see some mild improvements with using either fillers or Ulthera.  Unfortunately, the result would be short lived and in a year or two the problem would return.  It would not be wrong to start with non-invasive procedures as long as you are prepared to invest into repeating these treatments every year or so.Best of luck,Dr. Konstantin

Hello and thank you for your recent question and photos.  There is many procedures we could do to help your jawline and contouring on the face, even though you sent a front photo it is hard to evaluate what type of procedure would work best for you.  I would recommend a in person consultation with a board certified plastic surgeon to discuss in further detail.  Best of luck!

Thank you for your question and photo. You have several options both surgical and non. I suggest you seek a board certified plastic surgeon for a consultation to go over what options best address your goals.  Best of luck!
Dr Dhaval Patel
Double Board Certified
Plastic Surgeon
Chicago
Hoffman Estates 
Oakbrook 
Orland Park

Thank you for sending a picture. While it is impossible to make a recommendation without seeing you in consultation, there is no reason to not consider a facelift despite the reluctance among the surgeons in your area. While fillers and nonsurgical treatments can provide subtle improvements, if you have excess skin in the neck and early jowling, neither will provide the correction that a facelift will provide. In addition, results from surgery typically lasts a decade or more; fillers and ultherapy at most a couple of years.I would recommend consulting with a board certified facial plastic surgeon who regularly performs facelift procedures to see if you are a candidate and to explore your options.

You are so pretty   and just for the pictures without and physical assessment radiofrecuency can help you with the skin tone of your face but  the evaluation can change ones I see you in person.  Also if you have radiofrecuency it can be enhance with fillers.

Facelifts are procedures where the soft tissues of the face are repositioned and somewhat tightened. The relative need of a facelift is dependent on the qualities of the face including elasticity, soft tissue position, wrinkles and many more. It is not based on age. A single photo can not truly reflect all the facial characteristic which you notice. Non invasive and minimally invasive procedures have become much more popular over the years but in all honesty, they cannot replace a facelift in an appropriately selected patient. Keep searching for a skillful plastic surgeon to help guide you on your path.

Thank you for your question and photo. Unfortunately, it is difficult to make a complete assessment from a single image. Some patients in your situation may find that injectable fillers to restore lost volume can have a very good effect. By restoring fullness to the midface, we can often improve the appearance of the lower face as well. Fillers can also be used along the jawline to reduce early jowling and create a more attractive contour. 
However, the best way to achieve a dramatic, long-lasting result is through a surgical facelift. When performed by an experienced, board-certified plastic surgeon, this procedure can be customized to your precise needs to achieve a result that is natural, youthful and beautiful. Make sure you are working with a surgeon who has the expertise and experience to provide you with these different options so you can choose the right treatment for you. 

Thank you for your question and photo!As I can see, you are on the fine line as to whether you would still be a little early with regards to a full Facelift, there are still some options in which you could potentially try. Initially the non-surgical route would be the best option before waiting a little while until there is enough skin to tighten where the results of a Facelift would be a little more worthwhile (and worth the money where you can see more of a difference).I would suggest a physical examination with a certified board plastic surgeon to discuss the options. From mini facelifts, to non-surgical treatments, such as laser, this could be a great option for you for the time being.Good luck in your search!

The real question is what is the real diagnosis? How much jaw line do you actually have? How much jowel and fat has accumulated on you lower jaw line? And ho w lax is the skin of the lower face? If i'ts minimal then transcutaneous skin tightening and fillers may temporarily improve the look. If this does'nt correct the situation then you probably need actual soft tissue and skin elevation.

A mini facelift is a great option for many people. The recovery & downtime is very minimal. There are usually no drains, most people can go out the same day, you can shower the next day, there're no scars behind the ears and you can wear your hair up anytime and most patients take no pain medicine. The result is usually the same in selected patients as a full scar facelift but it really depends on your exam.Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the neck and jowls.I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of mini facelifts and neck lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope this helps and thanks for your question.