In looking at your picture in enlarged mode it appears you have a lot of volume loss in the lower face and jaw area. The area under your eyes still look great. Juvederm and Voluma in combo would give you a fantastic fill along the jaw line and around the mouth. I do not see any permanent frown around the mouth so likely using Botox would not help that much. Thanks for your question. Dr O
36 Depressed about jowls, don't want a face lift just yet? (Photo)
Doctor Answers 5
36 Depressed about jowls, don't want a face lift just yet
Thank you for your question. I would not recommend a face lift. There are a variety of different fillers avail to help volumize the face and improve the jowls. Consult with a board certified plastic surgeon. Best wishes.
Don't need facelift
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Filler for Jowls
There are many options available to you at this time. Multiple devices and treatments will provide improvement to the areas of concern. To start, Botox, when properly done around the mouth can help provide a minor lift, especially at the corner of the mouth. This is called the "Nefertiti Lift" where botox is injected into the muscles which depress the mouth. This is not a simple injection and should only be done in experienced hands as injecting the incorrect muscles or over injecting can result in significant asymmetries or difficulties speaking. Another option is filler. I like to use a lightly blended Voluma and inject along the jaw and chin to strengthen these areas and help mask the jowling. This is a great application for the cannula technique. Lastly skin tightening devices such as Pelleve will offer some improvement as they stimulate collagen and provide a small lift. Often a combination of these things works best.