36 Depressed about jowls, don't want a face lift just yet? (Photo)

Hello, and thanks for your question and photo. You have excellent bone structure, but subtle early volume loss that is accentuating lines in the lower face. I think you are an excellent candidate for Sculptra injections, which is a treatment that my younger cosmetic patients seem to really like. Sculptra is a milk sugar derivate that is injected beneath the skin in order to stimulate production of new collagen. Patients usually require a series of about 4 injections spaced out once monthly. The results take a few months to develop (no instant gratification as with hyaluronic acid fillers), but they are long-lasting. Sculptra has been studied out to 2 years, but seems to last much longer than that. Please don't let anyone change your excellent facial structure by placing too much volume in your cheeks, which is a mistake I see all the time. In order to determine the best treatment plan for you, I recommend an in-person consultation with a well-trained dermatologist or plastic surgeon. Consider getting two opinions before getting treated. Best of luck, Dr. Frucht.   

Thanks for the great question and the photos. It looks like you have a long a narrow face and may have lost a little volume as you've gotten older. In my opinion you would be a great candidate for hyaluronic acid (HA) fillers. They will not only restore some of the lost volume, but they also provide a little "lift" to the lower part of your face in the process. May sure you see someone who is a very experienced injector. Heather Furnas and Paco Canales are two fantastic plastic surgeons in Santa Rosa if you're looking for someone. Best of luck!~Dr. Sieber