43, I've lost my jawline - Filler vs lipo or lift? (Photos)

Question

I am female, 43yo looking to get my chin definition back. Over the last 5 years my face has changed and thebmost significant problem for me is I have lost my jawline. I am at a healthy weight and have been told I’m not a good candidate for kybella bc there’s not a ton of fat there. Seems to be more aging. I just have no idea where to begin or what even to ask for.

Ebru Soylemez, MD · Answer

Hello,Based on the photos you shared, there are several non-surgical options that can help improve the contour and definition of the jawline. One commonly used approach is dermal filler injections, which can add volume and support to the jawline area. Fillers can help create a more defined and balanced lower face by improving projection and contour.Another option that may be considered is a thread lift procedure. Thread lifts work by repositioning and supporting the soft tissues of the lower face, which can create a subtle lifting effect and improve the overall jawline definition. In some patients, combining fillers with threads can provide a more balanced and natural-looking result.The most appropriate treatment depends on factors such as skin quality, tissue laxity, and facial structure, so a personalized assessment is important before deciding on the best approach.Kind regards,Ebru Söylemez, MDMedical Aesthetics Physician – Istanbul

Nelson Lee Novick, MD · Answer

At least from the photos provided, if you wish to avoid expensive, invasive surgery, as well as the post-treatment downtime that would entail, it would appear that two nonsurgical approaches may address your concerns. A Robust HA volumizing filler can be used to contour the chin and reestablish a more youthful projection. This alone may also help to better define the jawline. Additionally, injecting microdroplets of Botox in a targeted approach along the jawline and along the upper neck can further help to tighten the sagging that troubles you. The results of the filler treatment are typically immediate and those from Botox evident in one to seven days following the treatment. You would be wise to consult a board certified cosmetic dermatologist injection expert and best of luck.

Michael A. Persky, MD · Answer

Hello G,
The question for you to answer is "Are you ready to undergo surgery at the relative young age of 43 or would you prefer non-surgical treatment?"  I would advise the non-invasive route.  If you were my patient I would treat your facial boney support with foundational Sculptra which would lift your face and take some slack up from your neck/jawline.  I would inject your neck with hyperdilute Radiesse (mixed with your own platelet rich plasma, prp).  At the same treatment session I would treat your face and neck with skin and muscles tightening/lifting micor-focused ultrasound (Sofwave and Ultera), or if you wish to go full out, Profound RF microneedle with radiofrequequency.  I have had excellent long term natural ressults restoring jawlines without surgical intervention in patients like yourself.  A less involved treatment can be done using Volux filler injections along your jawline combined with HA filler in your pre-suricular area(in front of your ear.). Good luck and be well.
Michael A. Persky, MD
Encino, CA, USA

Anna Chacon, MD, FAAD · Answer

From the photo, I can see that there is some softening of the jawline and slight sagging in the lower face, which is very common as we age, especially around your early 40s.

Options to consider:

Dermal Fillers: These can help restore volume along the jawline and chin, providing a more defined contour. They are minimally invasive and can create subtle lifting effects without surgery. Results are temporary, usually lasting 12–18 months.

Kybella / Fat Reduction: If there is excess fat under the chin or along the jawline, targeted fat reduction (like Kybella or small-volume liposuction) can help improve definition.

Surgical Lift: For more significant sagging, a lower face or neck lift provides the most dramatic and long-lasting results, addressing both skin laxity and muscle support. Recovery is longer and more involved compared to fillers.

In many cases, a combination approach works best—using fillers to restore structure and minor fat reduction or tightening to enhance definition.

The choice depends on how much volume loss versus sagging you have, your desired downtime, and long-term goals.

43, I've lost my jawline - Filler vs lipo or lift? (Photos)

Answers (4)

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