Age 30 - Jowl and sinking face concerns. How can I improve this area? (Photos)

Question

Hello. I’m looking for assistance on potential procedures to address what I think I see..…jowling, sinking, weak laxivity. I’m about to turn 31 and feel devestaged looking in a mirror to see lines that two years ago (before getting told I have a hyper thyroid and high testosterone) did not exist (still trying to get it under control). Is any of this reversible, naturally? I feel like I look 40. Any recommendations would be greatly appreciated

Anna Chacon, MD, FAAD · Answer

Thank you for opening up and sharing something so deeply personal — I hear the emotion in your words, and I want to acknowledge that what you’re experiencing is real, valid, and deserves compassion.

At just 30, noticing changes like jowling, sinking, and laxity can feel incredibly frustrating — especially when it seems to happen suddenly. When you're dealing with conditions like hyperthyroidism and elevated testosterone, your body can shift in ways that don’t always feel aligned with how you see yourself. These hormonal imbalances can absolutely influence fat distribution, collagen production, and skin elasticity, leading to the kind of facial changes you're describing — and often far earlier than expected.

Anil R. Shah, MD · Answer

a) Volume restoration (fillers / biostimulators)
Hyaluronic acid fillers can lift and support the midface, temples, and jawline to reduce the appearance of jowls.
Sculptra or Radiesse stimulate collagen for a more gradual, natural lift ideal for early laxity.
Benefits: Immediate contour improvement (fillers) + gradual skin strengthening (biostimulators).
b) Skin tightening / collagen stimulation
Radiofrequency microneedling, Ultherapy (ultrasound), or laser-based skin tightening can improve laxity and firmness.
These treatments help prevent further sagging, especially when paired with volumizing strategies.
c) Muscle modulation / minor dynamic relaxers
Small doses of botulinum toxin can soften overactive muscles around the mouth or chin that exaggerate lines.
d) Lifestyle + skincare support
Hydration, SPF, retinoids, peptides, antioxidants maintain skin thickness and elasticity.

Ella Fedonenko, MD · Answer

I would recommend injecting Botox into platysma muscles(8 units into each platysma band) and along the jaw lines(10 units on each side) to tighten the jaw lines. This should help to minimize jowling and create a slimmer appearance of the lower face.

Shahnoos Mahdavi, MD · Answer

There are multiple choices to improve the skin laxity specially in lower face and jowls. RF Microneedling with correct setting will promote Collagen stimulation and tighten the skin and considered a safe procedure to start at your age .Adding Biostimulators like Sculptra (if you do not have any autoimmune disease ) will stimulate your collagen further and enhance the results.

Lexie Wang, MD · Answer

I think the biggest thing is obviously getting your hormones under control because that will impact everything much more than anything we suggest, such as the skin quality and fat and bone distribution of your face. That being said, some htings you could try while you're working on that would be: botox to the facial depressor muscles like the platysma/DAO, something to revolumize the face (filler/fat), and working on your skin (it looks pretty dry/thin to me).

Camille Cash, MD · Answer

There are a few things you can consider to improve early jowling.  Fillers can be used to help add support to the tissues.  Morpheus8 is another tool which uses RF technology combined with microneedling to improve overall skin tone and texture.  We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Darryl J. Blinski, MD · Answer

Based on your nicely posted photos, I would recommend the end of laser treatment under local anesthesia or local anesthesia would be sedation fee 5000 $8000. Best of virtual consult with.

Age 30 - Jowl and sinking face concerns. How can I improve this area? (Photos)

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