What is the best procedure to treat my sagging Jowls? (Photos)

Depending on the level of laxity, the effects of a facelift and/or a neck lift will certainly outlast the effects of non-surgical treatments. Non-surgical procedures can only temporary resolve the issue and require few to several attempts. It's best to begin by consulting with a surgeon in-person. During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. Patients who desire facial rejuvenation that is affordable, quick, and effective should consider the Lite-lift™. Like the Life-Style™ facelift, this is a modified facelift that can be performed in the office with a local anesthetic and improve signs of aging around the neck, jawbone and lower face. These procedures are not "Thread-lifts" or "String-lifts". We do not use the "barbed" sutures employed in these other lifting operations. The Lite-lift™ uses longer lasting techniques that are discussed below. Because the incisions are limited, there is less bruising, swelling and healing time for most patients. Many patients can be back to work in one to two weeks looking rested and more youthful. If you are not a candidate at the time of your #consultation, your board certified plastic surgeon can recommend alternatives to address your concern. Consulting with a board-certified plastic surgeon who specializes in neck and facial procedures is important to ensure you are receiving the best advice, care, and surgical experience possible.

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.​ Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Thank  you for your question.   The Beast treatment for the jowls is a SMAS   lift that support the fat and changes the position of the fat in the face.  Also it removes the extra skin from the face.

A short scar 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 wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right. 

Jowls are sagging of the facial skin and underlying tissue over ligaments attaching the skin to the bones. They can never be corrected by just filling the face with fillers. A proper facelift procedure involving pulling the SMAS should be performed for best results. In cases like yours I personally use the composite facelift technique where a SMAS flap is elevated with minimal skin dissection, a very quick recovery and very long lasting result. Some parts can also be filled with fat grafting (Lift & Fill) to enhance to overall result and make you look even younger. Reduction of your buccal fat also through the same approach will help you get a nice and tight "nefertiti" result.
Hope this helps,
Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

You appear to be a great candidate for a lower face and neck lift. Results generally last ten years or longer, you will always look younger than if you did not have surgery. Be sure to see a Board Certified Plastic Surgeon, and ask if computer imagining is available for you to see what results you can expect! Good luck.

You are a prime candidate for a lower face and neck lift for long lasting results.  I perform these procedures under local anesthesia and oral sedation in an accredited surgical center.  These procedures will address your jowls, lax facial skin and the fullness below your chin.  The satisfaction rate is very high as seen on RealSelf ratings.  Read my link for more details.  Best of luck!

There are several different types of facelift techniques that are currently performed by facelift surgeons. The most important factor is that the technique that is used by a facial surgeon will create a youthful, natural with long lasting result. Experience is the key in facial rejuvenation. Vectors of facial tightening vary from patient to patient. For a 45- 50-year-old patient, I would not apply the same vector and tension that I normally apply to a 70-year-old face. In addition, direction of vectors must be modified during secondary or tertiary facelift to avoid artificial look.  I have performed well over 3,000 facelifts and published a specific technique that describe the rotational angles and amount of tension that must be applied during SMAS plication to avoid over or under tightening.  A well-performed neck lift during facial rejuvenation is the paramount in a youthful-appearing face. I apply gradual tension on my SMAS as follow: starting at temple area there is only 20-30% tension on muscle plication, once at the jawlines the muscle is tightened 100%. This prevent pulled looked at the corner of mouth. In neck area the muscle must be tighten with greater tension than 100%, depending on the neck laxity.  Look at the doctor’s before and after pictures, a talented and experienced facelift surgeon will have a smooth and well-contoured neck that enhances the facelift results.  There is no substitute in experience and artistic eyes.

A Mini Lift with liposuction using mini cannulas and a neck lift would give you the most dramatic rejuvenation. Look for facial plastic surgeons in your area, rather than searching for general plastic surgeons. Facial plastic surgeons are trained both as surgeons and as aestheticians who know how to work with your particular bone structure and anatomy to get the most flattering results. I hope this helps.

Thank you for your question and for attaching photos. In my opinion the best procedure that is going to last the longest is a face lift. This will improve your jowls and jawline giving you a more youthful appearance. Your results should "last" about 10-15 years depending on the quality of your skin. This really is the best option. The less invasive options are just not going to deliver the results you are looking to achieve. Best of luck.