35 y/o concerned about jowls, would filler be the best option? (photos)

Filler only provides volume. The jowl is an actual fat compartment in the face that will only worsen by adding volume to that area. Sometimes injectors attempt to camouflage the jowl by injecting adjacent to it along the border of the jawline, this can be extremely problematic if not done correctly and overtime will only create a more challenging problem to fix. I would recommend a facelift/necklift to be able to appropriately thin the area with direct visualization and tighten those structures in addition to removing any potential excess skin. It is not uncommon for this to be done in patients that are your age even though many people think that this procedure is only for patients more advanced in age.

Hi,
Thanks for your inquiry and photos.
In my opinion and based on my experience, the best approach in your case should be the combination of dermal fillers on the upper and middle face to give structure and support to the lower face AND Radiofrequency procedure ( e.g. Face/Necktite and Morpheus 8 or Renuvion/J plasma) for tissue contraction ( fat and skin tightening) on the lower face (jaw line, jowls, marionette lines) and improve your contour and jaw line. After conducting a detailed facial assessment, I usually begin with dermal fillers to provide support on the middle and lower face and improve balance among different areas of the face. Jawline filler can be particularly effective in creating a more defined and contoured jawline, while cheek filler can help balance out any asymmetries or hollows for a more youthful and proportionate appearance. After 2 to 4 weeks, I typically start with Morpheus 8 (in some case 1 session of Facetite) , which involves 3 sessions spaced 4 to 6 weeks apart. In some cases, I may also combine Morpheus8 with Exilis Ultra 360 to improve skin tightening in the jawline and submental area. Morpheus 8 involves microneedling and Radiofrequency and could be quite discomfort at high level of energy for better results. For this reason, in my clinic , Morpheus 8 is performed by a doctor with experience in local anesthetic infiltration to reduce the discomfort. I recommend scheduling an appointment with a doctor/surgeon who specializes in dermal fillers and skin tightening procedures for a detailed evaluation of your facial anatomy and a customized treatment plan.
Hope this helps,
All the best,
Dr. Giuseppe Fiore