What Causes Sagging Jowls, Sagging Jawline and Neck and Marionette Lines?

• Skin Laxity-As our skin ages it loses elasticity and the skin along the jaw line begins to sag.

• Loss of Facial Volume-As we age or facial fat atrophies, the face is less full, and the skin envelope becomes lax and sags.

• Repeated Mouth Movements-Smiling and facial expressions pull at the corner of the mouth and create a fold or line over which sagging facial skin can fall. Above the mouth this fold is called the nasal labial fold. Below the mouth the line is called the marionette line-also called the pre-jowl sulcus.

How to Remove Sagging Jowls and Smooth the Jawline and Neck.

Traditionally jowls have been removed by performing a face lift. More recently new non-surgical methods have also been developed:

• Facelift-The facelift is still the “gold standard’ for jowl removal. A properly done face lift can create a beautiful youthful jaw line. See my face lift patient before and after below:

Before and After face lift on my patient.

• Filler injections-Liquid Face Lift-Soft tissue fillers such as Restylane™, Juvederm™, Radiesse™, and Perlane™ are biodegradable semi –solid medical compounds that can be injected underneath facial lines to plump the skin. More recently, a technique called the liquid face lift is used to inject these soft tissue filers into areas of the face which have lost fat. By increasing the volume in these areas the sagging skin can be lifted. See our liquid facelift below:

• Laser Skin Tightening with New Laser Liposuction- New laser liposuction technology using 924nm and 924/975nm laser fibers, can be used to tighten neck skin and skin along the jaw line. The technique must be done by experienced doctors to protect important nerves running along the jaw line near the mouth. However, early jowls and double chin can be successfully removed with this technique-see before and after laser liposuction of neck of my patient below:

• Other Skin Tightening Techniques-Many non-surgical skin tightening technologies are available. These include Thermage™, LuxIR Deep™, Titan™, and Refirme™ among others. All of these technologies tighten skin by heating the collagen in the deeper skin layers. When the collagen is heated to 66 degrees centigrade, the skin collagen contracts and the skin tightens. Beware, that tightening with these methods is at best 20-30%, thus they are most effective on younger patients with early and mils skin laxity and early sagging.

To learn more about how to remove sagging jowls and freshen your face please call 978-369-4499 or email us. Read our free newsletter to keep up to date on the latest advances in aesthetics, non-surgical facial rejuvenation and plastic surgery. Read Save Your Face to learn how to prevent facial aging.

Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts