Are any fillers good at eliminating jowls?
I'm not wild about invasive surgery in general but particularly so when it comes to my face or neck but I have jowls--and I hate them. I was just thinking that maybe something like Botox would fill them out so they wouldn't be drooping down from the sides of my face. I have tried exercises that were meant to tighten the skin but they didn't work out for me. If fillers haven't been proven to successfully 'manage' jowls, what other products have? I've just become so self-conscious, I knew it was time to do something about it. I hope you can help.
Fillers can help to subtly correct the appearance of a jowl by filling in the trough just anterior to the sagging tissue. This does not eliminate the jowl, only smooths the appearance of the jawline. In patients with early changes this may be enough. The only way to actually lift a jowl is with surgery (gold standard) or to a lesser degree with non-surgical procedures that can tighten the supportive tissue of the face.
I like this question because it answers so many mis-conceptions, unfulfilled expectations and desires regarding fillers and Botox.
- In general, fillers like Restylane and Juvederm have mass and weight. When they are injected they will add volume and “go-south” with gravity. Placing them in the area of the jowls will only make them sag more.
- Placing fillers in a multi-compartmentalized region like the cheek to fill may “lift” the nasolabial fold but rarely can have any “lifting” impact on the corners of the mouth, marionette folds or jowls.
- Botox, Dysport and Xeomin are muscle relaxers. They are used to rebalance the facial muscles of expression and will generally allow the attached skin to drop or sag when used in the mid and lower face. Only when properly used to relax the DAO (depressor anguli oris) muscle will the cheek muscles elevate the corner of the mouth and not the jowl.
There are minimally invasive options besides a surgical facelift to consider. These include:
- Silhouette InstaLift using Sculptra anchor sutures to lift and contract the tissues without incisions and performed under local anesthesia with or without sedation.
- ThermiTIGHT, a skin warming probe which produces skin tightening under local anesthesia with or without sedation.
Do not expect a surgical result from a minimally invasive procedure.
Please consult with a highly skilled and well experienced, Board Certified Plastic Surgeon to consider which is best for you!
Dean Kane, MD, FACS
Thank you for sharing your question. There are Dermal Fillers that lift this area. Voluma, and Restylane Lyft would both work nicely. These injections are simple, and have very little, if any down time. Your best bet would be to see a Board Certified Plastic Surgeon in your area for a Consultation. I hope this was helpful to you.
Best Wishes, Dr. B.