121 East 60th Street, Suite 8AB, New York, NY 10022

Ph. (212) 285-1110

Long Island

901 Stewart Ave, Suite 240, Garden City, NY 11530

Ph. (516) 512-7616

New York City (212) 285-1110

Garden City, NY (516) 512-7616

Sagging Jowls Treatment in New York

Treating Jowls

One of the benefits of youth is the ability of the skin to bounce back. We generally refer to this property as elasticity. When you age, your skin, to some degree, loses that ability. It doesn’t bounce back as briskly as it once used to, and it becomes less tight. At the same time, gravity is constantly pulling your skin down and stretching it out. The combination of the aging process as well as gravity in many patients, manifests itself as the formation of jowls.  Jowls are the appearance of pouches in front of the jawline which gives a droopy appearance to the lower face.  Jowls may be composed of pockets of fat as well as loos skin.  Jowls give the appearance of a droopy face as well as a loose jawline.  Jowls or “jowling” of the face usually begins to appear in the late thirties or early forties and becomes progressively worse with age.  There may be a genetic component to the development of jowls as well.  Some people have severe jowls at a younger age, while others may have minimal jowls at an older age.  Both men and women can become quite alarmed when they notice the appearance of jowls in the lower face as they may associate them with accelerated aging and an unattractive appearance.   Dr Rokhsar has successfully developed many noninvasive treatment options for the improvement of jowls for his New York City and Long Island patients.

How Are Jowls Treated?

Although there are people who claim that facial exercises can get rid a person’s sagging jowls, this is simply misinformation.   The treatment of jowls involves either a surgical or non-surgical procedure.  Suggested treatments to decrease or eliminate the appearance of jowls are Ulthera, ThermiTight, fillers, Kybella, and mini facelifts. The precise treatment will inevitably depend on the individual needs and desires of the patient, tolerance for down time, the degree of improvement desired, and the choice between a surgical treatment vs. a non-surgical alternative. In some cases, a combination of procedures will be used to get the best results in getting rid of jowls.  Noninvasive skin tightening procedures such as Ulthera and Themritight decrease jowls simply by making the jawline skin tighter.  Kybella injections improve the poochy appearance of jowls by destroying the fat cells if the puffy jowls.   With judicious use of fillers, Dr. Rokhsar can camouflage the jowls by filling in the hollow areas either in front or behind the jowls across the jawline.  Lastly, facelifts work by surgically pulling back the jowls int the posterior face.

Dr. Cameron Rokhsar is a world-renowned expert in noninvasive procedures for facial rejuvenation to get you a tighter face, eliminating the appearance of jowls.   If you’re looking to get rid of your jowls in New York, New York Cosmetic, Skin, and laser Surgery Center with offices in Manhattan and Long Island, headed by Dr. Rokhsar, should be your first and final destination.

Through his innovative techniques, Dr. Rokhsar has helped thousands of patients achieve their goals of a tighter face, getting rid of jowls.   If you desire to get rid of your jowls, and get back your once sleek, firm, and athletic jawline from your youth, contact us to schedule a confidential consultation. This consultation will help us determine the best course of action to achieve your desired final results.

Sagging Jowls Treatment FAQ

What causes sagging jowls?

Jowls are the lower part of a person’s cheek and are especially noticeable when there is excess fat or skin that drops down because of the natural aging process or significant weight loss. This lower face sagging can also be accompanied by double chins and loose neck skin. It is hard to avoid facial sagging with the use of exercise or face creams. The skin loses its elasticity at a rate of about 10 percent every decade, making it increasingly difficult to keep up with the aging process. People can also encounter this problem at an early age because of their genes, forecasting an unsightly aging process.

Overexposure to the sun can also increase the loss of elasticity, encouraging gravity to take hold and pull the excess skin towards the bottom half of the face. Smoking is known to reduce blood circulation and the very important flow of vitamin A, along with other essential nutrients. Without certain nutrients, the aging process speeds up, and a chain smoker in their early 20’s should not be surprised by sagging jowls.

Sagging jowls refer to the droopy skin that develops along the jawline, below the chin. While aging is the primary cause of jowls, there are several other factors that contribute to the condition.

One of the leading causes of sagging jowls is overexposure to ultraviolet (UV) rays from the sun, which can damage the collagen in the skin. Nicotine and other chemicals found in cigarettes can also harm the collagen in the skin and contribute to sagging jowls.

Sagging jowls occur due to a loss of fat, connective tissue proteins, and/or hydration in the skin. As we age, our skin produces less collagen and elastin, which leads to thinning and fragility of the skin, making it more susceptible to sagging. This process can be accelerated by extreme weight loss.

Genetics can also play a role in the development of sagging jowls, as some individuals may be predisposed to lose elasticity in their skin at a faster rate than others. Other factors that can contribute to the condition include facial expressions, sleeping positions, and even our everyday habits.

In conclusion, sagging jowls are primarily caused by aging and a loss of collagen and elastin in the skin, but several other factors can also contribute to the condition, including sun exposure, smoking, genetics, extreme weight loss, and daily habits.

How to prevent sagging jowls?

Sagging jowls are a common concern as we age. While there is no guaranteed way to prevent sagging jowls, there are some lifestyle choices that can help reduce the severity or risk of early development. Here are some tips:

  • Avoid smoking and limit exposure to the sun. Chemicals in cigarettes and other forms of tobacco can damage your skin. Wearing sunscreen on your face and limiting exposure to the sun can also help reduce damage to your skin.
  • Practice good skin hygiene, stay hydrated, reduce alcohol intake, and exercise regularly. These simple lifestyle choices can all help prevent jowls.
  • Consider non-surgical treatments, such as ThermiTight or Ultherapy, which use radiofrequency and ultrasound energy to tighten the skin around the neck and jawline.
  • Consider injection of the jowls with Kybella injections which melts fat. This is a powerful and effective non surgical technique to reduce the appearance of jowls in a permanent manner.
  • Some people may also benefit from Botox and dermal fillers, which can help relax muscles under the jaw and increase volume along the jawline.

How to tighten up sagging jowls?

Sagging jowls are a common cosmetic concern for many people as they age. While the natural aging process is a significant contributor to sagging jowls, there are several things you can do to tighten up the skin in this area.

One of the simplest ways to prevent sagging jowls is to practice good skin hygiene, wear sunscreen to prevent sunburn, stay hydrated, reduce alcohol intake, avoid smoking, and exercise regularly. However, if you are already experiencing sagging jowls, there are several treatment options available.

Surgical procedures such as face and neck lifts can tighten your skin and make it look less saggy. Nonsurgical procedures such as ThermiTight, Ultherapy, lasers, and peels can change the composition of collagen, which can help tighten up the skin. Kybella injections can shrink the appearance of the jowls in a dramatic and permanent manner. Kybella, an FDA approved drug for neck fat, is highly effective in the treatment of jowls.

Another treatment option is Botox. This treatment causes the muscles under the jaw to relax, resulting in an upward pulling of the facial muscles and reducing sagging jowls. Dermal fillers can also be injected along the jawline, before the jowls (prejowl sulcus) to increase volume and further correct any sagging and to hide the jowls.

Facial exercises can also help tighten the muscles in the jawline and prevent sagging jowls. The tongue exercise, chin press, and jaw release are some examples of exercises that can be performed to tone the muscles in the face and neck.

Lastly, it is essential to keep up with fillers and tightening procedures as you age. Ultherapy, for example, keeps your skin tight, by heating up your skin through focused ultrasound, creating new collagen, and tightening the facia of the facial muscles. Thermitigh, heats up the skin from inside out in a systematic manner to cause dramatic tightening of the skin. Dr. Rokhsar may choose a combination of approaches to get you the best results. Additionally, extreme weight loss can lead to sagging jowls earlier or more drastically than typical, so maintaining a healthy weight can also help prevent sagging jowls.

What is the best procedure for sagging jowls?

There are multiple procedures available to treat sagging jowls, including surgical and non-surgical options. The best procedure for sagging jowls may depend on the severity of the condition, the patient’s age, and skin type.

One surgical option for treating sagging jowls is a jowl lift, where a surgeon repositions and sculpts fat and tissues in the jaw and cheek, cuts away excess skin, and tightens surrounding muscles. Neck lift surgery is another surgical procedure that can tighten loose muscles and remove excess skin.

Non-surgical options for treating sagging jowls include injectables such as Botox and dermal fillers, which can help relax muscles and increase volume in the jawline respectively. Other non-surgical procedures like ThermiTight and Ultherapy use radiofrequency or ultrasound technology to tighten and rejuvenate the skin. Dr. Rokhsar is an expert in these procedures, and he teaches other physicians how to perform them. Dr Rokhsar also is a fan of Kybella injections into jowls to reduce the size of the jowl. More than one treatment with Kybella may be required. Kybella is an FDA approved drug for shrinking fat in the neck or the double chin. Dr. Rokhsar may also advise jawline and neck liposuction depending on your specific anatomy and needs. Dr. Cameron Rokhsar, double board certified in dermatology and surgery would be happy to evaluate your concerns and discuss your options with you.

Overall, the best procedure for sagging jowls depends on individual factors such as severity of sagging, age, and skin type. During a consultation, Dr. Rokhsar can determine the best treatment option for you.

New York Office Locations

Upper East Side Manhattan Office
121 East 60th Street, Suite 8AB New York, NY 10022
(212) 285-1110

Long Island Office
901 Stewart Ave, Suite 240, Garden City, NY 11530
(516) 512-7616

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About author - Dr. Cameron Rokhsar

Dr. Cameron Rokhsar

Dr. Cameron Rokhsar, MD, FAAD, FAACS, is the founder and medical director of the New York Cosmetic, Skin, & Laser Surgery Center. Dr. Rokhsar is a graduate of Harvard College and NYU School of Medicine. Dr. Rokhsar is double board certified in dermatology and micrographic dermatologic surgery, being one of the few select dermatologists in the country who is also fellowship trained in laser surgery. A researcher and innovator, Dr. Rokhsar is the creator of the non-surgical nose job and has been instrumental in the research and development of laser systems such as the Fraxel, CO2, Mirady, Vbeam, Themitight, and Ulthera devices. An Associate Professor of Dermatology at Mount Sinai Hospital in NYC, Dr. Rokhsar actively teaches the cosmetic dermatology clinic to the resident at Mount Sinai. An expert injector of fillers, and a trainer for many companies, patients fly in from around the world to see Dr. Rokhsar in his Garden City and Manhattan offices in New York.

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