What to do about those dreaded jowls?? Early on, they’re often caused by volume loss in the face, especially some of that 20% of skull mass that we eventually (and quite normally) lose over our lives. This is how it works: There’s a little ligament, about ½ inch wide, on each side of the chin just where those “marionette lines” form. It’s very tight between the bone and the skin – and it stays tight as our skull starts to become smaller, a process that generally begins after about age 25. This is mostly what creates that first indentation of a marionette line and also the indentation on either side of our chin at the jawline that makes the area just next to it look like a jowl. This is what we call a “pseudo-jowl” and it usually can be smoothed out nicely with a filler. As we proceed to age not only does that process continue, but we also accumulate some fat at the jowl, and other tissues stretch and slide down to form a real, live standard issue, pseudo-no-more jowl. Sometimes people attempt to keep filling the indentation up as the jowl enlarges. That’s when the face can look boxy and distorted – we’ve all seen it – because the actual cause hasn’t been addressed. This is when gravity has superseded the volume loss issue and a facelift is indicated. The volume still needs to be addressed or people can look windblown, but the important thing is for your doctor to know the difference, address the proper condition and do it safely, skillfully and with artistic vision.
If you need help deciding between a facelift or fillers, click here to contact us for an appointment.
Oculofacial Plastic Surgeon, Sarasota, Florida
Subscribe to our newsletter