I had a face and neck lift at age 50. The surgeon said he set the clock back by 10 years. I would always look 10 years younger than my age. Now, at age 70, I find this is true. I don't look 50 again, I look 60. I have always been glad I had the facelift. Best money I ever spent. I say if you can afford it, do it!
@eringaines After 3 weeks, I went back to work. My job didn't require any physical exertion, and I was able to take breaks to apply ice packs to my cheeks. After six weeks, I was able to sleep on my side again. Up until then, my ears were too sensitive. I would advise you to plan for two months of taking it a little easy. No gym, other physical exertion, or chemical hair treatments. Your incisions will be hidden in your hair and behind your ears. Good luck with your facelift! You will love your results.
I’m sad that surgery is the only way to solve lower face sagging. I’ve not had good results with filler and have had new problems arise with the use of them. It’s hard to accept an aging face. I’ve really been struggling with it. When I look in the mirror and pull my skin back, I say to myself hi, I miss you! I’m thankful to have good skin at least, and I’m told I look younger than my age, but I still don’t feel attractive anymore. People say it’s vain, but I just don’t feel like myself. I can’t afford a facelift so it is a matter of acceptance. It’s not easy.
I bet you are beautiful. I am developing jowls (am 54) but am trying to use contour under my chin. I am not really bothered by it though and thank my face for getting me this far in life.
I only use topical treatments such as retinol or exfoliating products and I think it’s good enough. I also wear sunscreen. Going under a knife for anything is serious and risky. I feel a bit rebellious about surgery. Maybe one day I will look “old” and people can gasp and be glad they had surgery 😅 See Twilight Zone Number 12 looks just like you 😊
Truth. All the money spent on promises from cosmetic companies could have paid for a surgical FL by now. Put away a thousand a year starting at age 25, and you're ready by 55.
Thank you for your honesty. I am sick and tired of cosmetic professionals that go on the record and push Botox and fillers to solve facial skin. The only solution is surgery. Many of us don’t want to consider such drastic and invasive procedures but it’s the only thing that will actually solve sagging skin and muscle. I appreciate your honesty. I follow some cosmetic doctors on this platform and the information is consistent.
Yep, I am not completely against anti aging technology, I just think most people don't have the money; and we shouldn't waste what we have on this. We all age; and no matter what you do, you won't stop the aging process. I guess if you have tons of money and have nothing else to spend it on....that's a choice. I am just tired of people thinking young=good and old=bad....it's not necessarily the case. Our society is obsessed with youth and that is a shame.
Everyone that has been born will age. The only thing certain abt life is death. Tell me anything else that’s certain. You can do all you want.. needles, surgery, fillers, Botox, facelift and so on but clock only goes forward. Just try to be the best version of yourself at whatever age you are.. embrace aging and instead of adding days to your life just watching these silly videos and mirror, I think it’s better to add life to your days. So on our last day, we feel we lived a good life! All this is just business! She has to pay her medical student loans and debts, so she does all this and I think it plays on normal ppl minds. That’s what is social media. I don’t think we should waste our valuable time on petty stuff. Things are only as big as you make them to be…
@@Zan-y9leverything in life that we buy is business and embracing a sagging face is your goal. no one should tell any woman what to do with their bodies. whatever makes people happy as long as it doesn't hurt anyone. that's a good life
I start to notice my jowls at 31. I went up 15 lbs and then lost 20 lbs (due to depression), and now I really want to get done with them. I feel I'm to young to have saggy jowls and the rest of my face look super young. Will prop do Morpheous in a couple of weeks.
I had a "mini" facelift or ponytail facelift that only addressed my jowls at age 68 and I'm 70 now and very pleased with my results. I also highly recommend using a board certified facial plastic surgeon who specializes in facial plastic surgery. I also had CO2 laser skin resurfacing, liposuction under my chin to remove fat and the results have been amazing! I have always taken good care of my skin and never looked my age so I did not need a full facelift. Also, my surgery was done under local anesthesia so I didn't have the risk of undergoing general anesthesia and it was all done in his office which saved me a lot of money from going to a hospital setting.
Hi Can you please share your MDs name & address . Hard to find a good plastic surgeon. I am 54 yrs old I am tired looking at myself developing jowl. Thank you for sharing.
My mom and aunt had facelifts 10 years ago and they look great!! And they don’t have any scars. They look a decade younger and look natural. Don’t be afraid, it’s all about your doctor!
@@norawilson5326But you know what, start saving and you can compliment with financing. Because you don’t want an inexpensive doctor for your face. Too much risk. Better to pay and have more trust.
I am 60 and I have jowls. I will not be doing any surgery. It's a genetic trait passed down by my mother. I love my mother. I look like my mother did at my age. Now she is 90. My mother is and always was a beautiful woman. I don't feel that jowls or wrinkles render any woman "not beautiful". In other words, a mature woman can have jowls and wrinkles and still be beautiful. I choose to see myself as beautiful and that is how I make peace with my aging face and firm decision to not do surgeries, botox or fillers. However, I fully support other women who choose to do it. I have witnessed some great results! I think it's a personal choice and whatever a mature woman wants to do in order to feel her best, most confident, beautiful self, is exactly what she should do. When we feel good about ourselves our own "well" is overflowing. We then have enough to give a cool, refreshing drink of water to someone else.
Very well said. So tired of women being shamed for having cosmetic procedures and women who choose to do no procedures being declared heros! Why does anyone care what another woman chooses to do with her face and/or body?
@@kristirichards2249 Thanks! We know that cosmetic procedures and surgeries cost a lot of money. Not every woman has this kind of money at her disposal. Therefore, I sometimes think that there can be some jealousy behind the catty remarks about women who can afford the procedures and get top notch "work" done and come out looking great and youthful. For me, personally, I don't have the money for any of that stuff. Instead, I just make peace with my "aging" face. However (and this is the caveat) I have a great complexion at 60 years old. That much has always been within my control and I started taking immaculate care of my skin starting at the age of 11. I do invest in high end "anti-aging" products and have been religiously using "actives" for many years now. There are so many retinols and exfoliating and hydrating "acids" in skin care products that really can shave off years from the face. Reducing or eliminating wrinkles and hyperpigmentation. Also, I have been drinking apple cider vinegar (ACV) every day for the past 30 years and this tonic does wonders for the complexion. That being said, having great skin is wondeful (BUT) it can not do anything about "facial structure" and that is genetic. Therefore, as I mentioned, I do have jowls, yet, I still think that I am pretty. I am happy with myself and I really applaud women who invest in having procedures done and great face lifts, because we only get one life to live and every single woman likes to feel pretty, gorgeous and beautiful!!!!!
Exceptional education, thank you. I've had jawline filler for bone loss and it's given a bit of structure back to the face without looking heavy. It lasts a long time. My injector has an artistic eye and that helps.
Yes agreed! The doctor that uses filler can do it artistically from below on jaw up through smile lines like beautiful Nicole Kidman. No need for the knife if not desired. Just someone with quality work, experience with fillers and a great eye.
@@DrSamEllis Dr sam! i am French but would be patient enough to have a RDV with you. Or maybe you have a french collegue i could trust? like you said its all about the injector..
I’m really glad you were honest about the facelift. I feel like derms avoid admitting this and then patients spend so much money on procedures that are limited in what they can do. Thank you for the straight talk.
A facelift is the only solution for jowls. Jowls are pockets of fat that have dropped due to laxity of the skin, fascia and muscles, and bone resorption. Once they settle in, ONLY surgery can fix them. I tried RF (at home): caused more laxity, leading to the onset of jowls. Microneedling, retin-A, and facial exercises: excellent for the face as a whole, but did nothing for the jowls (maybe just slow them a bit). Filler on the jawline at the bone level: very minimal results. Ellacor (microcoring): may have slowed down progression, but did not erase jowls. After three years of spending my money trying to avoid a facelift, I finally bit the bullet. What a difference. I had a MACS lift, otherwise known as a mini lift. Basically a lower SMAS facelift. I do think that all the other stuff I did above (with the exception of RF) may have prepared a good terrain for the facelift, allowing me to go for a MACS lift rather than a full or deep plane. I will continue doing them to maintain my results.
I’m getting ready to have the second of three micro needling sessions on face, neck, and décolleté. I don’t have much jowling , but my skin is more lax at age 60. I have noticed mild improvement in jawline after first round. I noticed that they took pictures before the first treatment, so there will be something other than my opinion to compare back to.
50 here and I have developed jowls recently. It sucks so bad!!! I have zero wrinkles but I do have saggy skin....UGH!!! I tell my husband I don't know what's worse!!! Wrinkles or sagging, LOL!! I guess having both right!!! LOL! It is what it is! I'm doing my best to embrace this new phase in my life, I am healthy, i exercise, i drink plenty of water, I have a beautiful healthy family and I glow from the inside so I am blessed beyond measure! Embrace aging ladies, it truly is a privilege
I look at my partner and he has a sagging neck and has wrinkles all over and I don't see him any different and love him the same. I really believe we are being so hard on ourselves, stripping joy from our lives because we think we need to look a certain way. Our partners support us because they think we will be happy, but if we were completely confident with how we look (just like they are) they would be completely okay with it well and love us the same. Comparing ourselves to our past selves, and to other women strips our joy.
Your honesty is SOOOO appreciated and rare! Specially as a doctor that does not make a living out of surgeries ! THANK YOU for telling it like it is, and not giving false hopes. I admire that very much!❤️🙏
I have actually found external musculature of the shoulders, traps and neck, when tight, can contribute to pulling down on the jawline, and having it look more like there are jowls … I had some treatments at the chiropractor and do some physical therapy to strengthen and relax the muscles in those areas and it makes a really big difference in the way your neck and jaw looks. The combination of laxity in certain muscles. and tightness in others create such an imbalance. Getting these right again normally helps your body and any pain you might be having from this, but also improves the appearance of your face.
Oh that's interesting, i think that's the main cause why i start developpe jawls, May i ask which type of exercices to do, if you have some exemples to share please ? Thank you so much !!
@@suzananda hi! I went to the chiropractor and I am being treated for frozen shoulder. It’s an ongoing problem. I’m still struggling with since it first happened. So I have some resistance bands that I use to help strengthen the area around my shoulder blade/scapula. They also do some treatment on my traps (the muscles between the top of my shoulder and the base of my neck right doing push-ups and trying to crack my posture along with going to the chiropractor, and having them work on releasing the tightness between my jaw and the top of my shoulder is helping a lot. if you look in the mirror and tilt your head, as if you were trying to touch your ear to your shoulder without lifting your shoulder, if you feel tightness, pulling at your jaw and ear, he will notice that tendon is really really tight and looks like it’s sticking out. i’m trying my best to explain what this will look like, but it’s really hard unless I could show you! Lol you may know what I mean if you have this problem. If I don’t do the exercises, the tightness comes back and begins to pull again. It can be a larger problem as well throughout the whole body when the whole body is out of alignment each area starts to overcompensate and you get this kind of overall imbalance. I’m currently working on strength training to get my entire body back in some sort of shape and starting with the shoulders and neck area, I think we’ll have a big impact on the way my jaw looks. There’s a woman name Malissa Neil here on RUclips, who has a great channel about women over 40 and getting in shape in her jawline looks amazing and I don’t think she even does any type of cosmetic corrections. Hope this is helpful!
@@creativesolutionsart-h3oyes i know exactly which tendon you’re talking about!! Mine is so tight it feel like wood. Can I ask you how often you do your stretching exercises and how long it took for you to relate this tightness to jawling and see improvement?
@@marie-claudefortin4414 hi! It is really difficult to get into a routine, but it is really paying off because it is starting to be less noticeable. I do the resistance bands and push-ups and arm weights 3 to 4 times a week and just really try to strengthen the areas around my shoulder blades and in my chest and peck area. it can be helpful to go to a chiropractor or a massage therapist and have them work on that area if you express what you’re concerned about. Also doing facial massage also helps. There’s nothing worse than looking in the mirror and thinking you have jowls but it is actually being caused by tight tendons. I know as we get older we’re still going to have some type of laxity in that area, but it can definitely look worse if your muscles and tendons are tight and pulling on it!
I am 54 and in have jowls. I started massaging my face with a gua sha and although the results aren't striking, it has definitely improved the situation. I have to do it daily and consistently to see results though.
We all age.... nobody will look like they are 25 forever. Eat healthy, get enough sleep and exercise and accept how we change as we age is important. Dr. Ellis, I'm sure you are under 45 years old. You have a perfect face. I have spent money on my looks before, but now that I am in my 60s....no more.
Indeed! We all age. And if we are blessed with a long life, we will grow old. No matter how young we look for our age, at some point we will look old. So embrace aging, but do our best to age healthily in mind, body and soul.
We all age. I would be lying if I said I don't mind my sagging face. I do, but not enough to be over focus or feeling miserable about it. I'm not interested in invasive procedures even though I could afford it. I had already a hand full of them for health and mobility reasons. I know I will need a free more in the future so I will not add more than those I really need. There are other things that worry me much more that looking old
As we age, getting enough sleep is only an option if we’re willing to take drugs. Otherwise, most mature people have a tendency to sleep a few hours at a time.
Thank you for your wonderful advice and kind delivery if it, you brilliant Doctor!! 😊 ❤ My PDO threadlift experience: good for a few weeks, then virtually no resolution of the saggy skin problem after that. I feel like i wasted money, and time. Lesson learned! Lasers, PRF microneedling (in-office by a professional), good daily skin care (and saving for a future facelift) is my answer now. 🙏
amen! thank you for this video. I’m 57 years old and I felt the same way. Nothing’s going to lift those jowls except a facelift so I went in and had it all done. Best thing I ever did. along with an upper bleph! now im lifted and snatched ! threads are worthless don’t recommend them. never did them but my botox injector did not recommend them as well. I get so tired of seeing so many videos on RUclips using the word lifted !Nothing‘s going to lift your face. No device is going to lift your face. Stop throwing your money away. I feel like for the cost of the facelift. I saved lots of money on worthless procedures did not give me the results I want.
Hello. Would you mind telling me how the bruising was? Of course I understand that will be different for each person but I am wondering about the down time and how long I would not be able to return to work. Thank you.
@@gabibartlett6968 I had little to no bruising and zero pain. Just a little puffy I had a really speedy recovery. You just have a lot of strange feelings around your face. Your face will feel very tight hard to turn your neck, but that subsides after a while. It’s been eight months and I still have the tightness I would say after a week you could return to work depending what your job is.
I am a professional RN, esthetician and electrologist. I totally agree with everything you said. I had a facelift in my early 50’s. I’m now 62. I have jowls and loose skin on my neck again… I have tried it all everything from professional skin care( which does help the skin) to light therapy, micro needling, fillers and Botox. I am now ready to take the plunge and get another facelift, but I really want a natural look. I love your videos! Thank you! 😊
I'm still fairly young and I found that a 15 lb weight loss over 6 m helped get rid of the jowls around my mouth. I stopped eatting processed foods and worked out more.
Thank you for this video. You’re only the second dermatologist I’ve heard say that getting a bunch of fillers along the jawline may make one’s lower face look different and not in a good way. I’ve heard too many say just get fillers, just get Botox!
I am 63 and have been doing facial massage for over a year. Let me tell you this, it does work. When I look at photos of myself from a year ago, I can see the difference. It looks like I had a mini facelift. I follow Aysal and Tanaka massage techniques. I find that just using my hands as compared to tools is more effective in my case. I also do some facial yoga, just a few minutes daily. As for skin care products, I use peptides, retinol, vitamin c. I like No. 7 and The Ordinary brands. And don't forget to exfolliate. As for SPF, I live in a cold climate country, so I never really have had to worry about too much Sun exposure as I am always covered up from head to toe. Hope this helps.
I had threads- and they did absolutely nothing. A few years later (at 41) I had my facelift. And I’m happy since then. Also I don’t need anymore fillers!
I got threads done three years ago and absolutely loved the effect. It tightened my face more than anything else I'd done, including Thermage and Ultherapy. But it was painful and I've not done it again because I don't find that I need it again. I do Thermage, Ultherapy and Emface and find those help enough that I don't need threads.
I have had threads done twice now. The first time they lasted a year. I had amazing results; however, I have had an issue with the left side of my face where one of the threads kept wanting to come out. After two tries I kept that one out for good. I have 6 other friends who have been going to the same person that have been getting threads done for years with no issues and lasting results. We all love them!
A year is a last result for something that is not so invasive, as in no surgery. I am curious, what types of threads did you use? I'm considering it for the future.
Thank you Dr.Ellis for being so transparent about this topic and informing the public honestly about the different options available for treatment of jowls. This has been the most in-depth explanation by a dermatologist I have come across and you get extra points for stating that a surgical intervention may be the most appropriate option to address this problem in later years when the problem is past simple fixes. Your credibility shines here because advising this option may perhaps cause you to lose clients, but i would say it may be the opposite because we do appreciate honesty and selflessness in our providers. Thanks for being a shining example.
Thank you for this video - great information I had threads done by a practitioner in the Bay Area 3 years ago - I really loved the results but one of the threads migrated and actually came out through the inside of my lower cheek - it (not far from The corner of my mouth) very unpleasant . Results lasted 6-9 months - This same practitioner has a new laser - Fotana- that is promoted for all kinds of procedures - are you familiar with it and if so do you see it as beneficial for jowls? BTW- I participated in a clinical trial at a facility in Sacramento for Sofwave- specifically for cellulite - sadly no improvement
Actually it’s quite difficult to even address jowls with surgery. I have seen so many women whose faces look great for the first 8 months after surgery, for things to start dropping again and their jowls return. This is why most before and after photos you see online or in plastic surgery office are always before the 5 month mark. You very rarely get to see results after 1 year. Many people end up having to get filler after their facelifts to maintain the results. So surgery isn’t always the answer. It seems that if you have good bone structure with a strong jaw line and chin, you’ll get the best results. But if you’re heavy in the lower face, the chance of jowls returning seems to be quite high. So I urge anyone who’s looking into having a facelift, to make sure they get in touch with previous patients who had their surgeries over a year ago. Ask them if they’ve had to resort to any other treatments to maintain results. Also deep plane facelifts are not always superior. Again I have seen a lot of deep plane facelifts ending up making someone look worse than they did before. Not good when they’ve spent $80k! And let me tell you something else, if those people complain, they are made to sign NDA’s in return for a revision. Which doesn’t always end up working out. And if they leave a bad review on Realself or other sites, they get threatened with a lawsuit and the reviews are removed. So don’t always believe the reviews on these websites and on Instagram. Do your own research and find at least 3 patients of the surgeon you’re interested in. Contact them directly and ask for photos and videos. See them in person if you can. Have a look at their scars etc. so many people continue to use filters after their surgery to make their results look better than they actually are. Obviously not all surgeons are bad. But you’ll be surprised how many can go from being charming, to gas lighting narcissists. So do your research!
I've started noticing my jowls now, at the age of 38 after being at severe stress daily since 2022. It's just makes me wanna cry, because that stress is caused in my life by other members of the family. For 2.5 years I'm been having irregular sleep hours, constant stress of dealing with a mentally ill person. I have acne all over my face. Overall, I've been learning on my body how is stress killing me every day.
I’m so sorry. 😢 I totally feel you. I’m 40 and having the same due to family stress. I hope you can find enough peace of mind so your mind and body can heal. 💖
I had threads done for jowls and well over a year later, I still notice a big difference from my before photo. They definitely increased collagen and tightened up the area. It is invasive but because I got really good results I'd do it again. I think you have to put in the time and research for someone who is really good and experienced. I'm 42 years old and did the threads when I saw early signs of jowls.
I guess it depends on the person. I used zip 5 x a week for 4 months and saw no changes in the jowls. Only a slight slimming of the check which is not what I wanted.
A guy friend told me i should get threads about 5 years ago. Im glad i never did. He had some nerve, for one thing. But also, i like my face. I'd rather look like me but a little older than look distorted or have infection or complication. My significant other just turned 49 and i am sooo atteacted to him. He has jowls. I think being in love with someone makes them seem gorgeous to you no matter what. Don't get plastic surgery, get someone who is in love with you!
@@AnnaMelese-g2n it’s not very well accepted as it uses ibotenic acid (from the amanita muscaria mushroom) and that really tightens the skin, and gets through to the dead layers of skin. I put it in a nano infuser the oil for your face can be found on a site called “Mushroom Voice” from Amanita Dreamer. Be very careful about vendors as there are many bad ones with bad ingredients out there regarding this mushroom. Stick with this one lady and she will say other companies and how to make your own toner ( I did it, finally). All the best! Be careful with all mushrooms 🍄
Healthy lifestyle, balanced diet with healthy fats and lots of protein, do strength and resistance training twice a week, take a collagen supplement, take a D3 / K2 supplement
Personally, I’ve had great results with thread lifts- noticeable difference and still happy with it a year and a half later. But I really think it matters who does it. People have different techniques and use different types of threads. My practitioner was great though!
I'm 36 and starting to see jowls (very genetic) despite taking excellent care of my skin and being in good shape. It's a little disheartening. I'm not at the point of wanting to go as far as a facelift yet, so I may give gua sha a try and perhaps discuss botox and kybella options next time I see my derm. Thanks for such great information.
You might be able to achieve some benefits from Sculptra. I’m 38 and just had this done 1 month ago in strategic areas to help achieve overall balance and some softening in shadows. It can take several months to show results so I can’t confirm or deny if it’s helped yet, unfortunately. I did a LOT of research beforehand on this so luckily I knew that a facelift was the best option and set my expectations appropriately 🙂
I have seen great results with radiesse placed in the right places and they did not look square and bulky. Their face actually looks slimmer. Eg look at injectorboss in Florida. Stunning results and no threads . No bulky face , but super defined jawline ( needs to be radiesse) .
Yes, the Nuface does help with the jawline, but what you don't want to do is use it over the depressor anguli oris muscle and by the way the platysma muscle is like a sheet and comes up to lower part of the face that is why it affect the depressor and can pull down the corner of the mouth.
I am 33 and started to notice the early signs of it especially after losing 30 lbs in a year . I tried rf microneedling (scarlet) with exosomes and saw great improvement after only one session but like 3 weeks after it with the collagen build up that I started noticing that my face has been lifted. I have been a tretinoin user for 4 years so probably that has played a role to how my skin responded. Still going for a second session not because my jowls are bothering me anymore but I loved the results it gave to my skin in general and the doctor recommended I do 3 sessions to begin with and with the huge improvement I've seen I cannot wait to see the final results. Cannot really believe that my skin can get any better but I'll take my doctor words for it
A video on blepharoplasty? I'm a good candidate for lower bleph but can't financially afford it. Looking for non surgical options. Your hair looks great today ❤
Thank you! I defer to my plastic surgeon and ophthalmology colleagues to talk about blepharoplasty in greater detail since they are the ones that typically perform this procedure (though some derms do this as well; it's not as common)--gotta stay in my lane!
Thank you for an honest assessment of options. I was so hoping for some non-invasive solutions. But, thanks anyway. I did see a temporary nonsurgical solution. Its that tape you adhere to your hairline with a string. Pulls everything up!!!😅😅😅.
Have had threads done midface and neck. Results were good, and no complications. Would I do it again? Probably not as I have become more knowledgeable about available options. I have also had filler done and was lucky to find a greatly skilled injector who is conservative in her approach.
I'm in my early 40s and have had chubby cheeks since I was a baby. I had two rounds of Kybella a year ago which had a significant impact in the reduction of fat under my jaw, chin, and in my lower cheeks. I am very happy with my results. Aside from the very high cost and the tremendous amount of pain, I did notice a small amount of asymmetrical loose skin under my chin, but it didn't seem noticeable to others when I pointed it out. I recently had botox (dysport) injected throughout my lower face. I took pictures before and again two weeks after. I don't think I would have noticed much of a difference if I hadn't done so, but the pictures show a significant difference. I am also considering getting some filler in my chin and cheeks. I will need to budget for it because it's super pricy.
Really great point about the importance of photography! We often aren’t able to appreciate more subtle changes on ourselves without the objectivity of a picture!
Facial massage!! I definitely believe this works, just started doing this and my Aesthetician said my skin looks amazing. Honestly, I thought it was a trend but it works 😊.
@@Ebizzill I can give a few tips like one a facial oil and Gua sha is key, but you can just do very simple light massages on the face ( always be very gentle and in upward motion).Also neck is very important but instead of going up you would go down light pressure with hands or gua sha for 5 mins twice a day.
How helpful is mesotherapy? If the overall facial skin is tightened, won't marionette lines and sagging cheeks also be reduced? Or can mesotherapy not tighten the skin? And 2nd question: Is there something like a mini lift, so that the whole face doesn't have to be cut, but maybe just 1-2 cm on both sides?
The main cause of jowls and any other sagging and bagging is called AGING. Stay healthy and fit and grow old gracefully. It's what's inside that counts.
Absolutely true. The problem is our society doesn't believe this. Plus, the beauty industry depends on our insecurities to stay rich. Maybe if this message can be marketed correctly someday society will change. For example, many companies are now using size size 8 to 12 models rather than size 4 to 6 models in their advertisements. This has slowly changed our perception of what your body should look like thus helping decrease the incidence of eating disorders among women. Companies should also start advertising using women at various ages in their lives 30s 40s 50 60 70s 80s. Normalizing, rather than rejecting, wrinkles and gray hair would improve our mental health as we age.
Thanks for being super honest about the only "true long-term fix" for jowls is surgery. I don't find that cosmetic dermatologists influencers speak to the surgery options and appreciate the honesty of what can be achieved through the different options.
Nutrition is very important to keep the integrity of skin overall. I'm 76 and have beautiful skin, people think I'm in my 50's. I've followed a fatty carnivore diet/sometimes keto, for many years.
I had Kybella for jowls and it worked great on one side, pretty well on the other. I've gained weight since, and I feel like they're not as bad as they could have been
Weight gain will do it as well as genetics and stress. I’ve been under immense stress for over 10 years and I developed them due to weight gain. I had a fat dissolver just like you and feel it’s helped a lot. No more double chin too! I’ll be having more fat dissolvers done to refine the lower face along with other injections. It takes time to see results. But if your jowls are there due to weight gain, fat dissolvers are definitely the way to go.
Thank you for being honest about how office procedures might fall short. I'm fortunate to look younger, but jowl and neck deterioration might lead me to surgery in a few years.
I just had this done with the goal of minor improvements to the jowling that has developed at age 38 after weight gain and loss (as well as premature ovarian insufficiency & menopause 🫠). Luckily I heavily researched jowl treatments beforehand and understood the limitations of in office procedures vs. a facelift and didn’t add it to the jawline and am not expecting profound resolution. She pretty much confirmed every single thing I learned, which was awesome. I am hoping for a bit of softening in appearance and overall less shadowing and more balance to the face. I’m hoping with those things, the bit of jowling that remains won’t bother me as much. I only had it done 1 month ago so I haven’t seen any results yet, but I’ll try to remember to provide an update here in 3-6 months 🙂 I had 2 syringes my first appt. She said I may need 3-4 total but I’m not planning on spending the money on 4, so lefts hope the 2-3 are effective 😆🙏🤞 For reference, I had Sculptra added to areas of the face that have hollowed a bit; especially in the upper face. - the pre-auricular area (the area in front of the ear). This is an awesome area that few talk about, is subtle, and helps restore the youthful shape to the face! - temples - chin shadow (which basically softens the transition from the jowl to the chin and reduces shadowing) - the triangle at the base of the nose (I’m blanking on the proper term for it right now but it’s not a common one & isn’t the nasolabial folds). This one will mostly improve overall balance and helps with the drooping of the tip of the nose that occurs with age.
But who qualifies that as an "improvement"? Looking younger is an aesthetic, not an improvement. Youth is not an "improvement" over age and wisdom. You said it, some don't care, some do. I simply wish we would just accept the natural processes of life. I believe we'd be much better off, more productive people, and happier.
Love your honesty!! Thank you. I am 50 and doing the manual face lift in the mirror and like that look. Just need to find a good plastic surgeon that gives a Beverly Hills fl without that price tag lol
Thank you so much for your straight up honesty. After having severe bone loss over last 18 years from a rare chronic disease, my facial structure really changed & stopped recognizing myself around 35. Doctors & Dentist both saying have bone loss of an 80 year old & I’m not 47. Have no way & will never have way to pay for facelift. Can’t even afford necessary medical treatments, testing & therapies lol. But been endlessly searching, for a cheap way to improve my sagging face & good to know not to waist any funds or anymore time searching into this. Guess gotta just accept I’m gonna always look 15 years older then I am 🤷🏼♀️
Jowls have been really an insecurity of mine for the past couple of years, gua sha helps with puffiness but I know I will probably need to do more concrete procedures soon. This was very informative!
What is often missed is the issue of the muscles in the neck and under the jaw pulling that area down. Often simple Botox in the DAO and/or the Platismus can help release the downward pull on the mouth and surrounding area. 😀
Goodness. I don't know if I could find the time for a face lift. I can barely meet my dentist appointments. Nevertheless, thanks for taking the time to upload the vid!
In older individuals who have lost elasticity in the skin they can! So it’s always something I assess before treating the masseters in any of my patients!
Thank you, Dr. Ellis. That was a very informative and educational video. Question: can you explain how to use the Gua Sha cosmetic tool to deal with jowls. I bought one but I forgot the best way to use it. Thank you!
I almost always prefer liposuction (very targeted result that can be tailored during the procedure) unless it is a very small amount of fat (like barely enough to pinch), in which case a series of Kybella injections work well and is technically less invasive.
The research I’ve done on this confirms what she says; Kybella can also lead to some fibrosis (scarring). You can get liposuction done while you’re awake and it can actually be quite quick and fairly affordable. I have Lipedema, which is a rather common connective tissue/fat disorder in women that causes pain, swelling, fibrosis, etc & the medical treatment for it is to remove the diseased tissue via liposuction. It’s incredibly effective for pain reduction and to maintain mobility. Insurance companies are even covering it sometimes! It’s estimated that 6-11% of women have it… yet very few have even heard of it (including physicians) so if you have no idea what I’m talking about you aren’t alone lol. Anyway… I digress lol. The point is that I’ve learned a LOT about liposuction the last couple of years because of this and it isn’t nearly as scary or invasive as one would think 😆🤷🏼♀️
Sorry to go off topic, but can give us some advice about senile petichae, and any thing we can do for it other than sunscreen to keep it from getting worse?
What is the age range that you think fat removal is okay and the skin will bounce back? I am 34 and have a genetic double chin with a little jowling. Pretty sure it is mostly fat!
Any opinions on the FaceTite procedure? I don’t have jowling as much as a loss of definition from my jaw to my neck. A plastic surgeon recommended either FaceTite or a lower facelift. The cost difference was a few thousand dollars, and it almost seems like the facelift was the better option.
I really would like Botox for my mouth clenching but I have heard that if you are older that it can cause jowling. Is this right would you say. (I’m asking for the late 40s age) thank you ❤
it gave me jowls :( I got it was when I was 37. The person I went to did WAY TOO MUCH and it slimmed my face so much that I got jowls. If someone wants to get it done, I would suggest starting slowly and see what amount is best for you.
Dr. Ellis. Would you mind telling me where your practice is located. I am having difficulty locating you through searches. I live in Northern California and would be interested in a consult. TY for your incredibly informative videos. Just subscribed! Kelly
Agree 100% about meaningful difference with surgery but I must admit that Ellacor has me intrigued in terms of an improvement at a lower price and less downtime.
I find that because it’s just removing cores of skin, there’s no tightening of the deeper tissue which limits its efficacy a bit. I’m curious to see more results as it’s on the market longer!
@@DrSamEllis that’s a great point, and something to consider for sure. Managing expectations is such an important part of these decisions. I don’t think I’d expect a lift, necessarily, like with the jowls…but when I look at the barcode lines above my lip I feel like it could help there.
Hi! What do you mean by muscle starting to fall off the bone? Is this due to the muscle tissue being stretched over the years or do the ligaments become weaker? Is this due to repetetive movement? Is there something one can do to prevent your muscles aging so much? Can you desctibe this a little more thoroughly? Thanks!
Dr. Ellis, thanks so much for this valuable information, especially regarding the thread lift risks. As a 34 year old, I am already seeing jowls forming and decreased skin tightness. I would love to be preventative/ slow down the visible signs of aging. I've heard about Sofwave and Profound RF. Would any of these options (or something else) make sense to consider for my initial onset of jowls? Thank you!
Dear Dr. Ellis I really enjoyed your video and the honesty. I am 61 had PDO threads done with little to no result and it cost me a fortune. This is all I have had done and wish I had watched this video first. I really thought it would change my life but I have hence learnt to live with my face and use a lifting hair clip LOL. Thanks again I wish you could come to South Africa Johannesburg. All youve said is absolutely on the dot I have had tooth loss and fluctuating weight, weigh 53 kgs as opposed to 65 kgs so this perhaps has also given a lot of hanging skin. Does taking Collagen help at all?
Doctors should really be a lot more honest with this. At 60 years old you have very little collagen production which is what makes threads effective. They are not going to work for your age group unfortunately. You should have been told this
You would need high resistance exercise to cause significant bulking of facial muscles, which may come with a different set of issues down the line. For example, we see those who chronically clench their jaw develop enlarged chewing muscles, which in turn can lead to TMJ issues.
I had a face and neck lift at age 50. The surgeon said he set the clock back by 10 years. I would always look 10 years younger than my age. Now, at age 70, I find this is true. I don't look 50 again, I look 60. I have always been glad I had the facelift. Best money I ever spent. I say if you can afford it, do it!
I agree. I had mine at age 56, almost 8 years ago. I get filler now in my gonial angle to maintain my results.
I’m 60 and look 50 no surgery needed !good genes…
@@angelasmith257awesome!
Do you mind sharing how long your recovery period lasted, and was it painful?
@eringaines After 3 weeks, I went back to work. My job didn't require any physical exertion, and I was able to take breaks to apply ice packs to my cheeks. After six weeks, I was able to sleep on my side again. Up until then, my ears were too sensitive. I would advise you to plan for two months of taking it a little easy. No gym, other physical exertion, or chemical hair treatments. Your incisions will be hidden in your hair and behind your ears. Good luck with your facelift! You will love your results.
I’m sad that surgery is the only way to solve lower face sagging. I’ve not had good results with filler and have had new problems arise with the use of them. It’s hard to accept an aging face. I’ve really been struggling with it. When I look in the mirror and pull my skin back, I say to myself hi, I miss you! I’m thankful to have good skin at least, and I’m told I look younger than my age, but I still don’t feel attractive anymore. People say it’s vain, but I just don’t feel like myself. I can’t afford a facelift so it is a matter of acceptance. It’s not easy.
I find red light therapy and microcurrent at home really helps. Nuface is good, I hear people love Omilux and Dennis gross red-light.
I bet you are beautiful. I am developing jowls (am 54) but am trying to use contour under my chin. I am not really bothered by it though and thank my face for getting me this far in life.
I only use topical treatments such as retinol or exfoliating products and I think it’s good enough. I also wear sunscreen. Going under a knife for anything is serious and risky. I feel a bit rebellious about surgery. Maybe one day I will look “old”
and people can gasp and be glad they had surgery 😅 See Twilight Zone Number 12 looks just like you 😊
Truth. All the money spent on promises from cosmetic companies could have paid for a surgical FL by now. Put away a thousand a year starting at age 25, and you're ready by 55.
Microcurrent has been the most effective.
Thank you for your honesty. I am sick and tired of cosmetic professionals that go on the record and push Botox and fillers to solve facial skin. The only solution is surgery. Many of us don’t want to consider such drastic and invasive procedures but it’s the only thing that will actually solve sagging skin and muscle. I appreciate your honesty. I follow some cosmetic doctors on this platform and the information is consistent.
Very interesting video.
At 54, beginning to show a jowl, but don't want a face lift so I will embrace my wisdom 😊
Yep, I am not completely against anti aging technology, I just think most people don't have the money; and we shouldn't waste what we have on this. We all age; and no matter what you do, you won't stop the aging process. I guess if you have tons of money and have nothing else to spend it on....that's a choice. I am just tired of people thinking young=good and old=bad....it's not necessarily the case. Our society is obsessed with youth and that is a shame.
Everyone that has been born will age. The only thing certain abt life is death. Tell me anything else that’s certain. You can do all you want.. needles, surgery, fillers, Botox, facelift and so on but clock only goes forward. Just try to be the best version of yourself at whatever age you are.. embrace aging and instead of adding days to your life just watching these silly videos and mirror, I think it’s better to add life to your days. So on our last day, we feel we lived a good life!
All this is just business! She has to pay her medical student loans and debts, so she does all this and I think it plays on normal ppl minds. That’s what is social media. I don’t think we should waste our valuable time on petty stuff. Things are only as big as you make them to be…
Truth 👆🏼
@@Zan-y9leverything in life that we buy is business and embracing a sagging face is your goal. no one should tell any woman what to do with their bodies. whatever makes people happy as long as it doesn't hurt anyone. that's a good life
I start to notice my jowls at 31. I went up 15 lbs and then lost 20 lbs (due to depression), and now I really want to get done with them. I feel I'm to young to have saggy jowls and the rest of my face look super young. Will prop do Morpheous in a couple of weeks.
I had a "mini" facelift or ponytail facelift that only addressed my jowls at age 68 and I'm 70 now and very pleased with my results. I also highly recommend using a board certified facial plastic surgeon who specializes in facial plastic surgery. I also had CO2 laser skin resurfacing, liposuction under my chin to remove fat and the results have been amazing! I have always taken good care of my skin and never looked my age so I did not need a full facelift. Also, my surgery was done under local anesthesia so I didn't have the risk of undergoing general anesthesia and it was all done in his office which saved me a lot of money from going to a hospital setting.
Can you share where you had this done?
Hi
Can you please share your MDs name & address . Hard to find a good plastic surgeon. I am 54 yrs old I am tired looking at myself developing jowl. Thank you for sharing.
Wow…can I get the info on where you got this done at please?
Can we see before & after
My mom and aunt had facelifts 10 years ago and they look great!! And they don’t have any scars. They look a decade younger and look natural. Don’t be afraid, it’s all about your doctor!
That’s what worries me i cant find a good doctor with reasonable price.
@@norawilson5326But you know what, start saving and you can compliment with financing. Because you don’t want an inexpensive doctor for your face. Too much risk. Better to pay and have more trust.
@@norawilson5326 “reasonable price” is subjective but never ever try to find the best deal on reconstructive surgery, most regret that decision!
Who is the doctor ?
I am 60 and I have jowls. I will not be doing any surgery. It's a genetic trait passed down by my mother. I love my mother. I look like my mother did at my age. Now she is 90. My mother is and always was a beautiful woman. I don't feel that jowls or wrinkles render any woman "not beautiful". In other words, a mature woman can have jowls and wrinkles and still be beautiful. I choose to see myself as beautiful and that is how I make peace with my aging face and firm decision to not do surgeries, botox or fillers. However, I fully support other women who choose to do it. I have witnessed some great results! I think it's a personal choice and whatever a mature woman wants to do in order to feel her best, most confident, beautiful self, is exactly what she should do. When we feel good about ourselves our own "well" is overflowing. We then have enough to give a cool, refreshing drink of water to someone else.
I love the way you express this. Thank you for giving us all a boost. Your kindness is appreciated. : )
I look exactly like my mother as well. and my grandmother and my great grandmother.They all had facelifts.
Very well said. So tired of women being shamed for having cosmetic procedures and women who choose to do no procedures being declared heros! Why does anyone care what another woman chooses to do with her face and/or body?
@@kristirichards2249 Thanks! We know that cosmetic procedures and surgeries cost a lot of money. Not every woman has this kind of money at her disposal. Therefore, I sometimes think that there can be some jealousy behind the catty remarks about women who can afford the procedures and get top notch "work" done and come out looking great and youthful. For me, personally, I don't have the money for any of that stuff. Instead, I just make peace with my "aging" face. However (and this is the caveat) I have a great complexion at 60 years old. That much has always been within my control and I started taking immaculate care of my skin starting at the age of 11. I do invest in high end "anti-aging" products and have been religiously using "actives" for many years now. There are so many retinols and exfoliating and hydrating "acids" in skin care products that really can shave off years from the face. Reducing or eliminating wrinkles and hyperpigmentation. Also, I have been drinking apple cider vinegar (ACV) every day for the past 30 years and this tonic does wonders for the complexion. That being said, having great skin is wondeful (BUT) it can not do anything about "facial structure" and that is genetic. Therefore, as I mentioned, I do have jowls, yet, I still think that I am pretty. I am happy with myself and I really applaud women who invest in having procedures done and great face lifts, because we only get one life to live and every single woman likes to feel pretty, gorgeous and beautiful!!!!!
Wish I was able to feel as you do.
Exceptional education, thank you. I've had jawline filler for bone loss and it's given a bit of structure back to the face without looking heavy. It lasts a long time. My injector has an artistic eye and that helps.
A great injector makes all the difference!
What type of filler?
Which filler?
Yes agreed! The doctor that uses filler can do it artistically from below on jaw up through smile lines like beautiful Nicole Kidman. No need for the knife if not desired. Just someone with quality work, experience with fillers and a great eye.
@@DrSamEllis Dr sam! i am French but would be patient enough to have a RDV with you. Or maybe you have a french collegue i could trust? like you said its all about the injector..
I appreciate your honesty about what works and what is a waste of money and perhaps even a danger. Thank you!
I’m really glad you were honest about the facelift. I feel like derms avoid admitting this and then patients spend so much money on procedures that are limited in what they can do. Thank you for the straight talk.
A facelift is the only solution for jowls. Jowls are pockets of fat that have dropped due to laxity of the skin, fascia and muscles, and bone resorption. Once they settle in, ONLY surgery can fix them.
I tried RF (at home): caused more laxity, leading to the onset of jowls. Microneedling, retin-A, and facial exercises: excellent for the face as a whole, but did nothing for the jowls (maybe just slow them a bit). Filler on the jawline at the bone level: very minimal results. Ellacor (microcoring): may have slowed down progression, but did not erase jowls.
After three years of spending my money trying to avoid a facelift, I finally bit the bullet. What a difference. I had a MACS lift, otherwise known as a mini lift. Basically a lower SMAS facelift.
I do think that all the other stuff I did above (with the exception of RF) may have prepared a good terrain for the facelift, allowing me to go for a MACS lift rather than a full or deep plane. I will continue doing them to maintain my results.
I’m getting ready to have the second of three micro needling sessions on face, neck, and décolleté. I don’t have much jowling , but my skin is more lax at age 60. I have noticed mild improvement in jawline after first round. I noticed that they took pictures before the first treatment, so there will be something other than my opinion to compare back to.
50 here and I have developed jowls recently. It sucks so bad!!! I have zero wrinkles but I do have saggy skin....UGH!!! I tell my husband I don't know what's worse!!! Wrinkles or sagging, LOL!! I guess having both right!!! LOL! It is what it is! I'm doing my best to embrace this new phase in my life, I am healthy, i exercise, i drink plenty of water, I have a beautiful healthy family and I glow from the inside so I am blessed beyond measure! Embrace aging ladies, it truly is a privilege
Wonderful!!! 🙏🏽
Same no wrinkles but I’m a sagger
I look at my partner and he has a sagging neck and has wrinkles all over and I don't see him any different and love him the same. I really believe we are being so hard on ourselves, stripping joy from our lives because we think we need to look a certain way. Our partners support us because they think we will be happy, but if we were completely confident with how we look (just like they are) they would be completely okay with it well and love us the same. Comparing ourselves to our past selves, and to other women strips our joy.
If I’m gonna look like you in my 50s I’ll just thank god every morning cause your face is perfect
@@Okay182😂😂😂 thanks for the giggles!❤
Your honesty is SOOOO appreciated and rare! Specially as a doctor that does not make a living out of surgeries ! THANK YOU for telling it like it is, and not giving false hopes. I admire that very much!❤️🙏
I have actually found external musculature of the shoulders, traps and neck, when tight, can contribute to pulling down on the jawline, and having it look more like there are jowls … I had some treatments at the chiropractor and do some physical therapy to strengthen and relax the muscles in those areas and it makes a really big difference in the way your neck and jaw looks. The combination of laxity in certain muscles. and tightness in others create such an imbalance. Getting these right again normally helps your body and any pain you might be having from this, but also improves the appearance of your face.
Oh that's interesting, i think that's the main cause why i start developpe jawls,
May i ask which type of exercices to do, if you have some exemples to share please ?
Thank you so much !!
@@suzananda hi! I went to the chiropractor and I am being treated for frozen shoulder. It’s an ongoing problem. I’m still struggling with since it first happened. So I have some resistance bands that I use to help strengthen the area around my shoulder blade/scapula. They also do some treatment on my traps (the muscles between the top of my shoulder and the base of my neck right doing push-ups and trying to crack my posture along with going to the chiropractor, and having them work on releasing the tightness between my jaw and the top of my shoulder is helping a lot. if you look in the mirror and tilt your head, as if you were trying to touch your ear to your shoulder without lifting your shoulder, if you feel tightness, pulling at your jaw and ear, he will notice that tendon is really really tight and looks like it’s sticking out. i’m trying my best to explain what this will look like, but it’s really hard unless I could show you! Lol you may know what I mean if you have this problem. If I don’t do the exercises, the tightness comes back and begins to pull again. It can be a larger problem as well throughout the whole body when the whole body is out of alignment each area starts to overcompensate and you get this kind of overall imbalance. I’m currently working on strength training to get my entire body back in some sort of shape and starting with the shoulders and neck area, I think we’ll have a big impact on the way my jaw looks. There’s a woman name Malissa Neil here on RUclips, who has a great channel about women over 40 and getting in shape in her jawline looks amazing and I don’t think she even does any type of cosmetic corrections. Hope this is helpful!
@@creativesolutionsart-h3oyes i know exactly which tendon you’re talking about!! Mine is so tight it feel like wood. Can I ask you how often you do your stretching exercises and how long it took for you to relate this tightness to jawling and see improvement?
@@marie-claudefortin4414 hi! It is really difficult to get into a routine, but it is really paying off because it is starting to be less noticeable. I do the resistance bands and push-ups and arm weights 3 to 4 times a week and just really try to strengthen the areas around my shoulder blades and in my chest and peck area. it can be helpful to go to a chiropractor or a massage therapist and have them work on that area if you express what you’re concerned about. Also doing facial massage also helps. There’s nothing worse than looking in the mirror and thinking you have jowls but it is actually being caused by tight tendons. I know as we get older we’re still going to have some type of laxity in that area, but it can definitely look worse if your muscles and tendons are tight and pulling on it!
Thank you for telling the truth and not selling us magical solutions that don't work.
I am 54 and in have jowls. I started massaging my face with a gua sha and although the results aren't striking, it has definitely improved the situation. I have to do it daily and consistently to see results though.
That’s great!
Do you follow anyone's video or routine when you do it?
@@am1156 I watched a few videos when I first started gua sha but now I just do it on my own
We all age.... nobody will look like they are 25 forever. Eat healthy, get enough sleep and exercise and accept how we change as we age is important. Dr. Ellis, I'm sure you are under 45 years old. You have a perfect face. I have spent money on my looks before, but now that I am in my 60s....no more.
Amen!
Indeed! We all age. And if we are blessed with a long life, we will grow old. No matter how young we look for our age, at some point we will look old. So embrace aging, but do our best to age healthily in mind, body and soul.
I wish someone did a video on the appreciation of aging 🙌
We all age. I would be lying if I said I don't mind my sagging face. I do, but not enough to be over focus or feeling miserable about it. I'm not interested in invasive procedures even though I could afford it. I had already a hand full of them for health and mobility reasons. I know I will need a free more in the future so I will not add more than those I really need. There are other things that worry me much more that looking old
As we age, getting enough sleep is only an option if we’re willing to take drugs. Otherwise, most mature people have a tendency to sleep a few hours at a time.
Thank you for your wonderful advice and kind delivery if it, you brilliant Doctor!! 😊 ❤ My PDO threadlift experience: good for a few weeks, then virtually no resolution of the saggy skin problem after that. I feel like i wasted money, and time. Lesson learned! Lasers, PRF microneedling (in-office by a professional), good daily skin care (and saving for a future facelift) is my answer now. 🙏
amen! thank you for this video. I’m 57 years old and I felt the same way. Nothing’s going to lift those jowls except a facelift so I went in and had it all done. Best thing I ever did. along with an upper bleph! now im lifted and snatched ! threads are worthless don’t recommend them. never did them but my botox injector did not recommend them as well. I get so tired of seeing so many videos on RUclips using the word lifted !Nothing‘s going to lift your face. No device is going to lift your face. Stop throwing your money away. I feel like for the cost of the facelift. I saved lots of money on worthless procedures did not give me the results I want.
I'm so curious, do you mind saying, just how much is a face-lift, approximately .
@@rebella5769i paid 17,000 and that included an upper bleph on my eyes and one night in hospital in houston texas
Hello. Would you mind telling me how the bruising was? Of course I understand that will be different for each person but I am wondering about the down time and how long I would not be able to return to work. Thank you.
@@gabibartlett6968 I had little to no bruising and zero pain. Just a little puffy I had a really speedy recovery. You just have a lot of strange feelings around your face. Your face will feel very tight hard to turn your neck, but that subsides after a while. It’s been eight months and I still have the tightness I would say after a week you could return to work depending what your job is.
@lisatompkins9588 thank you for your quick response!
I am a professional RN, esthetician and electrologist.
I totally agree with everything you said. I had a facelift in my early 50’s. I’m now 62. I have jowls and loose skin on my neck again… I have tried it all everything from professional skin care( which does help the skin) to light therapy, micro needling, fillers and Botox. I am now ready to take the plunge and get another facelift, but I really want a natural look. I love your videos! Thank you! 😊
As a 50 year old with the onset of jowls, this has been really helpful. Thank you for breaking it down.
So happy to hear that!
Love your hair and makeup today. You look gorgeous
Dr. Ellis, can you address how to help with marionette lines and nasalabial folds? That's what bothers me the most!
I need this video!!!
Can we get a GRWM, your makeup looks stunning today! ❤❤
I agree ❤
@@daresaryan8229 Yes, please. her makeup is beautiful. I agree 100%
this is the makeup artist who did her makeup! @britdoesmakeup
That is exactly what brought me here! Dr Ellis please share your eyeshadow, lipstick and foundation products! You look beautiful 🤩
@louisah6020 could not find her. Just brought up British vs American MUA.
This is such a refreshingly honest and educational video - thank you! ❤🙏🏼
Love it! A derm that just calls the spade the spade! Thx for this frank and real conversation about our changing faces.
Thank you for your honesty Dr. Ellis.🙌🙌🙌
Love the facts and honesty on this channel ❤
I really appreciate your honesty! Thank you so much
I'm still fairly young and I found that a 15 lb weight loss over 6 m helped get rid of the jowls around my mouth. I stopped eatting processed foods and worked out more.
Thank you for this video. You’re only the second dermatologist I’ve heard say that getting a bunch of fillers along the jawline may make one’s lower face look different and not in a good way. I’ve heard too many say just get fillers, just get Botox!
Glad it was helpful! Filler is such a useful tool, but only if used to solve the right problem!
Excellent segment. Thank you! Sorry, I know this segment is NOT about makeup yet. Oh my, that blush shade is GORGEOUS! What are you wearing?
What are your thoughts on face yoga? Would exercising the muscles beneath the skin assist at all
I've often asked this same question on these types of sites - and have never been answered..🤷
I am 63 and have been doing facial massage for over a year. Let me tell you this, it does work. When I look at photos of myself from a year ago, I can see the difference. It looks like I had a mini facelift. I follow Aysal and Tanaka massage techniques. I find that just using my hands as compared to tools is more effective in my case. I also do some facial yoga, just a few minutes daily. As for skin care products, I use peptides, retinol, vitamin c. I like No. 7 and The Ordinary brands. And don't forget to exfolliate. As for SPF, I live in a cold climate country, so I never really have had to worry about too much Sun exposure as I am always covered up from head to toe. Hope this helps.
I had threads- and they did absolutely nothing. A few years later (at 41) I had my facelift. And I’m happy since then. Also I don’t need anymore fillers!
A fantastic and honest review Dr Sam - thanks so much. What do you think of Endolift for tightening jowls? The probe under the skin?
I got threads done three years ago and absolutely loved the effect. It tightened my face more than anything else I'd done, including Thermage and Ultherapy. But it was painful and I've not done it again because I don't find that I need it again. I do Thermage, Ultherapy and Emface and find those help enough that I don't need threads.
the threads lasted like two years but they wore off very gradually so it was hard to gauge.
@@Eaststarwhich type of threads did you get and how many did you have put in?
I have had threads done twice now. The first time they lasted a year. I had amazing results; however, I have had an issue with the left side of my face where one of the threads kept wanting to come out. After two tries I kept that one out for good. I have 6 other friends who have been going to the same person that have been getting threads done for years with no issues and lasting results. We all love them!
Just curious, if the results lasted a year, how can you say lasting results
@@leahn4267 that’s long lasting to us. Most people say they only last 2-3 months. So take it how you would like.
A year is a last result for something that is not so invasive, as in no surgery. I am curious, what types of threads did you use? I'm considering it for the future.
I appreciate your honesty!
Very informative and realistic. Thank you!!
Thank you Dr.Ellis for being so transparent about this topic and informing the public honestly about the different options available for treatment of jowls. This has been the most in-depth explanation by a dermatologist I have come across and you get extra points for stating that a surgical intervention may be the most appropriate option to address this problem in later years when the problem is past simple fixes. Your credibility shines here because advising this option may perhaps cause you to lose clients, but i would say it may be the opposite because we do appreciate honesty and selflessness in our providers. Thanks for being a shining example.
Thank you for this video - great information
I had threads done by a practitioner in the Bay Area 3 years ago - I really loved the results but one of the threads migrated and actually came out through the inside of my lower cheek - it (not far from
The corner of my mouth) very unpleasant . Results lasted 6-9 months -
This same practitioner has a new laser - Fotana- that is promoted for all kinds of procedures - are you familiar with it and if so do you see it as beneficial for jowls?
BTW- I participated in a clinical trial at a facility in Sacramento for Sofwave- specifically for cellulite - sadly no improvement
Actually it’s quite difficult to even address jowls with surgery. I have seen so many women whose faces look great for the first 8 months after surgery, for things to start dropping again and their jowls return. This is why most before and after photos you see online or in plastic surgery office are always before the 5 month mark. You very rarely get to see results after 1 year. Many people end up having to get filler after their facelifts to maintain the results.
So surgery isn’t always the answer. It seems that if you have good bone structure with a strong jaw line and chin, you’ll get the best results. But if you’re heavy in the lower face, the chance of jowls returning seems to be quite high.
So I urge anyone who’s looking into having a facelift, to make sure they get in touch with previous patients who had their surgeries over a year ago. Ask them if they’ve had to resort to any other treatments to maintain results.
Also deep plane facelifts are not always superior. Again I have seen a lot of deep plane facelifts ending up making someone look worse than they did before. Not good when they’ve spent $80k! And let me tell you something else, if those people complain, they are made to sign NDA’s in return for a revision. Which doesn’t always end up working out. And if they leave a bad review on Realself or other sites, they get threatened with a lawsuit and the reviews are removed. So don’t always believe the reviews on these websites and on Instagram. Do your own research and find at least 3 patients of the surgeon you’re interested in. Contact them directly and ask for photos and videos. See them in person if you can. Have a look at their scars etc. so many people continue to use filters after their surgery to make their results look better than they actually are.
Obviously not all surgeons are bad. But you’ll be surprised how many can go from being charming, to gas lighting narcissists. So do your research!
I've started noticing my jowls now, at the age of 38 after being at severe stress daily since 2022. It's just makes me wanna cry, because that stress is caused in my life by other members of the family. For 2.5 years I'm been having irregular sleep hours, constant stress of dealing with a mentally ill person. I have acne all over my face. Overall, I've been learning on my body how is stress killing me every day.
@@UnDiscoveredDidi yes, it does. I hope you will find your peace of mind
I’m so sorry. 😢 I totally feel you. I’m 40 and having the same due to family stress. I hope you can find enough peace of mind so your mind and body can heal. 💖
GLOWING today!
I had threads done for jowls and well over a year later, I still notice a big difference from my before photo. They definitely increased collagen and tightened up the area. It is invasive but because I got really good results I'd do it again. I think you have to put in the time and research for someone who is really good and experienced. I'm 42 years old and did the threads when I saw early signs of jowls.
Nu face and Ziip have helped very much… 5 times a week… I definitely see improvement 😊
I guess it depends on the person. I used zip 5 x a week for 4 months and saw no changes in the jowls. Only a slight slimming of the check which is not what I wanted.
Can you please list your lip products that you're wearing and blush and shadow. YOU LOOK STUNNING!!!!
@britdoesmakeup
Also, having good lighting, helps
A guy friend told me i should get threads about 5 years ago. Im glad i never did. He had some nerve, for one thing. But also, i like my face. I'd rather look like me but a little older than look distorted or have infection or complication. My significant other just turned 49 and i am sooo atteacted to him. He has jowls. I think being in love with someone makes them seem gorgeous to you no matter what. Don't get plastic surgery, get someone who is in love with you!
Sculptra!!! But I’m almost ready for a lift, age 50. I love Gua Sha.
Currently I have found a very tightening toner so that’s helping atm…..
Please share?
@@AnnaMelese-g2n it’s not very well accepted as it uses ibotenic acid (from the amanita muscaria mushroom) and that really tightens the skin, and gets through to the dead layers of skin. I put it in a nano infuser the oil for your face can be found on a site called “Mushroom Voice” from Amanita Dreamer.
Be very careful about vendors as there are many bad ones with bad ingredients out there regarding this mushroom. Stick with this one lady and she will say other companies and how to make your own toner ( I did it, finally).
All the best! Be careful with all mushrooms 🍄
How can we help maintain a good bone health on the face and prevent bone loss? And once some is lost, how can this be recovered?
Healthy lifestyle, balanced diet with healthy fats and lots of protein, do strength and resistance training twice a week, take a collagen supplement, take a D3 / K2 supplement
Personally, I’ve had great results with thread lifts- noticeable difference and still happy with it a year and a half later. But I really think it matters who does it. People have different techniques and use different types of threads. My practitioner was great though!
What type of threads did you get?
I'm 36 and starting to see jowls (very genetic) despite taking excellent care of my skin and being in good shape. It's a little disheartening. I'm not at the point of wanting to go as far as a facelift yet, so I may give gua sha a try and perhaps discuss botox and kybella options next time I see my derm. Thanks for such great information.
You might be able to achieve some benefits from Sculptra. I’m 38 and just had this done 1 month ago in strategic areas to help achieve overall balance and some softening in shadows. It can take several months to show results so I can’t confirm or deny if it’s helped yet, unfortunately. I did a LOT of research beforehand on this so luckily I knew that a facelift was the best option and set my expectations appropriately 🙂
I have seen great results with radiesse placed in the right places and they did not look square and bulky. Their face actually looks slimmer. Eg look at injectorboss in Florida. Stunning results and no threads . No bulky face , but super defined jawline ( needs to be radiesse) .
Since a NuFace isnt going to be helpful for the jawline, can you tell me something you think it is helpful for?
Yes, the Nuface does help with the jawline, but what you don't want to do is use it over the depressor anguli oris muscle and by the way the platysma muscle is like a sheet and comes up to lower part of the face that is why it affect the depressor and can pull down the corner of the mouth.
@@Suzanne-s5m wow on all these demonstration no one has ever mentioned it would no more damage to the dao muscle smh.
I am 33 and started to notice the early signs of it especially after losing 30 lbs in a year . I tried rf microneedling (scarlet) with exosomes and saw great improvement after only one session but like 3 weeks after it with the collagen build up that I started noticing that my face has been lifted. I have been a tretinoin user for 4 years so probably that has played a role to how my skin responded. Still going for a second session not because my jowls are bothering me anymore but I loved the results it gave to my skin in general and the doctor recommended I do 3 sessions to begin with and with the huge improvement I've seen I cannot wait to see the final results. Cannot really believe that my skin can get any better but I'll take my doctor words for it
see, I had 6 sessions of RF and barely noticed a difference. I also have been using tret for about 2 years. skin is so wild 😂
A video on blepharoplasty? I'm a good candidate for lower bleph but can't financially afford it. Looking for non surgical options. Your hair looks great today ❤
Thank you! I defer to my plastic surgeon and ophthalmology colleagues to talk about blepharoplasty in greater detail since they are the ones that typically perform this procedure (though some derms do this as well; it's not as common)--gotta stay in my lane!
@@DrSamEllis thank you. I thought you might have some non surgical tips. I appreciate your videos. My skin appreciates it.
@@caroline-s ooh gotcha! Unfortunately there’s no substitute for a lower bleph!
@DrSamEllis darn lol. Well thank you anyways 🌷
I've been using the product Calecim on my eyelids and it's been helping with hooding.
Thank you for an honest assessment of options. I was so hoping for some non-invasive solutions. But, thanks anyway. I did see a temporary nonsurgical solution. Its that tape you adhere to your hairline with a string. Pulls everything up!!!😅😅😅.
Thank you for those video.. I really appreciate your honesty. May I ask how long does the facelift last? Can you make a video about it ?
Apparently, ten years.
Have had threads done midface and neck. Results were good, and no complications. Would I do it again? Probably not as I have become more knowledgeable about available options. I have also had filler done and was lucky to find a greatly skilled injector who is conservative in her approach.
what are the better options than threads? how long did your threads last?
Much better and more informative than the other video I watched on this topic. Thank you.
I'm in my early 40s and have had chubby cheeks since I was a baby. I had two rounds of Kybella a year ago which had a significant impact in the reduction of fat under my jaw, chin, and in my lower cheeks. I am very happy with my results. Aside from the very high cost and the tremendous amount of pain, I did notice a small amount of asymmetrical loose skin under my chin, but it didn't seem noticeable to others when I pointed it out. I recently had botox (dysport) injected throughout my lower face. I took pictures before and again two weeks after. I don't think I would have noticed much of a difference if I hadn't done so, but the pictures show a significant difference. I am also considering getting some filler in my chin and cheeks. I will need to budget for it because it's super pricy.
Really great point about the importance of photography! We often aren’t able to appreciate more subtle changes on ourselves without the objectivity of a picture!
Facial massage!! I definitely believe this works, just started doing this and my Aesthetician said my skin looks amazing. Honestly, I thought it was a trend but it works 😊.
any you can recommend?
@@Ebizzill I can give a few tips like one a facial oil and Gua sha is key, but you can just do very simple light massages on the face ( always be very gentle and in upward motion).Also neck is very important but instead of going up you would go down light pressure with hands or gua sha for 5 mins twice a day.
I have Lipedema and have since learned the importance and effectiveness of lymphatic massage. It’s crazy how big of a difference it actually makes 😳
@@karenhanson359 A massage is like magic I swear by it 😊
@@tinamcgonigle79Yes, agree. I try to do lymphatic drainage daily. Facial exercises do make a big difference also.
Your honesty is refreshing
Thank you Dr. Sam! I fully trust what you say and listen to your advice
Thank you for always being frank about what we can do and the pros and cons.
Love the honesty and plethora of possible options given depending on your circumstances
How helpful is mesotherapy? If the overall facial skin is tightened, won't marionette lines and sagging cheeks also be reduced? Or can mesotherapy not tighten the skin?
And 2nd question: Is there something like a mini lift, so that the whole face doesn't have to be cut, but maybe just 1-2 cm on both sides?
The main cause of jowls and any other sagging and bagging is called AGING. Stay healthy and fit and grow old gracefully. It's what's inside that counts.
Lol, well, yes, this is true, but that doesn’t mean we like it or can’t try to change it.
Being on this vid … and vomiting the old … it’s what inside that counts ….pathetic
Agree 💯%
Absolutely true. The problem is our society doesn't believe this. Plus, the beauty industry depends on our insecurities to stay rich. Maybe if this message can be marketed correctly someday society will change. For example, many companies are now using size size 8 to 12 models rather than size 4 to 6 models in their advertisements. This has slowly changed our perception of what your body should look like thus helping decrease the incidence of eating disorders among women. Companies should also start advertising using women at various ages in their lives 30s 40s 50 60 70s 80s. Normalizing, rather than rejecting, wrinkles and gray hair would improve our mental health as we age.
That's not the society we live in. You are dreaming.
Thanks for being super honest about the only "true long-term fix" for jowls is surgery. I don't find that cosmetic dermatologists influencers speak to the surgery options and appreciate the honesty of what can be achieved through the different options.
Nutrition is very important to keep the integrity of skin overall. I'm 76 and have beautiful skin, people think I'm in my 50's. I've followed a fatty carnivore diet/sometimes keto, for many years.
YOU ARE INCREDIBLE!!!!! Thank you for your honesty and sharing your wealth of knowledge. I declare myself as your fan!!!!!
I had Kybella for jowls and it worked great on one side, pretty well on the other. I've gained weight since, and I feel like they're not as bad as they could have been
Weight gain will do it as well as genetics and stress. I’ve been under immense stress for over 10 years and I developed them due to weight gain. I had a fat dissolver just like you and feel it’s helped a lot. No more double chin too! I’ll be having more fat dissolvers done to refine the lower face along with other injections. It takes time to see results. But if your jowls are there due to weight gain, fat dissolvers are definitely the way to go.
Thank you for being honest about how office procedures might fall short. I'm fortunate to look younger, but jowl and neck deterioration might lead me to surgery in a few years.
I appreciate your honesty. You are right! The only way to improve sag is a surgery.
Definitely made this one for me 😂. Thanks so much Dr. Sam. You look great ❤
What are your thoughts on Sculptra? I was told that could help or microneedling. Thoughts? Thank you! Susan
I just had this done with the goal of minor improvements to the jowling that has developed at age 38 after weight gain and loss (as well as premature ovarian insufficiency & menopause 🫠). Luckily I heavily researched jowl treatments beforehand and understood the limitations of in office procedures vs. a facelift and didn’t add it to the jawline and am not expecting profound resolution. She pretty much confirmed every single thing I learned, which was awesome.
I am hoping for a bit of softening in appearance and overall less shadowing and more balance to the face. I’m hoping with those things, the bit of jowling that remains won’t bother me as much. I only had it done 1 month ago so I haven’t seen any results yet, but I’ll try to remember to provide an update here in 3-6 months 🙂 I had 2 syringes my first appt. She said I may need 3-4 total but I’m not planning on spending the money on 4, so lefts hope the 2-3 are effective 😆🙏🤞
For reference, I had Sculptra added to areas of the face that have hollowed a bit; especially in the upper face.
- the pre-auricular area (the area in front of the ear). This is an awesome area that few talk about, is subtle, and helps restore the youthful shape to the face!
- temples
- chin shadow (which basically softens the transition from the jowl to the chin and reduces shadowing)
- the triangle at the base of the nose (I’m blanking on the proper term for it right now but it’s not a common one & isn’t the nasolabial folds). This one will mostly improve overall balance and helps with the drooping of the tip of the nose that occurs with age.
@@karenhanson359 thank you for this information. Looking forward to your update.
@@karenhanson359hi, why didn't you add it to jawline, Sculptra is not a filler, any biostimulation is good , even in jawline, right ?
@@karenhanson359can you update us on your Sculptra? You must be at the 3 month mark by now.
Instead of cutting our faces off and pulling them back, I wish we could accept aging and see the beauty at every stage.
Why should we if we can improve ourselves. Some people don't care about how they look . Others do . That's it
But who qualifies that as an "improvement"? Looking younger is an aesthetic, not an improvement. Youth is not an "improvement" over age and wisdom. You said it, some don't care, some do. I simply wish we would just accept the natural processes of life. I believe we'd be much better off, more productive people, and happier.
Love your honesty!! Thank you. I am 50 and doing the manual face lift in the mirror and like that look. Just need to find a good plastic surgeon that gives a Beverly Hills fl without that price tag lol
Thank you so much for your straight up honesty. After having severe bone loss over last 18 years from a rare chronic disease, my facial structure really changed & stopped recognizing myself around 35. Doctors & Dentist both saying have bone loss of an 80 year old & I’m not 47.
Have no way & will never have way to pay for facelift. Can’t even afford necessary medical treatments, testing & therapies lol. But been endlessly searching, for a cheap way to improve my sagging face & good to know not to waist any funds or anymore time searching into this. Guess gotta just accept I’m gonna always look 15 years older then I am 🤷🏼♀️
❤
Jowls have been really an insecurity of mine for the past couple of years, gua sha helps with puffiness but I know I will probably need to do more concrete procedures soon. This was very informative!
Can you please let us know what makeup you are using in this video? In particular the lipstick, but I love the whole look!
Thank you for such an informative video! What about sculptra to help tighten the skin around that area?
What is often missed is the issue of the muscles in the neck and under the jaw pulling that area down. Often simple Botox in the DAO and/or the Platismus can help release the downward pull on the mouth and surrounding area. 😀
Goodness. I don't know if I could find the time for a face lift. I can barely meet my dentist appointments. Nevertheless, thanks for taking the time to upload the vid!
Do masseter botox injections to treat teeth grinding can cause or accelerate the creation of jowls?
Thank you!
In older individuals who have lost elasticity in the skin they can! So it’s always something I assess before treating the masseters in any of my patients!
Thank you, Dr. Ellis. That was a very informative and educational video. Question: can you explain how to use the Gua Sha cosmetic tool to deal with jowls. I bought one but I forgot the best way to use it. Thank you!
Great info! Would love to know your thoughts on kybella vs liposuction for under chin genetic fat on young patients in their 20s.
I almost always prefer liposuction (very targeted result that can be tailored during the procedure) unless it is a very small amount of fat (like barely enough to pinch), in which case a series of Kybella injections work well and is technically less invasive.
Thank you for replying!
The research I’ve done on this confirms what she says; Kybella can also lead to some fibrosis (scarring). You can get liposuction done while you’re awake and it can actually be quite quick and fairly affordable. I have Lipedema, which is a rather common connective tissue/fat disorder in women that causes pain, swelling, fibrosis, etc & the medical treatment for it is to remove the diseased tissue via liposuction. It’s incredibly effective for pain reduction and to maintain mobility. Insurance companies are even covering it sometimes! It’s estimated that 6-11% of women have it… yet very few have even heard of it (including physicians) so if you have no idea what I’m talking about you aren’t alone lol. Anyway… I digress lol.
The point is that I’ve learned a LOT about liposuction the last couple of years because of this and it isn’t nearly as scary or invasive as one would think 😆🤷🏼♀️
Sorry to go off topic, but can give us some advice about senile petichae, and any thing we can do for it other than sunscreen to keep it from getting worse?
Get your platelets checked.
What is the age range that you think fat removal is okay and the skin will bounce back? I am 34 and have a genetic double chin with a little jowling. Pretty sure it is mostly fat!
Any opinions on the FaceTite procedure? I don’t have jowling as much as a loss of definition from my jaw to my neck. A plastic surgeon recommended either FaceTite or a lower facelift. The cost difference was a few thousand dollars, and it almost seems like the facelift was the better option.
I really would like Botox for my mouth clenching but I have heard that if you are older that it can cause jowling. Is this right would you say. (I’m asking for the late 40s age) thank you ❤
it gave me jowls :( I got it was when I was 37. The person I went to did WAY TOO MUCH and it slimmed my face so much that I got jowls. If someone wants to get it done, I would suggest starting slowly and see what amount is best for you.
@@louisah6020 thanks so much for your helpful reply 🫶🏼
Dr. Ellis. Would you mind telling me where your practice is located. I am having difficulty locating you through searches. I live in Northern California and would be interested in a consult. TY for your incredibly informative videos. Just subscribed! Kelly
Agree 100% about meaningful difference with surgery but I must admit that Ellacor has me intrigued in terms of an improvement at a lower price and less downtime.
I find that because it’s just removing cores of skin, there’s no tightening of the deeper tissue which limits its efficacy a bit. I’m curious to see more results as it’s on the market longer!
@@DrSamEllis that’s a great point, and something to consider for sure. Managing expectations is such an important part of these decisions. I don’t think I’d expect a lift, necessarily, like with the jowls…but when I look at the barcode lines above my lip I feel like it could help there.
Agree that it could help lip lines!
@@DrSamEllis oh good, that makes me feel better! 🤗
I'm curious what your opinion is of Facetite for jowls.
Hi!
What do you mean by muscle starting to fall off the bone?
Is this due to the muscle tissue being stretched over the years or do the ligaments become weaker?
Is this due to repetetive movement?
Is there something one can do to prevent your muscles aging so much?
Can you desctibe this a little more thoroughly?
Thanks!
Hi Doctor,
Do you recommend a great surgeon in Northern California and/or Honolulu?
Thank you
Dr. Ellis, thanks so much for this valuable information, especially regarding the thread lift risks. As a 34 year old, I am already seeing jowls forming and decreased skin tightness. I would love to be preventative/ slow down the visible signs of aging. I've heard about Sofwave and Profound RF. Would any of these options (or something else) make sense to consider for my initial onset of jowls? Thank you!
Your best bet is ultherapy or Thermage at that age those are preventative and collagen building
Dear Dr. Ellis I really enjoyed your video and the honesty. I am 61 had PDO threads done with little to no result and it cost me a fortune. This is all I have had done and wish I had watched this video first. I really thought it would change my life but I have hence learnt to live with my face and use a lifting hair clip LOL. Thanks again I wish you could come to South Africa Johannesburg. All youve said is absolutely on the dot I have had tooth loss and fluctuating weight, weigh 53 kgs as opposed to 65 kgs so this perhaps has also given a lot of hanging skin. Does taking Collagen help at all?
Doctors should really be a lot more honest with this. At 60 years old you have very little collagen production which is what makes threads effective. They are not going to work for your age group unfortunately. You should have been told this
see a lot about facial exercise. Can this build muscles in your face? It seems logical that this would help. Thanks
You would need high resistance exercise to cause significant bulking of facial muscles, which may come with a different set of issues down the line. For example, we see those who chronically clench their jaw develop enlarged chewing muscles, which in turn can lead to TMJ issues.
Thank you for response
Thank you for your honesty.