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Less Invasive Techniques for Jowl and Neck Contouring

Posted: 12:01 a.m. Sunday, July 14, 2019

By Anita Mandal, M.D.
Question: I’m approaching my 70th birthday. I was aging well until the past year when I noticed increased sagging in my lower face (jowls) and neck. I don’t want a facelift which is too aggressive and risky at my age. I prefer minimal invasive rejuvenation procedures. With the endless advertisements, how can a lay person know which minimal invasive techniques are effective?

Answer: Rejuvenation contouring techniques of the lower face and neck are among the most popular requests by patients visiting my office. Several very effective types of procedures exist depending on your aging concerns as well as whether you are a candidate.

If you have marionette lines extending from the mouth corners and/or deep nasolabial folds, an injectable filler can soften these grooves to rejuvenate your lower face. Fillers can divided into temporary 1 to 2 year fillers requiring regular maintenance treatments and Bellafill, the 5-year filler. Hollowing in the cheeks can also worsen the appearance of jowls along the lower face but be effectively treated with Bellafill.

For patients with mild to moderate sagging tissues along the lower face and/or neck, Ultherapy and Infini RF have been popular. Infini RF has significant benefits over Ultherapy and is the most commonly requested face and neck skin tightening device in my office. Another advantage of Infini is that there is virtually no downtime or special aftercare.

Kybella is the non-surgical permanent treatment of submental neck fat. Kybella, when combined with Infini RF, can give a youthful neck contour. Kybella is also used off-label for fatty jowls and other facial areas to give enhanced results. A key benefit of Kybella is that the fat removal is permanent.

The vertical muscle bands running up and down along the front of the neck have traditionally been limited to surgical treatment such as a necklift or facelift.

However, if recognized early enough, platysmal bands can be effectively treated with micro-Botox. Micro-botox for platysmal bands combined with Kybella for submental fat and Infini RF for face and neck skin tightening are often used along with injectable fillers in my practice to give rejuvenation results that can, in the right patient, be better or equivalent to those achieved with a facelift.

The best way to determine whether you are a suitable candidate for Kybella, Infini RF, micro-Botox, Bellafill or a combination of these procedures is through a detailed consultation with a Board Certified Facial Plastic Surgeon. Each face is different. If your face is important to you, don’t price- shop or cut corners. Seek a specialist who understands the complex facial anatomy of aging and is an expert in both surgical and non-surgical facial rejuvenation treatments, making them especially qualified to recommend the best options for your unique rejuvenation needs.

Dr. Anita Mandal is a double Board Certified Facial Plastic Surgeon practicing since 1998. She exclusively specializes in facial rejuvenation and non-invasive body contouring. In addition to being on the medical staff at Jupiter Medical Center, her offices house both surgical and laser suites. Dr. Mandal is committed to giving her patients the most natural looking results.

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