Non-Surgical Treatments for the Lower Half of the Face

Dr. Brian Hibler discusses the best aesthetic treatments to help correct sagging skin, jowls and double chins.

Facelifts have been the go-to method for cosmetic correction of the lower half of the face, but not everyone can afford surgery or wants to deal with the risks and downtime. Luckily, there are non-surgical treatments that can be done at the dermatologist’s office to help correct the lower half of the face and thwart the need for surgery. Dr. Brian Hibler, a board-certified dermatologist, in our Park Avenue office, explains how aging affects the lower part of the face and how to effectively correct and rejuvenate the chin, jowls, lips and cheeks.

How does age affect the lower half of the face?

Loss of collagen, muscle tone, and volume in the midface, along with changes in bone structure and downward descent of the fat pads, greatly affects the lower half of the face. Facial skin thins over time, and the loss of collagen and elastin leads to decreased elasticity resulting in sagging.

How does the face change as we get older?

The face narrows and elongates, and multiple facial structures are affected leading to an aged appearance. Namely, patients lose volume in the cheeks and develop jowls, which is skin laxity and fullness along the jawline. They may also develop submental fullness or a ‘double chin.’ Downward descent of fat pads leads to the appearance of deep nasolabial folds and marionette lines. Individuals lose volume in the lips and can develop vertical ‘smoker’s lines’ or ‘barcode lines’ around the mouth, and the corners of the mouth may take a downward turn giving a sad appearance.

We know how great Botox is for the forehead, but can it do anything to improve the lower half of the face?

Botox is great for dynamic lines, or those caused by muscle contraction, such as the glabellar “eleven lines”, forehead lines, and crow’s feet. The lines or folds on the lower half of the face are typically related to downward descent of fat pads and volume loss, such as the nasolabial folds and marionette lines. Because these lines are not created by the crunching of muscles, Botox does not have the same role it has on the upper half of the face. However, relaxing the muscles responsible for turning down the corners of the mouth (depressor anguli oris) can relax the corners of the mouth and allow them to return to their normal contour. Botox along the upper lip can relax the smoker’s lines, and in some patients can create a ‘lip flip’ to accentuate the upper lip.

What are the best in-office treatments for Lower Half of Face

  • Botox Nefertiti Lift (The Nefertiti lift targets the platysma band of muscles that run vertically from the bottom of the face to your collarbone.) This helps accentuate the jawline. Botox into the platysma bands relaxes these bands, providing a smoother, more youthful neck appearance.
  • Fillers for enhanced, sharper jawline definition
  • Fillers for lip enhancement
  • Botox for masseter hypertrophy softens the jawline and creates a more dramatic angle from the cheekbone to jaw.
  • Sofwave for deep tissue tightening, which helps to provide lifting in the cheeks, gives better jawline definition, and can tighten submental laxity and neck lines.
  • Other ultrasound and radiofrequency modalities (Fractora, Thermage, Ulthera) can also be used to address similar concerns in a non-invasive fashion.
  • Kybella / Coolsculpting for submental fullness
  • Kybella for jowls
  • Fractional ablative resurfacing for crepey skin and wrinkles on the cheeks. It is also an excellent treatment for perioral ‘smoker’s lines, capable of stimulating collagen production while targeting both the surface and deeper layers of the skin.
  • PDO Threads for sagging skin and jowling

Dr. Brian Hibler is a board-certified and Harvard-fellowship trained medical and cosmetic dermatologist. Dr. Hibler is an expert in laser and cosmetic procedures, combining evidence-based medicine and cutting-edge technologies to formulate personalized treatment plans for all his patients.

Schedule an appointment with Dr. Hibler

About Schweiger Dermatology Group

Schweiger Dermatology Group was founded to help make excellent dermatology care accessible throughout the Northeast. In 2010, Dr. Eric Schweiger started the practice with a single location in Midtown Manhattan. When he saw the need for high-quality dermatology care that did not require weeks or months of waiting to see a qualified provider, his vision of a multi-location practice was born.

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