How to Fix Jowls: Dermatologist Explains How to Prevent & Get Rid of Jowls | Dr. Sam Ellis

[@lynndupree1205]

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!

[@janereinhardt4715]

I agree. I had mine at age 56, almost 8 years ago. I get filler now in my gonial angle to maintain my results.

[@angelasmith257]

I’m 60 and look 50 no surgery needed !good genes…

[@laurenjane3670]

@@angelasmith257awesome!

[@eringaines]

Do you mind sharing how long your recovery period lasted, and was it painful?

[@lynndupree1205]

@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.

[@justinford-hp5sr]

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.

[@Absolutelyfabulouslychronic]

Can you share where you had this done?

[@whiteloria]

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.

[@anonomous7936]

I find red light therapy and microcurrent at home really helps. Nuface is good, I hear people love Omilux and Dennis gross red-light.

[@bedazzledbuddhist]

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.

[@laurenjane3670]

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 😊

[@irritatedkitty7301]

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.

[@anonomous7936]

Microcurrent has been the most effective.

[@vane_715]

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!

[@norawilson5326]

That’s what worries me i cant find a good doctor with reasonable price.

[@vane_715]

@@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.

[@heatherosterman3030]

@@norawilson5326 “reasonable price” is subjective but never ever try to find the best deal on reconstructive surgery, most regret that decision!

[@JanetElevating]

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

[@esmeralda.....]

Wonderful!!! 🙏🏽

[@Okay182]

Same no wrinkles but I’m a sagger

[@KLeon-bg9uc]

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.

[@blitzkrieg6872]

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.

[@strudel4527]

Very interesting video. At 54, beginning to show a jowl, but don't want a face lift so I will embrace my wisdom 😊

[@TheKmonta]

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.

[@AFD25627]

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…

[@laurenandreatta2003]

Truth 👆🏼

[@tammilicious3724]

@@AFD25627everything 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

[@ChannelKBT]

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.

[@TheKmonta]

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.

[@Venice1917]

Amen!

[@norashikin11]

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.

[@Amburrrr23]

I wish someone did a video on the appreciation of aging 🙌

[@maricela.torres]

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.

[@Hector-qu9vo]

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!

[@creativesolutionsandart]

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.

[@suzananda]

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 !!

[@creativesolutionsandart]

@@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 KZbin, 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!

[@marie-claudefortin4414]

@@creativesolutionsandartyes 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?

[@creativesolutionsandart]

@@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!

[@Ninun721]

Thank you for telling the truth and not selling us magical solutions that don't work.

[@lisatompkins9588]

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 KZbin 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.

[@rebella5769]

I'm so curious, do you mind saying, just how much is a face-lift, approximately .

[@lisatompkins9588]

@@rebella5769i paid 17,000 and that included an upper bleph on my eyes and one night in hospital in houston texas

[@gabibartlett6968]

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.

[@lisatompkins9588]

@@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.

[@gabibartlett6968]

@lisatompkins9588 thank you for your quick response!

[@christinemack2153]

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.

[@DrSamEllis]

A great injector makes all the difference!

[@Kne2450]

What type of filler?

[@itziebitz]

Which filler?

[@thesaraalavi]

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.

[@simianec4507]

@@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..

[@hdb80]

Instead of cutting our faces off and pulling them back, I wish we could accept aging and see the beauty at every stage.

[@sunshine-bs2jx]

Why should we if we can improve ourselves. Some people don't care about how they look . Others do . That's it

[@hdb80]

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.

[@sharotej]

I appreciate your honesty about what works and what is a waste of money and perhaps even a danger. Thank you!

[@kerriebourgeois3325]

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! 😊

[@dammar117]

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.

[@rheatollina]

I disagree with "facelift". often you think something is a bone and it turns out to be hardened muscle. There is a lot of work that can be done before trusting someone to chop you up in little pieces.

[@carrier7399]

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.

[@lisar.2549]

Lol, well, yes, this is true, but that doesn’t mean we like it or can’t try to change it.

[@dcanes5720]

Being on this vid … and vomiting the old … it’s what inside that counts ….pathetic

[@RismaPeggy-ug9cn]

Agree 💯%

[@rheatollina]

@@dcanes5720 I actually watch these vids precisely to learn how the muscles work in the face. People who went through med-school have better in-depth understanding the anatomy of the face. But I still won't give them a cent of my money to work on my face or to chop me up. Try face yoga and you will never look back. But it will require an effort on your part.

[@samarittan9308]

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.

[@dianamoore4822]

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!

[@leahn4267]

Just curious, if the results lasted a year, how can you say lasting results

[@dianamoore4822]

@@leahn4267 that’s long lasting to us. Most people say they only last 2-3 months. So take it how you would like.

[@MelaniaX-l2g]

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.

[@TaoMoksha]

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!

[@DrSamEllis]

Glad it was helpful! Filler is such a useful tool, but only if used to solve the right problem!

[@kimcolluro9816]

As a 50 year old with the onset of jowls, this has been really helpful. Thank you for breaking it down.

[@DrSamEllis]

So happy to hear that!

[@CapeCodBelle]

Dr. Ellis, can you address how to help with marionette lines and nasalabial folds? That's what bothers me the most!

[@darylanncampbell8701]

I need this video!!!

[@iggybiggy821]

Love it! A derm that just calls the spade the spade! Thx for this frank and real conversation about our changing faces.

[@Jerseyflo]

Can we get a GRWM, your makeup looks stunning today! ❤❤

[@daresaryan8229]

I agree ❤

[@icutwitch3333]

@@daresaryan8229 Yes, please. her makeup is beautiful. I agree 100%

[@louisah6020]

this is the makeup artist who did her makeup! @britdoesmakeup

[@donnaaddy7265]

That is exactly what brought me here! Dr Ellis please share your eyeshadow, lipstick and foundation products! You look beautiful 🤩

[@irritatedkitty7301]

​@louisah6020 could not find her. Just brought up British vs American MUA.

[@alittlepinkfish]

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.

[@DrSamEllis]

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!

[@juliabinford6500]

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.

[@Katie21892]

This is such a refreshingly honest and educational video - thank you! ❤🙏🏼

[@noofh9618]

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

[@emmahyphenjanee]

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 😂

[@ashleyledbetter4509]

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!

[@MelaniaX-l2g]

What type of threads did you get?

[@p.b.4464]

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

[@zofiajaneczek184]

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.

[@pointcat6156]

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!

[@MillenialKay]

Love the facts and honesty on this channel ❤

[@HeatherFonseca]

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.

[@DrSamEllis]

That’s great!

[@am1156]

Do you follow anyone's video or routine when you do it?

[@HeatherFonseca]

@@am1156 I watched a few videos when I first started gua sha but now I just do it on my own

[@Grimalkin987]

I really appreciate your honesty! Thank you so much

[@lucianamaiorana1693]

I appreciate your honesty!

[@monicabisal-cora9232]

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.

[@sussannekeith5676]

Nu face and Ziip have helped very much… 5 times a week… I definitely see improvement 😊

[@anahayes4282]

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.

[@tinamcgonigle79]

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]

any you can recommend?

[@tinamcgonigle79]

@@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.

[@karenhanson359]

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 😳

[@tinamcgonigle79]

@@karenhanson359 A massage is like magic I swear by it 😊

[@luv2travel2000]

​@@tinamcgonigle79Yes, agree. I try to do lymphatic drainage daily. Facial exercises do make a big difference also.

[@jeanettestalmack2183]

Very informative and realistic. Thank you!!

[@heathergasol569]

Thank you for your honesty Dr. Ellis.🙌🙌🙌

[@surita4376]

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.

[@caroline-s]

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 ❤

[@DrSamEllis]

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!

[@caroline-s]

@@DrSamEllis thank you. I thought you might have some non surgical tips. I appreciate your videos. My skin appreciates it.

[@DrSamEllis]

@@caroline-s ooh gotcha! Unfortunately there’s no substitute for a lower bleph!

[@caroline-s]

@DrSamEllis darn lol. Well thank you anyways 🌷

[@juliamihasastrology4427]

I've been using the product Calecim on my eyelids and it's been helping with hooding.

[@alli5779]

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.

[@rheatollina]

6:15 wrong. I've noticed overnight massive improvement without "in-office" intervention of any kind, simply by addressing platysma muscles on ongoing basis and performing lymphatic drainage. I woke up with a new face. It costs zero dollars, so I will keep doing it. You are right that fillers are not for everyone. Often, I notice they tend to clump together on people's faces. Really scary. You're also right that threads are totally invasive and disturbing and should exist.

[@Eaststar]

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.

[@Eaststar]

the threads lasted like two years but they wore off very gradually so it was hard to gauge.

[@duchessdelarue5983]

@@Eaststarwhich type of threads did you get and how many did you have put in?

[@CeciliaMuench]

YOU ARE INCREDIBLE!!!!! Thank you for your honesty and sharing your wealth of knowledge. I declare myself as your fan!!!!!

[@sassyd7286]

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 🤷🏼‍♀️

[@silviap9875]

A fantastic and honest review Dr Sam - thanks so much. What do you think of Endolift for tightening jowls? The probe under the skin?

[@evaperson3976]

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.

[@Joannabanana1989]

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!

[@liasosa4100]

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.

[@UnDiscoveredDidi]

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.

[@BonnieByers-w3x]

Thank you Dr. Sam! I fully trust what you say and listen to your advice

[@meganlutz7150]

Love your hair and makeup today. You look gorgeous

[@GigiHabibi]

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. 😀

[@Bri_Incarnated]

Makeup is giving “it gworl” 💗💗💗💅🏼

[@lynnleclere5522]

Can you please list your lip products that you're wearing and blush and shadow. YOU LOOK STUNNING!!!!

[@louisah6020]

@britdoesmakeup

[@IVvOOvVI]

Also, having good lighting, helps

[@allthethingswithmandyandwh8226]

Since a NuFace isnt going to be helpful for the jawline, can you tell me something you think it is helpful for?

[@Suzanne-s5m]

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.

[@q5130]

Thank you for always being frank about what we can do and the pros and cons.

[@lynneatherton3118]

What are your thoughts on face yoga? Would exercising the muscles beneath the skin assist at all

[@lindseycassini1560]

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?

[@Rubye269]

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

[@abbynormal3192]

My problem with jowls is the "stern" or "sour" look it gives a face, like you are always scowling a little bit. Same with heavy eyelids or bags under the eyes that make you look tired even when you're not. A lot of facial procedures are about making your outsides match your insides. It's jarring to feel young but then see an old face looking back at you in the mirror. I had upper and lower blepharoplasty a few months ago and feel it made a big difference in making me look more energetic. However, I'm afraid of getting caught in the loop of chasing a younger face. As soon as you fix one area, there is always something else that looks older than the rest of you, whether it's jowls, neck, décolletage, hands, skin on the arms and legs, etc. The trick is to know when to stop with procedures while you still look appropriate for your age and also before you bankrupt yourself.

[@morganellabean]

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.

[@karenhanson359]

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 🙂

[@italianlessonsnyc1176]

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) .

[@christinat.7264]

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!!!😅😅😅.

[@Madamchief]

I started getting jowls in my 30s when my chubby cheeks deflated 😢 I'm looking more like my 75 year old Dad every day

[@NotYourNetwork]

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.

[@MelaniaX-l2g]

what are the better options than threads? how long did your threads last?

[@wendyhorvath415]

GLOWING today!

[@DR-yl5sp]

I absolutely love threads BUT it’s mandatory to find an expert who is doing this procedure daily! It’s not going to take care of significant laxity but if you are just starting to see the signs of jowls, it’s absolutely something that can prevent/prolong more invasive procedures like major surgery.

[@almayz-r2l]

Your honesty is refreshing

[@Anatolia07]

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?

[@texasstardust6010]

...Even at age 57... I did mot have this at all.. Now,in my late 60's,..its apoeared in small areas. ..our face shape does change as we Age. The saddening part of this Equation is how EXPENSIVE the cost is, to help one feel better about themselves...its not akways " Vanity " or " Ego " involved ... its the NON- WEALTHY that should have the same opportunities to be able to " stave off " a few years . Most " Average " people cannot afford certain kinds of these Procedures.

[@kimgroslouis5587]

The truth always hurt 😢 but indeed, we are always seeking for non surgical treatments or non injectable treatments but at the end what works best and last is the surgical intervention as the facelift. Why magic wands do not exist yet!! 😞

[@carissahamilton6756]

The Jawzrsize face exerciser actually does work very well. Exercises to fix your neck alignment work. Hanging your head off of a step and doing neck lifts helps but don't hurt yourself.

[@ayliea3974]

I've had positive results with Jawercise too.

[@SarahRodriguez-1619]

I had thyroid cancer and had a large dose of radiation. Aside from my saliva glads blowing up from time to time, my skin is super dry and starting to sag. I’m only 36yrs old and I’m noticing my jowls not only sagging but also seeing line under my chin 😢 this happened so fast after radiation. I’m not sure if it’s related but sure feels like it. I’ve always been known for someone with beautiful skin. Not anymore 😭

[@Sebahtubman]

Prescription tretinion helps to tighten the skin.

[@lisaschmidt8466]

We age. Develop other interests. It's a mind game to hold on to youth. Find beauty when you look at your reflection. Jowls are just sagging skin. It's ok.

[@MimiDyl]

If Prequel could come out with a OTC retinol that’s the next best thing to tretnoin (like Medik8 0.2%) that’l be sooooo amazing since the Medik8 one is soo expensive!

[@MimiDyl]

@@DrSamEllis yesss please consider this. I know you have the expertise to create an amazing Retin A product.

[@ShannonTeaches]

Can you please let us know what makeup you are using in this video? In particular the lipstick, but I love the whole look!

[@sandramendoza6297]

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

[@bridgetsieger2261]

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…..

[@AnnaMelese-g2n]

Please share?

[@bridgetsieger2261]

@@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 🍄

[@Tulitakon]

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 ?

[@yourconnection9303]

Apparently, ten years.

[@AmyBrown-n4b]

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!

[@Ayyeliki]

But I see older people with no jowls and old! So envious!

[@kboy4120]

I've had thread and am very happy with them. I have a very skilled Dr I see who also does my filler and botox.

[@Jana-g1x2n]

Love an intelligent presentation. I'm very grateful that professional like you is posting educational videos, that make sense on biological and medical level. I have to say after watching few of your videos you gained my trust. You have not only the knowledge but I think you have also the aesthetic feeling for every face shape. I feel you would not make a woman look like a "hamster" by inappropriately used fillers, as I see around me so frequently. Is it possible to make an consult appointment with you?

[@crucitasquillace5072]

Definitely made this one for me 😂. Thanks so much Dr. Sam. You look great ❤

[@blueseptember2174]

I got my first jowling at late 20s after first pregnancy. The swelling and weight stretched out my skin on my face too 😢

[@Unknownperson-jm2pk]

And how did you fixed that?

[@blueseptember2174]

@@Unknownperson-jm2pk I did not fix it lol

[@colleenm9144]

I had lipo under my jawline about 20 years ago when I was in my mid forty's. It did help to firm my jawline. I think my jowls would be a lot worse now if I didnt have that done.

[@lovefilles]

Would you be so kind as to give us the name of the trusted surgeon you work with?

[@evelynmelian-glick436]

Thank you for your honesty.

[@amessina4333]

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.

[@DrSamEllis]

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!

[@amessina4333]

@@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.

[@DrSamEllis]

Agree that it could help lip lines!

[@amessina4333]

@@DrSamEllis oh good, that makes me feel better! 🤗

[@glamupwithkatrina]

I agree surgery is the only way after 50...threads total waste unless your in early 40s. Use good skincare keeps the look softer and condition of skin much more soft n fresh. Been in aesthetics for 25yrs. At 58 im ready for mine🎉

[@jackiecoupland3620]

What do u use?

[@caroleekolmer6039]

Thanks for your honesty and saving some of us $$$$$$

[@ushasathebajee6732]

Accept your age 50 60 70 ....gracefully, don't do fillers , plastic surgery ect bcuz their side effects are horrible

[@Gigi-MN]

I did threads and I have a tiny bit of ptsd from it. First- once the lidocaine wears off they hurt and you’re suppose to massage your face. Second-I had a string like thing come out of one of the sites of injection on my cheek, when I asked if I should pull it or cut it I was told no. Third-I had a dimple/puckering appear near that string that popped out. Fourth-during the procedure of course I was numbed but when they open the skin to put the threads in I could hear her pulling my skin pull away from being attached imagine like pulling up sod. I had a bad doctor do my stuff obviously and would never do it again.

[@samlightbowne3862]

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 ❤

[@louisah6020]

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.

[@samlightbowne3862]

@@louisah6020 thanks so much for your helpful reply 🫶🏼

[@ginac7235]

Bone loss in the face?! That makes sense, though. If bone loss in the legs are possible, then it’s reasonable to think it can happen throughout the body. In that case, it would be beneficial to recommend to patients/viewers to remove all dairy products from diet. Studies are showing that dairy actually contributes to leaching calcium from the bones rather than contributing calcium. Dark, leafy greens and cruciferous vegetables will provide calcium the bones can utilize. 💚🌱

[@mistymint7983]

I love the way I look just as I am ❤