Dr Rima Soboh, aesthetic medicine
Facial sagging
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Facial sagging

Jawline, jowls and marionette lines

Sagging shows first along the jawline, which loses its definition. Jowls appear, marionette lines deepen and the neck follows. It is a mix of skin that has loosened, fat that has dropped and volumes that have emptied.

  • Loss of collagen and elastin, which makes the skin less firm
  • The descent of the facial fat compartments with age
  • Bone resorption in the upper and lower jaw, which removes support
  • Large weight changes, which stretch the skin
  • Gravity and time, which no treatment acts on

Past a certain degree of sagging, no medical treatment replaces a surgical facelift. Significant excess skin on the neck cannot be corrected by injection. Part of the consultation is saying so when that is the case, and pointing you in the right direction.

Do threads give the effect of a facelift?

No. They reposition the tissues and suit moderate sagging. The effect is more discreet than a surgical facelift and usually lasts 12 to 18 months.

When do these treatments stop being enough?

When there is excess skin and the jawline has clearly dropped, medical treatments have little left to offer. A surgical opinion is more useful at that point.

Is there any downtime?

After threads, swelling and bruising are possible for about a week. Radiofrequency usually leaves no mark.