What is the best treatment method for sagging facial skin?
I am a 65 years old female. I have saggy jowls and loose, wrinkled skin under my chin. I would like to find out the best treatment method and available options to resolve my sagging facial skin.
Unfortunately, despite what industry players and device makers would have you believe, no one single tool or technique is better than the next.
Rather, each tool has its place. In choosing the best skin tightening or approach for you, there are several things to consider:
- How much downtime would you be willing to accept
- Your age, expectations and philosophy towards rejuvenation.
- Quality of your skin, and amount of facial soft tissue laxity or sagging your have.
- Face shape and volume.
- Are you looking at (a) a completely non surgical approach, (b) A minimally invasive approach, or (c) A surgical approach.
- Cost and Budget
Non-surgical approach (no needles, just topical cream Anaesthesia)
Suitable for younger patients with less laxity, who may be looking to start early...
The best treatment method for your sagging lower face skin is high intensity focused ultrasound (HIFU). This treatment helps to stimulate collagen at several layers of the skin to restore skin elasticity.
HIFU is particularly effective for treating skin laxity because targets the SMAS (superficial muscular aponeurotic system) layer, which is the same layer that plastic surgeons tighten in a traditional surgical facelift.
There are several brands of medical-grade HIFU machines including Ulthera, Ultraformer and Sygmalift. They vary in terms of price, discomfort and number of treatment sessions needed.
For example, both Ulthera and Ultraformer are once or twice yearly treatments, spaced every 6-9 months apart.
Price-wise, these treatments cost upwards of $2000 SGD for the lower face region.
There is no visible downtime (no skin redness/bruising/peeling) for HIFU treatments.
In addition to HIFU,...
Thank you for your question!
Your description of a sagging lower face is very typical of an ageing face, with a combination of volume loss and soft tissue descent.
It is a very well-studied subject and treatment options are extremely varied, depending on your requirements and aesthetic goals, as well as your tolerance for downtime.
The non-surgical options have already been detailed well by the previous drs, so I shall not belabour the point.
However, given your age group, and depending on the severity of your volume deflation and drooping, these are unlikely to have a sustained long term effect or even a significant short term benefit. Many of my patients in this age group require a surgical correction of their jowling and wrinkling.
Not all patients require a full facelift and its longer recovery...
Dear Christine ,
You are mentioning 2 facial aging issues. Let’s address them separately as to avoid confusion.
1. Saggy jowls - these are descent of the superior and inferior jowl fat pads coupled with skin laxity, laxity of the maxillary and zygomatic retaining ligaments and loss of volume of the deep fat pads of the mid face (Sub-Orbicularis Oculi Fat pad, Deep Medial Cheek Fat pad).
Suggested treatment: If the jowls are not too big, a combination of Ellanse in the SOOF, DMCF and maxillary and zygomatic ligaments to volumise and lift the midface support, and Korean strong molding threads / Silhouette Soft will be able to address at least 50-60% of the jowling at the first session.
A second session of threadlift may be needed 1 year later to further augment the results (Ellanse...
Sagging facial skin results from a combination of factors, including loss of volume of the face (the bony structures of the jaw and cheek, as well as the deep fat that helps give the face its youthful rounded was), as well as decreasing skin elasticity.
As such, interventions are multi-pronged.
Non surgical intervention aim at building collagen and tightening the skin and muscle, as well as restoring volume. This includes:
1. Hyaluronic acid and long term collagen stimulators to restore volume, sculpt and create lift in the face
2. High Intensity Focused Ultrasound devices (HIFU), such as ulthera and Ultraformer devices, which heat and stimulate deeper muscular layers of the face, producing a good maintainenece and lift over the years.
3. Fractional lasers (carbon dioxide, erbium, picosecond) for the rejuvenation of the superficial skin layers,...
Thank you for your question. The answer really depends on the amount and degree of sagging you have.
If it is mild to moderate sagging, you can still consider non-surgical facelift procedures. If the sagging is severe, then surgical facelift will be the better option.
Non-surgical facelift can be achieved through a few methods. Usually a combination treatment will often give you the best result.
- HIFU/ Ultherapy
- Fillers (liquid facelift)
- Fractional ablative laser resurfacing/ Microneedling radiofrequency device (Skin tightening)
Personally I prefer to combine HIFU/ Ultherapy with fillers and thread-lift. Speak to a doctor/ plastic surgeon to find out more as all the methods above have their own pros and cons. Hope this helps.
Dr Jiwei Wu/html>