Do You Need Lower Face Rejuvenation?

Jowls, loose skin, deep wrinkles and folds, and undefined features are common signs of an aged face. In the lower face, our chins become smaller when bone and fat loss occur creating loose, sagging, skin, all resulting in a loss of definition in the lower face. You may notice this most at corners of the mouth, along the chin and jawline extending to the back of the ear. An aged lower face can create an angry, sad, overweight, or tired appearance.  

Restoring the lower face using dermal filler can tighten and sculpt the chin and jawline creating a refreshed, healthy appearance.  When performed correctly, dermal fillers can restore natural, youthful, facial contours.

WHAT YOU SEE

  • Sagging, loose skin hanging below the jawline (jowls)
  • Wrinkles and folds at corners of your mouth (marionette lines)
  • Full, heavy, and/or uneven definition under the chin

WHAT WE SEE

  • General lower face volume loss due to bone resorption and fat loss
  • Lax skin in the lower face zone that has lost underlying support

Multiple Problem Areas, 1 Solution – Getting In the Zone

The Lower Face Zones

  • Problem 1: Jowls
  • Problem 2: Marionette Lines
  • Problem 3: Fading Jawline
  • Problem 4: Underprojected, Undefined Chin

At Mabrie Facial Institute, we rejuvenate the lower face as a “zone” to achieve the best results. The lower face comprises multiple, interconnected, adjoining anatomic areas, and our Lower Face Rejuvenation Procedure Package assesses and treats all of them. Treating lower face volume loss with spot treatments (e.g., a single syringe directly to the marionette lines) doesn’t work (produces little-to-no visible change) and in some cases can make individually treated areas look worse (older, heavier, and unnatural).

Our Solution: Components of the Lower Face 

Check-out our real patient examples to see how the team at Mabrie Facial Institute successfully rejuvenates these common concerns.

Jowls

Lower Face Rejuvenation Problem Area - Jowls - Before
Before
Lower Face Rejuvenation Problem Area - Jowls - After
After
Lower Face Rejuvenation Problem Area - Jowls - Before
Before
Lower Face Rejuvenation Problem Area - Jowls - After
After

The jowls are the main target of the lower face rejuvenation procedure. They appear as we age, and can become more prominent over time.  Jowling occurs when skin loses elasticity and ligaments that once held up the face become lax, permitting skin and tissue to sag. Cheek fat begins to descend downward, eventually obscuring the appearance of the jawline.   

Jowls are the second most common complaint we hear about from our  San Francisco Bay Area facial  rejuvenation patients (after under-eye bags). Our “zone” approach is especially important in treating jowls, since there are multiple areas that contribute to the appearance of jowling on the lower face.

Marionette Lines

Lower Face Rejuvenation Problem Area - Marionette Lines - Before
Before
Lower Face Rejuvenation Problem Area - Marionette Lines - After
After
Lower Face Rejuvenation Problem Area - Marionette Lines - Before
Before
Lower Face Rejuvenation Problem Area - Marionette Lines - After
After
Lower Face Rejuvenation Problem Area - Marionette Lines - Before
Before
Lower Face Rejuvenation Problem Area - Marionette Lines - After
After

Marionette lines are the lines that form at the corners of the mouth and extend downwards to just above the anterior jawline. Volume loss in front of these lines creates a sunken appearance and shadows. This volume loss also results in a lack of support to the cheek skin above it, allowing for the cheek fat to descend, turning the corners of the mouth downward and creating the marionette lines.   

If hyperactive depressor muscles are an exacerbating component to your marionette lines they may be addressed by adding BOTOX® to your treatment.

Fading Jawline (Anterior Jawline) 

Lower Face Rejuvenation Problem Area - Fading Jawline - Before
Before
Lower Face Rejuvenation Problem Area - Fading Jawline - After
After

A smooth, straight jawline contours and shapes the lower face.  Anatomically, the jawline is the side of the jaw bone (mandible) that connects the chin to the posterior jawline and angle of the mandible. When rejuvenating the lower face, this is a key area because:  

  • The combination of sagging cheek skin and jawline bone resorption creates shadows along the jawline and distorts a once straight jawline.  
  • Bone loss, in combination with fat and tissue loss, blur the once distinct delineation of the jawline and neck.   
  • Volume loss in this area is a major contributor to the formation and prominence of jowls.

The interconnectedness of the chin and the jaw requires a zone approach to treatment for optimal results. Treating a single component, such as the chin alone, is ineffective for restoring youthful contours to this area.

Underprojected, Undefined Chin

Lower Face Rejuvenation Problem Area - Undefined Chin - Before
Before
Lower Face Rejuvenation Problem Area - Undefined Chin - After
After

Your chin helps define your overall facial shape at any age.  Anatomically, the chin is the front portion of the jaw bone (mandible) and the main determinant of lower face definition. Aging affects this area in the following ways:  

  • Loss of fat causes the chin to become smaller in size.  
  • Bone resorption causes the chin to become smaller, regress and lose projection.  
  • The mentalis (Latin for chin) muscle acts like a “chin strap” that acts to elevate and protrude the bottom lip, creating a “pouting” appearance.   

Because the mentalis muscle attaches to the skin, it can also cause an “orange peel” or dimpled appearance of the chin skin. When the muscle is too strong or tight it can also decrease chin projection.

What’s Wrong With Just Treating the Single Area?

Treating a single area in isolation is typically ineffective, and can even make the problem look worse. It’s important to understand that the issue you see—such as jowls or lack of definition in the lower face—is merely a symptom of volume loss in several supporting areas. Unless you shore up the underlying foundation, adding filler to isolated areas can actually cause unattractive drooping or puddling. 

At Mabrie Facial Institute, we have almost 2 decades of experience rejuvenating the face with fillers. We have helped educate thousands of patients, and numerous providers, about the importance of a zone approach for dramatic, natural-looking results that hold up. Many of our lower face rejuvenation patients come to us initially frustrated because fillers have not worked for them in the past. After their staged, multi-zone procedure, they become believers and their results show it.

Your Lower Face Rejuvenation Procedure  

When rejuvenating the lower face, we use several types of injectable products, and we stage your procedure over 2 (or more) appointments. This is a key component of our Illumination 360° approach, and is essential for achieving the superior results our patients have come to expect.

Initial Appointment  

Your lower face procedure may include any or all of the following:  

  • Restoring appropriate chin volume and shape with fillers.  
  • Applying filler to the anterior jawline.  
  • Adding filler to the areas around marionette lines.
  • Using neuromodulators to relax a hyperactive mentalis muscle, increasing chin projection and reducing the orange peel appearance.  
  • Treating depressor muscles with BOTOX to improve the positioning and appearance of the corners of the mouth.  

Refinement Appointment 

We wait 1 to 3 months between treatments to allow for swelling to subside before placement of the next layer of filler, only where it is needed. We evaluate the results of your initial treatment, then build upon that initial foundation. We can now directly place filler in the smaller areas knowing that we have the support in place to keep it there. 

For more about what to expect, visit Your Treatment Timeline.

Lower Face Rejuvenation Pricing

LOWER FACE REJUVENATIONPRICE
Injector | Dr. Mabrie, MD
$4,500
Injector | Kimberly, PA-C / Tiffany, PA-C
$3,500
Refinement Syringes
$600/$500

To learn more, visit our Fees & Financing page.

The Team at
Mabrie Facial Institute

Our team is made up of experienced medical professionals with a shared passion for facial rejuvenation and contouring with injectables. Hand-picked and trained by Dr. Mabrie in the Illumination 360° approach, they work with you to create a treatment experience that exceeds your expectations.

We’d Love To See You  

If you are interested in learning more about rejuvenating the look of your lower face, request a consultation online with one of the specialists at Mabrie Facial Institute or call us at (415) 445-9513 to schedule your initial appointment. If you’ll be visiting us from outside the area, our Fly in for Your Procedure page was created just for you to help make planning your trip as smooth as possible.   

Lower Face Rejuvenation FAQs  

What is recovery like after dermal filler injections?  

Immediately after treatment, you may experience swelling, tenderness, redness, and bruising.  These are normal side effects and are most apparent 24 to 48 hours after treatment. They can last up to 2 weeks, but typically subside within 2 to 5 days. Because we know you have questions about aftercare, we created an entire page dedicated to Understanding Your Recovery Process.  


Which fillers do you use for lower face rejuvenation?  

Generally, for lower face rejuvenation we use JUVÉDERM Ultra®, JUVÉDERM VOLUMA®, and Restylane®. These are all hyaluronic acid (HA) fillers, which means they are reversible and there is virtually no risk of allergic reaction. Sometimes RADIESSE®, a non-HA filler, is used for chin augmentation. Learn all about the fillers we use by visiting Dermal Fillers 101.  


How long do dermal filler results last?  

Depending on which fillers are used and which areas are treated, your results can last from 6 to 18 months or longer. Dermal fillers are temporary products that require touch-ups to maintain results.  We recommend maintenance appointments at 9- to 12-month intervals to keep your results looking fresh. For more in-depth information about the longevity of fillers, visit our page on How to Make Your Results Last.    


How much does lower face rejuvenation cost?  

The lower face rejuvenation package price is $3,500 – $4,500, depending on the injector. This includes the products used at your first appointment, and one additional syringe of filler at your follow-up (Refinement) appointment. If additional syringes are needed, those are priced at a discount.

0% financing for 6 to 12 months is available for qualified borrowers through CareCredit  and Alphaeon medical financing.

A Reputation Built on Results

You deserve the highest caliber of service, care, and results, and at Mabrie Facial Institute, we're committed to providing all that and more. But don't take our word for it—see for yourself what our actual patients have to say about their experiences with us.

Read More Patient Reviews
Google
5.0/5
Apr 6, 2021
Google Mabrie Facial Institute
Loving my results so far! I can't wait to come back again! The staff was so friendly and made me feel welcomed and very safe. The office is beautiful and clean! I was immediately greeted and did a COVID screening with a temp check. They escorted me to my room with a beautiful view of SF. I felt pampered, and their customer service is excellent! The injector Tiffany answered all my questions and made me feel at ease, since this was my first time getting Botox. After she marked my face, she explained where and why she was placing the Botox in certain areas. My frown muscles were so bulky and I didn't like how it always looked like I was frowning even when my face was at rest. Now, I don't always look like I'm frowning! My frown muscles look less bulky, forehead looks smoother and I got a subtle brow lift -- I love it!
Facebook
5.0/5
Mar 29, 2021
Facebook Mabrie Facial Institute
Very comfortable coming here. Love the remodel they did in their new office. Of course Dr. Mabrie skills are becoming legendary.
Facebook
5.0/5
Feb 19, 2021
Facebook Mabrie Facial Institute
Dr. Mabrie and his staff are so welcoming, reassuring and most of all skilled at making you look your best. Great location and groovy vibe to the office overlooking Union Square. I got the Illuminate 360 because I deserve it!
Facebook
5.0/5
Jan 13, 2021
Facebook Mabrie Facial Institute
They are amazing here w/ customer service, amiable, listen fully to your desires, and work their hardest to bring them to fruition whether it’s the initial appointment or in my case, complementary touch up w/in set timeframe. Just for clarification, when I put “they” I mean everyone from whomever answers the phone/anyone greeting you when the elevator’s doors open and you arrive at your appointment to your departure via the elevator again. Side note: I would include the security/door men as they’ve always been pleasant to me, but they aren’t apart of this business🙂
Facebook
5.0/5
Nov 18, 2020
Facebook Mabrie Facial Institute
I've never had anything done before this. Everyone at Dr. Marbrie office made me feel right at home. I loveeee the work they did and Kim is the BEST! THANKS GUYS!!
Google
5.0/5
Nov 18, 2020
Google Mabrie Facial Institute
For my first time ever getting work done on my face, this was a great experience. They made me feel at home and comfortable which eased my fear. I got my mid-area done by Kimberly and it looks amazing. I can’t wait to fly back out there for my second session! If your looking to have work done I highly recommend them, you’ll be happy you did.
Facebook
5.0/5
Sep 29, 2020
Facebook Mabrie Facial Institute
I came in earlier today and got a 360 facial treatment done. Everyone in the office made me feel really comfortable. It’s a really lovely space and it’s chic but really homey. I definitely would go back and I feel safe with the results. I feel like Dr. Mabrie was very transparent about the pricing and what he would be using and where. I do still have some swelling in my chin mainly. But excited to see what it looks like when I’m healed!
Google
5.0/5
Aug 3, 2020
Google Mabrie Facial Institute
Dr. Mabrie is a wizard. After extensive research across California (SF to LA and everywhere in between) for who to consult for some of my skin concerns, I chose this clinic for Dr. Mabrie's multi-faceted expertise and reviews on meticulousness. I wasn't shorted, him and his team are incredible.
Google
5.0/5
Jul 8, 2020
Google Mabrie Facial Institute
I've visited Mabrie Facial Institute twice, and both visits were stellar. All staff members, from the font-line staff, to assistants, all the way up to Dr. Mabrie were kind, caring, thoughtful- I honestly just can't say enough. At no time did I feel pressured about anything. Honestly (and trust me, I'm skeptical of most people), everyone there made me feel appreciated and cared for. They were patient with my endless questions, did very careful work, and were just overall so lovely and personable. I've honestly never had such a great experience before.
Facebook
5.0/5
Mar 5, 2020
Facebook Mabrie Facial Institute
Dr David Mabrie He is amazing 😘
Facebook
5.0/5
Mar 2, 2020
Facebook Mabrie Facial Institute
Best face guy around. Full stop.
Google
5.0/5
Feb 13, 2020
Google Mabrie Facial Institute
I first came across Dr. Mabrie’s practice when I was reviewing the top 100 US aesthetic injectors list for 2019. While I had been to other offices in LA and NYC, I had been dying to go someplace in The Bay (where I live). Finally I had found a practice where I could draw up a beauty plan and see tangible, top of the line results. Fast forward to 2020 and I’m on my second visit with Kimberly for lower face enhancement and masseter slimming with Botox. The warmth, professionalism, and artistic vision of Kimberly and the Mabrie team is unparalleled — I highly recommend if you’ve been considering any type of cosmetic beautification, that you jump right into the chair at Mabrie Facial Cosmetics. Thanks again Mabrie team!! I love my results, and can’t wait to see you again in just a month’s time.
Google
5.0/5
Feb 5, 2020
Google Mabrie Facial Institute
Dr. Mabrie is the most skilled filler doc in the bay area! He's so skilled and transparent about pricing. Also, his office is beautiful and the staff are so friendly. Highly recommend!!
Google
5.0/5
Jan 30, 2020
Google Mabrie Facial Institute
Previously, I've used online coupons offers which slightly improved my sunken eye look, as well as the furrows on my brow and mouth. After receiving Dr. Mabrie's facial treatment, my husband who hadn't been too impressed with my coupon treatments, immediately said, "WowI Baby, you look so beautiful!" I cannot give a greater testimonial than that. And I too share my husband's sentiment - I do look damn amazing! 🙂
Google
5.0/5
Jan 29, 2020
Google Mabrie Facial Institute
I have been going to Dr. Mabrie for probably seven years and I look better than ever! I saw his online discussions of his techniques and decided, this is the doctor for me! I have not been disappointed and it's definitely worth my 2.5-3 hour drive to San Francisco to get my treatments. He and his entire staff are excellent!
Google
5.0/5
Jan 28, 2020
Google Mabrie Facial Institute
I’m so happy with my results! Excellent service, David Mabrie and his team are awesome. I’m certainly coming back for a refinement treatment and touch ups in 9-12 months time. Thank you !!!!
Facebook
5.0/5
Jan 22, 2020
Facebook Mabrie Facial Institute
If you’re interested in looking younger, or you feel self conscious about any particular part of your own face, GO SEE Dr. Mabrie! You won’t ever regret seeing this amazing, compassionate, incredibly talented and intelligent Doctor. He has changed so many lives, and he will make yours better too.
Google
5.0/5
Dec 3, 2019
Google Mabrie Facial Institute
Truly, the best practitioner in the Bay Area, and one who keeps up to date on new developments in the field. Since 2017, when I first went to see Dr Mabrie after noticeable loss of volume in my face, he's carefully restored me back to my younger appearance. He doesn't ever suggest unnecessary treatments or over-inject; he's not cheap (nothing in San Francisco is), but his expert approach to fillers guarantees very natural-looking results that will elicit "Oh, you're looking so great!" comments, rather than the dreaded "Got some work done, huh?" Highly recommend him!
Google
5.0/5
Nov 9, 2019
Google Mabrie Facial Institute
Dr Mabrie's office was in a convenient location in Union square. It is an elegant office, I was greeted warmly. I was nervous as I had other facial experiences that I did not want to repeat. Matt gave me details on the products and answered all my questions even ones I didn't know I had. When Kimberly can in I was ready. With a steady gentle touch she made such a difference in my appearance. I am excited to get back in and continue down the path of renewal. I look like me only refreshed. Comments like you look great, had some time off? I love it!
Facebook
5.0/5
Oct 22, 2019
Facebook Mabrie Facial Institute
You couldn’t meet nicer people than Dr Mabrie and his staff. Dr Mabrie is amazing at what he does. It’s always a pleasure. Till next time
Back to Top