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.
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 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)
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
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.
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.
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 REJUVENATION||PRICE|
|Injector | Dr. Mabrie, MD||$4,500|
|Injector | Kimberly, PA-C / Tiffany, PA-C||$3,500|
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.
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