How to remove jowls on the face and tighten the oval: how to quickly get rid of them at home and what it is in women, photos, can a person fight it and with what, what causes a double chin

What is a fringe?

The term jowls describes sagging skin on the cheeks. It usually goes down to the jawline or below. Because of them, a person looks much older than his age, so everyone strives to get rid of this sign of aging. Jowls may be less pronounced in people with thick skin or high fat content. They are also less noticeable if there is enough collagen in the cheek area. Some lucky people may never experience ptosis due to genes, environmental factors or lifestyle.

Jowls are not dangerous to health; they disturb their owners precisely from an aesthetic point of view, because of which self-esteem can suffer greatly.

In the early stages, recognizing jowls can be quite difficult. You don’t see much of a difference in appearance until your cheeks sag so much that it’s impossible not to notice. Do you doubt it's time to take action? Then do an experiment: take a photo of yourself ten years ago and compare it either with a recent photo or with your reflection in the mirror. Do you see the difference? Has your jawline gotten lower? Then it's time to correct the situation.

Reasons for appearance

Despite the fact that there are many reasons for the appearance of jowls, the main one is still aging. As we age, the skin decreases in certain compounds that help it maintain its shape. These include fat, connective tissue proteins, elastin and collagen.

The skin also becomes drier and thinner, which also affects its ability to maintain its shape. Due to all these factors, it becomes more vulnerable, it is harder for it to resist gravity, and it begins to sag.

The second most popular cause of cheek ptosis is back problems. Slouching and the head falling into the shoulders lead to drooping facial tissues. And all because this position shortens the neck and disrupts its correct statics. The condition of your neck largely determines how your face looks.

Incorrect posture leads to impaired blood and lymph flow, which is why the neck, and therefore the facial skin, does not receive enough nutrients.

What other causes of sagging could be:

Exposure to sunlight. Ultraviolet rays penetrate the skin and destroy collagen and elastin. This is why it is necessary to use sunscreen with SPF.
Genetics. Everyone will have jowls - that's a fact. But how expressed they will be depends to some extent on genes. If your parents have noticeable ptosis, there is a good chance that you will have it too. Don’t rush to give up, because you can get rid of jowls or delay their appearance. Start taking proper care of your skin now.
Dramatic weight loss. Sudden and rapid weight loss leads to sagging skin all over the body, including the face.
Smoking and alcohol.
Dehydration.
Stress.
Diets low in antioxidants, healthy fats and other essential nutrients.
Inappropriate cosmetics.

Implant installation

Mentoplasty or genioplasty is the insertion of an implant on the chin. It can be internal and external. It is done under local or general anesthesia. Often performed by sawing off a small portion of the chin bone without the use of a foreign body.

Implants come ready-made, but you can use 3D modeling to make a diagram and use it to cut out an implant of the desired shape and size. Rejection and inflammation of the cavity can cause an inflammatory process in the oral cavity, which develops into periodontitis.

This method is used when ptosis appears due to underdevelopment of the lower jaw and the angle of the chin. For a woman 35-39 years old, installation of a chin implant can help. There is no point in using facial plastic surgery ahead of time.

Don't miss the most popular article in the section: Facial massage according to the system of the Japanese doctor Asahi Zogan.

How to remove jowls in 14 days

There are different ways to get rid of jowls. You can take a risk and go to the salon. Cosmetologists now offer many procedures. They help some, make things worse for others - luck and professionalism play the main role here, because entrusting your face to another person, even a doctor, is quite a risky business. Or you can remove jowls yourself by establishing beauty rituals: choosing good skincare products and regularly doing self-massage.

Fighting jowls with the help of cosmetologists

Ultrasonic lifting.

In hardware cosmetology, this method is considered the most effective. Ultrasound affects the deep layers of the skin, activating the production of collagen and elastin. To achieve long-term results, it is recommended to attend several procedures.

Mesothreads.

This procedure is carried out in the early stages of sagging skin. Biocompatible absorbable and non-absorbable threads are implanted under the skin. They are carried out from the folds of the chin and fixed behind the ears. After about six months, these threads are eliminated from the body naturally. They promise that the effect will last up to four years. After this procedure, it is impossible to avoid the appearance of swelling and bruising, as small blood vessels are injured. Patients feel such pain that they cannot eat or speak calmly. Even several months after the procedure, “tingling” sensations may be felt inside.

Botulinum therapy.

The cosmetologist injects botulinum toxin type A into the muscle tissue. It is aimed at removing the tone of the depressor muscles, thus facilitating the work of the muscles that lift the face. You will be lucky if the effect lasts for at least five months and there are no side effects. And these can be hematomas, swelling due to damage to blood vessels. Often the face of girls who have injected Botox becomes doll-like, not expressing emotion. And this is only a small part of the possible consequences.

Contour plastic.

In this case, this procedure is aimed at working with the contour of the lower jaw, chin and lower third of the face. This is a method in which hyaluronic acid-based gels are injected under the skin. They are designed to restore the water balance in the dermis and restore the volume of subcutaneous soft tissues. Only now the muscles are forced to carry this burden in the form of a gel on themselves, which is why they lose healthy tone and length. Therefore, they will no longer be able to support the skin on their own. Moreover, fillers stretch the skin, causing it to sag even more after the gel wears off.

Skin tightening of the neck or face.

Another name is rhytidectomy of the lower third of the face. This operation takes place under general anesthesia. Recovery takes from several days to a couple of weeks. The doctor removes fat, tightens muscles and repositions the skin of the neck to clearly define the jawline.

Plastic surgeon Andrey Leonidovich Ishchenko talks about lifting the oval face. Where are the chin folds, popularly called jowls, and what do they consist of?
Jowls
are an anatomical formation consisting mainly of fatty tissue and skin. They are located in the lower zone of the face (face oval), as if bordering the chin on both sides. This is a muscleless area that lacks dense anatomical structures, which is what causes sagging. With age, the muscular-apponeurotic structures surrounding this anatomical formation become flabby and no longer retain fat. The same anatomical feature makes it difficult to correct jowls, because loose and porous structures are difficult to fix and move.

According to many anatomists and surgeons, the formation of jowls is partly due to the formation of Bichat's lump, which is a very complex and extremely variable anatomical structure: it can go from the temporal region, moving into the space located under the entire zygomatic arch, occupying the entire cheek (its central part ), take part in the nasolabial folds, in the formation of soof zones (that is, it is an integral part of the premalar fat body), and there is also a pharyngeal spur. Many anatomists believe that hernias of parabulbar (periorbital) tissue are also part of Bisha's lump.

Lump of Bisha

– a structure that is a cluster of large fatty packets (like a bunch of large grapes): amorphous, almost avascular (there are a few vessels in the shell of each packet). The pretentiousness of its anatomical form was revealed by the outstanding French anatomist Marie François Xavier Bichat. The structure of Bisha's lump differs from person to person. Previously, it was believed that it was present only in children and then atrophied. Nothing like this. Women almost always have it, in one form or another. In men, it happens that there is no single lump, only fragments.

Figure 1a

Figure 1b

It is completely impossible to remove Bisha's lump, since it is almost entirely penetrated by the branches of the facial nerve. Only that part of the buccal fragment is removed in which there are no neurovascular formations. We do this with great care, knowing exactly what can be removed. When correcting jowls, we resort to removing only that part of the Bisha's lump that is involved in the formation of these chin folds.

So, correction of chin folds (jowls) comes down to correctly determining which tissues formed this fold: skin, subcutaneous tissue, fatty body of the cheek, or all these components combined.

SMAS facelift

There is an opinion that jowls can be removed well with the help of a SMAS lift with a standard incision around the ear. However, eliminating jowls only by stretching the muscular aponeurotic system is ineffective. On the contrary, when tightening the SMAS, this fold may worsen. SMAS is an aponeurotic system that does not participate in the formation of mental folds, but is one of the walls of the gap (posterior), through which fatty tissue “falls out”, forming jowls (Figure 1b). When the SMAS structure is pulled, this gap expands, and the pressure on the Bisha lump increases due to the tension of the SMAS, and the loss of fatty tissue becomes even more unhindered.

Figure 2a

To avoid such aggravation, local plication is used - sutures that allow you to “straighten” the prolapsed tissue and close the anatomical gap through which it prolapses. To do this, first disconnect the anterior fascial wall of this gap (fascia of the muscle that depresses the angle of the mouth), which goes from the skin directly to the bone of the mental part of the lower jaw.

Figure 2b

If this separation is not made and the anterior wall of the jowl remains in place, then, having moved upward and backward, the entire structure described above will have more defined contours.

The effectiveness of this method of eliminating the chin fold is very high. It can be used as a separate operation to improve the contours of the lower area of the face, or as part of a complex of manipulations performed during SMAS lifting.

rehabilitation period for these operations is the same as for any other “open” (non-endoscopic) anti-aging surgical interventions on the face.

Figure 3

This is not a public offer! There are contraindications. Before use, consultation with a specialist is required.

Endoscopic and minimally invasive methods for eliminating jowls

Correction of mental folds can also be performed using endoscopic or minimally invasive surgery. These methods are used when it becomes clear that the skin does not participate in the formation of jowls, that is, there is no excess of it that needs to be removed. The incision, in this case, goes either inside the auricle (behind the tragus of the ear), or behind the auricle in the transitional fold (in the region of its lower pole). The incision size is 1.5-3 cm. Through these incisions we perform a wide dissection of the tissue in layers. During endoscopic or minimally invasive operations, we separate the anatomical adhesion between the skin and the mental part of the lower jaw (as described earlier and shown in Figure 2b), and then we plicate the mental fold, as described earlier (only now under endoscopic control), thus flattening it .

The threads that we use for this, that is, we make a power loop, are not absorbable. This is a synthetic polymer - POLYPROPYLENE (by the way, threads from the same polymer, only shorter, are also used with the method described above). The polypropylene thread is very strong, although we need it to last for about six months. In general, polypropylene is one of the most bio-indifferent materials that remains in human tissues for life. The thread can also be removed: its function is completed after six months - the tissues have grown together and are fixed in a new position forever.

Disadvantage of the method

is that it has a rather limited range of applications. After all, the situation when the chin folds are formed only due to deep structures and do not have excess skin is quite rare.

The effectiveness of the technique is great if the patient is initially selected correctly. The longevity of the effect also depends on this.

Early rehabilitation period : 2-4 weeks. Final effectiveness occurs by 4 months after surgery.

Figure 4

This is not a public offer! There are contraindications. Before use, consultation with a specialist is required.

Threadplasty of jowls

This technique differs from endoscopic and minimally invasive in that during its implementation we perform tunnel construction blindly, and the adhesion of threads to tissues also occurs blindly. Naturally, we are not talking about disconnecting the front wall of the gate of the fallen fiber, or about other methods of treating this zone. And yet, in the initial stages of the formation of chin folds, this technique has good effectiveness! When removing jowls using threads, the threads must be attached to the mastoid process, located behind the ear. If the thread is simply left in soft tissues, it is completely ineffective. Whatever the thread is made of, it must be attached to the periosteum. The operation itself is carried out as follows: a 1 cm incision is made behind the ear, and a blind tunnel is made under the skin to the chin fold. We pass the thread into it up to this fold, poke the needle out into the skin without removing the thread, then with the second tip, by touch, we pick up the layer of overhanging tissue that makes up the jowl, and return the needle to its original position at the beginning of the tunnel, thus forming a thread loop in deep tissues. We stretch this loop, moving the fabric upward. We fix (sew) it to the periosteum of the mastoid process.

Figures 5a, 5b, 5c, 5d

Threads can be passed through tissues without preparing them, that is, piercing them in thickness, but we prefer to form a tunnel, because when it grows together, tissues moved upward and fixed with a thread loop grow to the walls of the tunnel, which is a more reliable and durable fixation than the thread itself.

The early rehabilitation period is 2-3 weeks. Swelling when installing threads is very moderate. But bruises can be quite pronounced, because in the tunnel it is impossible to blindly stop the bleeding of small vessels, but pronounced hematomas are also not observed due to the low traumatic nature of the method. The final effect occurs by 2 months after surgery.

Efficiency . This technique cannot be considered 100% effective. It solves the problem of overhanging fiber at a fairly young age. If there is sagging in other structures (muscles, fascia, skin), it cannot be used!

Jowl liposuction

It is used when we have clearly determined that the formation of the chin fold mainly involves subcutaneous fatty tissue, and not the spur of Bisha's lump. This is determined by a plastic surgeon by palpation. Of some signs, it can be noted that the subcutaneous fat deposit is denser to the touch than the fiber of the Bisha's lump, in addition, when the muscles that lower the corner of the mouth are tense, the folds formed by the Bisha's lump are aggravated, and those formed due to subcutaneous fat - slightly straightened out. If this differentiation is somehow complicated, which is extremely rare (especially if there have already been plastic surgeries in this area), then with the help of ultrasound it is possible to quite accurately determine which structures are involved in the formation of the mental fold. Liposuction of this area is most often performed through a small puncture behind the tragus of the auricle. Next, classic mechanical vacuum liposuction is performed in the jowl area.

If the nasolabial and chin folds form a single line, as if connecting with each other (this situation has its own name “MODEOLUS” - from the Latin mollusk), liposuction can be performed through a puncture near the wings of the nose and lipoaspiration can be performed on both the nasolabial and chin folds in a single field.

Effect . With an initially correct assessment of the situation (overhanging folds due to subcutaneous fat), the effect is persistent. Final effectiveness occurs by 2 months after surgery.

Rehabilitation period : swelling is moderate, bruising is minimal and their degradation occurs in 2-3 weeks.

High-frequency electrical reduction of jowls

This method turns out to be effective in the initial stages of jowl formation: the high-frequency method is aimed at creating a very high temperature in the problem area, about 50 degrees Celsius. Moreover, directly under the skin the temperature is 40-42 degrees, and when treating fiber and fascial structures it is 45-50 degrees. The principle of the technique is as follows: an electrode (needle) is inserted through a puncture in the corner of the mouth. It is carried out to the place where the fold overhangs, and in 2 layers: one layer is under the skin (with a lower temperature of exposure), and the other above the fascia is SMAS (hotter exposure). Under the influence of high frequency current, all the structures that make up the chin fold are “boiled.” This causes fatty tissue to melt and permanently reduces collagen fibers in the deep layers of the dermis and fascial structures. Subsequently, this area is scarred, that is, it acquires a deep scar density, leaving no traces on the surface of the skin!

Figure 6a

To perform this type of manipulation, specially designed electrode attachments for devices are used: “MARTHYN”, “SURGETRON”, “ASCLEPION” and others.

For uniformity of impact and maximum durability of the effect, the procedure must be repeated 2-3 times with an interval of 2-3 weeks. By the way, the entire face, or rather its most problematic areas, can be subjected to such treatment.

Rehabilitation period . For a period of 3-7 days, strips are glued to the treatment site to consolidate the result. The swelling can be quite pronounced and will persist for 7-10 days, and slight peeling of the skin is possible.

Efficiency . The planned tightening effect develops over the next 3-4 weeks. This technique is not effective for everyone: it is important to determine in advance the degree of age-related changes in the tissues of this area.

Figure 6b

This is not a public offer! There are contraindications. Before use, consultation with a specialist is required.

Lipofilling

Some surgeons even out jowls using lipofilling, filling the areas near the jowls with fat.
If the jowls have become prominent due to atrophy of the tissue in the chin area, lipofilling can be used to smooth out this area. The advantages of the technique are that the introduced fat cells are more stable compared to natural ones, because after their secondary engraftment, a dense shell is formed around each one, which also holds the rest of the tissue surrounding it. This is a good durable plastic material! Sagging is aggravated by fillers (gels), since they consist of water and additionally attract water to themselves, which makes the tissue heavier, while fat is light and floats.
Flaws . This technique has very limited indications, since the jowl area has an anatomy that is somewhat unsuitable for lipofilling. Injected along the lower contour of the face, fat visually makes the face heavier. And if jowls are formed due to an overhanging excess of fatty tissue, then lipofilling can only make them worse!

Rehabilitation period : swelling is moderate, bruising is minimal and their degradation occurs in 2-3 weeks. Engraftment of fat occurs within 1 to 3 months.

Chin implant placement

If mental folds are caused by an anatomically undeveloped or sloping chin, which happens quite often (this is an anatomical feature associated with the attachment of the ligamentous apparatus of the “gate” of the jowl), then installation of the implant has a positive effect on their elimination.
In the surgical technique, we dissect the anatomical fascial structures that form the mental folds, and, moving forward, they are smoothed.
The method has practically no disadvantages Sometimes it needs to be supplemented with high-frequency electrical reduction or RF lifting for a more pronounced cosmetic effect.

Efficiency . Even a small implant will help eliminate jowls. And this is an indisputable fact. Therefore, we often complement the SMAS lifting technique with implant placement.

Figure 7

This is not a public offer! There are contraindications. Before use, consultation with a specialist is required.

Rehabilitation period.

The fixing bandage is removed 10-11 days after surgery, then the swelling goes away within 2-4 weeks. Final aesthetic effectiveness occurs 2-4 months after surgery.

Therapeutic cosmetology: RF lifting

This technique is based on the fact that, passing through biological media (living tissues), the radio wave acts with its high temperature only on the dermis and hypodermis (layer of subcutaneous fat), that is, specifically on the skin areas responsible for the cosmetic effect, while the epidermis is the top layer of skin remains intact.

There are 2 types of devices (modes of influence): bipolar and monopolar. The mode is selected depending on the severity of age-related changes, tissue status (turgor, thickness, etc.). Today, the following devices created for this procedure are considered the most modern and effective: “ASCLEPION RF”, “SmartXide 2”, “Revital RF”, “Palomar” and others.

With bipolar exposure, a radio wave from one source collides with a simultaneously sent same radio wave from a second source. At the site of their collision, tissue heating occurs. Monopolar exposure uses the collision of radio waves with tissues, where they are heated from this collision. This increase in tissue temperature causes local, controlled inflammation, which leads to increased tissue production of all biologically active substances. At the same time, the pastiness (constant swelling) of the tissues goes away, and lymphostasis disappears due to increased blood circulation. In addition, after 2-3 months, during which 5 to 8 RF lifting sessions are performed (according to an individual scheme and power), the tissues of the treated area become denser and less porous, and therefore lose their ability to swell. And this is one of the persistent components of the cosmetic effect of RF lifting.

Rehabilitation period

practically absent. At most, slight peeling of the skin may appear. This is an ideal method for young women who are not yet candidates for plastic surgery and who, due to their work commitments, cannot endure a rather long period of postoperative rehabilitation.

Flaws

. There is always an effect, but partial effectiveness is the only side effect. This happens due to the fact that initially the cosmetologist incorrectly identifies the causes that form chin folds, overestimating the therapeutic methods of influencing them.

conclusions

It is difficult to take into account everything - tissue consistency, turgor, contractility and much more - but an experienced doctor can predict the effectiveness of a particular method by 80-90%!

There are many methods, but still, completely erasing the chin folds is a problem.
There are a number of patients in whom almost all of the listed methods of influencing the chin folds were used, and, as a result, a partial effect was obtained. It is, of course, quite visible, but not 100%. The only good news is that the number of these cases is much less than cases with a pronounced lasting cosmetic effect! To communicate with patients who have undergone facial rejuvenation, come to our forum, section Anti-aging surgeries

How to deal with jowls at home

Be sure to choose the right cosmetics. It is best to use natural hydrosols, balms and oils, regularly cleanse, tone, moisturize and nourish the skin.

Devote 10-15 minutes a day to gymnastics and self-massage of the face. This is quite a bit, but the result is impressive. Regularity and correct technique are the key to success. And most importantly, this method is safe, unlike salon methods.

Also, massage your face with a dry massage brush every day or a couple of times a week. Be sure to follow the massage lines indicated on the package. Due to this rubbing, blood circulation increases and lymph flow is stimulated. The skin becomes more toned and radiant. Before the procedure, you just need to cleanse your facial skin.

Sign up for the intensive “Face Oval and Chin” so you don’t give up what you started. This intensive is aimed specifically at the lower third of the face. With the help of simple techniques, you will stretch out your platysma, lengthen your neck, get rid of jowls and a double chin, and also restore a clear youthful angle.

Age characteristics

Jowls do not always appear at a certain age. Sometimes you can notice sagging skin in young women or girls. It depends on the structure of the skin, heredity and proper care.

After forty years, collagen production decreases, skin elasticity is lost, and excess weight may appear. In this case, it is necessary to change the diet or use special facial care products. Preventive exercises and massage should be done.

At the age of 50, you can no longer manage with creams and masks alone; you need comprehensive care that includes all the components. Salon beauty treatments, lymphatic drainage massage or facial myostimulation are recommended.

Jowl massage

To tighten the oval of the face, it is necessary to massage not only the face, but also the head.

Play the head massage video and repeat

Run your fingers over your scalp as if you were combing your hair.
You can hurt your forehead and temples.
Continue this for two minutes.
Then gather your hair into small buns and pull them to the sides.
Massage your scalp in circular motions.

Video “do-it-yourself lifting effect”

Warm up your palms.
Press your palms tightly to your temples.
Hold this position to warm up your whiskey.
Then, using circular movements, begin to massage the temple area, slowly moving towards the hair.

And this is a video of warming up the masticatory muscles using an amber stick.

Open your mouth wide.
Start rolling the amber stick up and down over the spasming muscles, as if you were rolling out dough.
Now on the other side.

How to tighten your face shape with exercises

We wrote above that the skin of the face and the formation of jowls are greatly influenced by the condition of the back. Therefore, you need to start with it. It is necessary to relax spasmed, tight muscles and restore their natural length and elasticity.

The simplest and most effective exercise: lie on a cushion for five minutes a day and do exercises on your shoulders and neck.

Watch the video on how to do the exercise with a roller correctly:

Place the roller under the shoulder blades.
Stretch your arms up and place your palms on the floor, so that your little fingers touch.
Feet shoulder-width apart, big toes touching each other.
If it’s your first time, lie down like this for at least a minute, increasing the time every day and bringing it to the ideal five minutes a day.
Exit from the side: turn over on your side, lie there for a while, breathe calmly.
Get on all fours, arch your back up like a cat and rise to your feet.

Another exercise to relieve neck spasms “Frame”:

Raise your shoulders and fold your arms above your head in a loose frame, clasping your elbows with your palms.
Keep your back straight and your neck straight.
Raise your shoulders, lengthening your spine.
Lower your head and squeeze the front surface of your neck between your collarbones and chin.
Hold this for 30 seconds.
Then stretch everything that you are holding: press one hand to your collarbone, and with the other, stretch the side surfaces of your neck.

Jowl prevention

Watch your lifestyle. Move more and eat right to keep your muscles healthy.
Use sunscreen to prevent UV rays from depleting your skin's collagen reserves.
Watch your posture. Keep your back straight, try to constantly control its position and posture.
Apply moisturizers and drink enough water to stay hydrated both internally and externally.
Try to eliminate alcohol consumption.
Choose cosmetics that suit your skin type.
Try to use your phone less often and keep your back straight when using it so that your skin does not wrinkle or stretch. Be sure to take at least ten-minute breaks when working at the computer.

Do you want to learn more cool self-massage techniques and life hacks for maintaining youth? Then sign up for the “BoldlyNET” marathon. Here you will learn about the best exercises for correcting posture, relieve muscle spasms, work out the muscular frame of the face and regain a toned young face and body.

General recommendations

A healthy diet has a beneficial effect not only on the appearance of the skin, but also on the entire body. You should drink the required amount of water daily – up to 2 liters. Fruits, vegetables, herbs and foods rich in vitamins should be preferred to fried or sweet foods.

As you age, your skin becomes thinner and drier. Creams help moisturize it. Skincare products should be selected according to age. It is worth choosing proven brands that have won the trust of customers. It is recommended to consult with a specialist - a dermatologist, as well as with the seller. You can use masks made from natural products.

Walking in the air or exercising helps saturate the skin with oxygen, improving its condition and color. Massage and special products help rejuvenate the skin and help tighten the facial muscles and avoid facelift surgery and injections.