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Facial Rejuvenation and the Jowl: How Far Should We Go?
Date:4/23/2010

ng fat may be as important as gravity in the etiology of jowls.

“A theme in recent years has been the maintenance and enhancement of facial volume. Patients, however, do not want volume in their jowls. Should fat be excised or suctioned? Should the fat be pulled up into the face by tension on the SMAS (musculature of the face)? Should the pre-jowl area be filled with fat to make the transition from chin to jaw line smoother? Or are jowls so difficult that they require all of the above maneuvers?” said Dr. Thorne, a plastic surgeon in Manhattan and moderator of the panel. “The panel will address all of these questions, and it promises to be a fascinating and potentially controversial discussion.”

The formation of jowls is one of the earlier signs of aging along with laxity in the neck. Generally part of an overall facelift procedure, correction may be accomplished by trimming fat, repositioning the jowl fat at a higher level, disguising the jowl by injecting more fat along the jaw line, or by a combination of these procedures. There were 94,927 surgical facelift procedures performed in the U.S. in 2009, according to ASAPS statistics.

“There is no ‘one size fits all’ approach to jowl correction,” said Dr. Grotting, a plastic surgeon in Birmingham, AL. “We will examine various techniques for improving the jowls in different types of patients.”

Panelists have been assembled from the U.S. and Europe in order to get diverse opinions on the subject of jowl correction.

“Europeans are reacting against a ‘look different’ facelift that delivers dramatic results – the trend in Europe is toward less invasive surgery when it comes to facelift procedures,” added Dr. Mercer, a plastic surgeon from
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