Jowls (correctly - jowls) - this word refers to saggy, flabby cheeks that deform the line of the lower jaw and chin.
Jaws on the cheeks age the face by 5-10 years, making it sad and tired. They cannot be hidden with makeup. And even celebrities who regularly take care of themselves do not always win for an even lower jaw line. See for yourself.
| Helen Mirren | Meryl Streep |
| Bruce Willis | Robert Downey Jr |
| Catherine Deneuve | Sharon Stone |
| Al Pacino | John Travolta |
| Monica Bellucci | Sophia Loren |
Do you think that this verdict cannot be appealed? In this article we will talk about methods that really help. But first we need to determine who the enemy is and with whom we will fight.
Why do jowls appear?
Our face consists of 57 muscles and fat, which is concentrated mainly in the cheek area. This cheek fat, in honor of the French anatomist Marie François Bichat, has its own name - Bichat's fat pads, and reaches a very impressive size.
With age, any person experiences drooping of facial tissues. The lower jaw to the left and right of the chin is devoid of muscle support (this can be easily seen in the figure), and nothing prevents sagging in this area.
As a result, characteristic sagging is formed along the jawline - “bulldog cheeks”, which make the facial contour wavy.
In thin people, shaving is usually due to excess skin and only skin. In all other cases, sagging is enhanced by subcutaneous fat or descending lumps of Bisha
It is believed that Bisha's structures contribute not only to the “blurring” of the contour of the lower jaw, but also cause nasolabial folds and form sufas on the face.
Most often, sagging skin in the lower jaw area is the visible result of a number of invisible changes that have occurred to our face over the years:
- Low collagen and elastin content. Collagen inside our skin is like the reinforcing mesh in buildings made of monolithic concrete. Only with age does the old collagen “break down”, and the new one is not synthesized actively enough. This causes the skin to lose support and elasticity.
- Weakening of the facial muscles, which cannot hold the skin and subcutaneous fat high in the same place. Thus, as a result of weakening of the cervical platysma muscle, a “goiter” and a double chin are formed in the neck area. The same mechanism underlies sagging cheeks.
- Due to a lack of certain elements and hormonal changes, the bones become thinner and the face becomes flattened. Cheekbones lose their “sculpted” volume. Deprived of this important support, all facial structures, like on a sled, literally “slide” down.
- An age-related decrease in the amount of melanin pigment in the skin makes it vulnerable to sunlight and accelerates aging.
A face with jowls is not just a problem of age. There are other reasons too. Individual facial characteristics, stress, constant exposure to wind and cold, smoking, alcohol, coffee, poor nutrition, certain medications, endocrine diseases, rapid weight loss, a poorly developed chin and even the force of gravity all contribute.
The risk of developing early jowls is especially high in heavy individuals with a large amount of cheek fat. These are overweight people and those who, at normal weight, inherited chubby cheeks.
The same factors apply to men. But due to gender characteristics, they have less facial fat. Their skin is not subject to hormonal fluctuations during pregnancy and menopause; it remains dense for a long time. Therefore, men's jowls appear 10-15 years later.
Expert comment:
“The appearance of jowls in youth is usually a consequence of being overweight. In all other cases, this is an obvious sign of age.
. But if jowls appear after 40 years, there is no need to urgently remember the forgotten cosmetologist.
Don't get me wrong, you definitely need to continue to take care of yourself. But creams, face masks, peelings and mesotherapy do not work on jowls. And do not rush (no matter what they tell you) to invest money in fillers and 3D mesothreads - they do not work against sagging of the lower jaw, and you will simply waste your money.
To get rid of jowls on your face after 40, you need to work with the causes, not the consequences.
.»
Andrey Iskornev, plastic surgeon.
The mechanism for the formation of jowls on the face is the drooping of intrabuccal fat.
How to remove jowls at home
Expert comment:
“There are cases when it is not at all necessary to resort to the services of doctors to get rid of jowls. Often, overweight young people simply need to lose weight. Excess fat on the face will disappear, elastic skin will tighten, and the facial contour will become smooth and graceful.
The main thing is to avoid rapid weight loss, otherwise the skin will sag before it has time to shrink. It is best to lose weight by 4-5 kg per month under the supervision of an endocrinologist in combination with physical activity. Fat “burns” only in the muscles, and to get rid of fat in the cheeks you need to tense all the large muscles of the body.”
Maxim Vasiliev, plastic surgeon.
Bishectomy
The operation to remove them is not plastic - only aesthetic; human anatomy is not affected, and no functional restructuring of the body occurs. Local anesthesia is used, the drug load on the body is small. The fat lobules are in the capsule and are removed along with it without spreading.
The procedure takes half an hour, does not require a hospital stay, is easily tolerated and rarely causes complications. You can ask questions about the technique, consequences, indications and contraindications at a free personal consultation with doctor Guzal Melisovna Isamutdinova.
Is it possible to fight jowls using conservative methods?
Unfortunately, all home methods are preventative. Removing jowls without surgery is only possible if they have just begun to appear and have not yet gained a foothold in their occupied “positions.”
You can start eliminating jowls with lifting masks.
One of the most effective modeling masks is a tar mask: finely grate 1/8 of a piece of tar soap and beat into foam, adding a little sour cream. Apply the resulting mixture to the chin, neck and décolleté. Let it dry and reapply the mask until completely dry. Then rinse with warm water and lubricate the skin with cream. This mask has a strong lifting effect and will significantly tighten slightly sagging skin in just a month.
You can use ready-made pharmaceutical masks. Look for marine plankton, kelp, brown algae, lecithin, panthenol, and allantoin in their composition.
You can also do a facial massage yourself: twist a small terry towel into a rope, soak it in a saline solution and pat your lower jaw and neck on all sides for 15 minutes. After the procedure, lubricate the skin with cream.
Doing a massage with a towel
There are a variety of options for home massage. I will tell you about a technique using a terry towel, the size of which must be chosen based on the size of your face: the towel should almost completely follow its contours. Take two bowls of water. Pour cold water into the first and add 1/2 tablespoon of salt, and hot water into the second. Fold the towel lengthwise and soak it in cold water, wring it out a little and lightly pat it on your chin, then apply it to it and gently pull it towards your temples. Stay in this position for 3 minutes. Next, repeat the same manipulations with hot water. The procedures need to be done 3-5 times.
Exercises for jowls
If you are not lazy and devote only 15-20 minutes a day to yourself, then gymnastics will return a blooming, fit look to young people. People with pronounced age-related changes, unfortunately, will not be able to remove jowls with exercises, but the complex proposed below will help slow down further sagging of the skin:
- - puff out your cheeks strongly for 30 seconds every day and roll the air in all directions,
- - pursing your lips like a tube, “blow out” an imaginary candle 50–55 times daily,
- - press your index fingers firmly to your cheeks and try to smile, overcoming resistance. This is a great exercise to strengthen your facial muscles!
Contour plastic surgery of jowls
Facial reinforcement with Radiesse gel or RegenLAb plasma filler. The drugs are injected deeply into the periosteum area under the cheekbones. Thanks to this technique, the face restores youthful volume, acquires clear, graceful contours and a heart shape.
| Michelle Pfeiffer | Elizabeth Hurley |
In the injection area, gels as a bonus start the process of skin restoration and help to significantly refresh it, eliminate wrinkles and smooth out folds.
Remember! There is no point in injecting gel or lipofilling directly into the lower jaw. This will solve the problem (and only briefly) for those whose sagging is caused by excess skin and is not accompanied by excess fat.
Jowl lift with threads
Go to the mirror and slightly lift the skin in the cheekbone area upward. Do you see how the oval of the face has straightened out and the chin has become more youthful?
Installing threads creates the same effect - it returns the sagging tissues back to the top. After half a year, the threads dissolve and leave behind a strong, collagenous frame, which maintains the achieved result for about 4 years.
Expert comment:
“Reinforcing shavings alone is fundamentally wrong. The flutters are just a consequence. The reason is the prolapse of soft tissues. Therefore, first of all, you need to strengthen your face in the area of the cheeks, cheekbones and temples. Strengthening them will pull the fringes up and prevent them from sagging quickly.
To enhance the effect of the procedure, I usually recommend eliminating excess subcutaneous fat, which over time will move down again and lead to the formation of new jowls. To solve this problem, along with reinforcement, a course of Dermaheal Eyebag Solution will be administered - a lipolytic that breaks down fat and at the same time strengthens the skin.”
Andrey Iskornev, plastic surgeon.
We trust our face to a professional
If you don't have the time or desire to restore your face with home treatments, try a professional massage. It helps improve local blood circulation, cope with swelling, start the process of tissue regeneration, improves skin tone and stimulates renewal of the epidermis.
There are several types of massage: manual and hardware. Each technique is good in its own way, but to achieve the desired rejuvenation effect with manual massage you need to do at least 5-10 procedures. When it comes to hardware massage, as a rule, one session is required, which is preferably repeated twice a year to maintain beauty.
Among the hardware techniques, one can highlight lymphatic drainage massage; it is indicated for women after 35 years. Good skin tightening is provided by myostimulation, laser and ultrasound techniques, radio frequency lifting (RF-lifting), which allows not only to reduce subcutaneous fat in the area of the double chin, angles of the jaw, cheek-zygomatic area, but also to tighten the skin.
Photos "before" and "after"
The result “before” and “after” correction of the oval face and jowls. Surgeon: Vasiliev Maxim.
The patient came to the clinic for a swollen oval face, sagging cheeks, and shaved hair. A medial corset platysmaplasty and neck lift with a cosmetic incision behind the ear were performed. Result: a clear jaw contour, a straight and toned neck, a young and sharp cervical-chin angle. Surgeon: Vasiliev Maxim.
Neck lift using dynamic platysmoplasty - the chin will not sag even when tilted. Result 10 hours after surgery. There is swelling and markings. Surgeon: Vasiliev Maxim.
The patient was concerned about age-related excess skin in the neck area and was not ready for radical intervention. Surgeon Vasiliev Maxim performed a thread chin lift “NAS lift” (NAS lifting).
“Before” and 10 days “after” rhinoplasty (surgeon Mkhitar Meloyan) and removal of Bisha lumps (surgeon Andrey Iskornev). The lower third of the face stretched out, the heaviness of the cheeks went away. The face looks lighter and more harmonious.
Laser nanoliposuction of the chin, modeling of the face with one’s own fat, thread lifting of the lower third of the face according to the method of A. Iskornev. Before and 4 days after the procedure.
Completed by: Vasiliev Maxim.
Removing Bisha's lumps is the easiest way to reduce cheeks and get cheekbones
This is true. Although these fatty bags do not increase in size with age, it is often enough to remove Bisha's lumps to achieve the effect of reducing the cheeks, narrowing the lower third of the face, forming sunken cheeks, and emphasizing the cheekbone.
Initially, this operation became widespread among Asian patients with a round oval face, and then among all other patients with a heavy face.
Resection of
Bisha's lumps, of course, will not turn a round face into an elongated one, but she is quite capable of correcting the shape of its lower part and making her face visually younger.
Implant installation
Due to its anatomical features, a small chin itself is often the cause of the formation of jowls at a young age. Sagging skin is effectively corrected by chin augmentation.
Photos “before” the operation and on the 5th day “after”.
Removal of Bisha's lumps, chin endoprosthetics with a Porex implant (USA), laser liposuction of the chin, thread lifting of the lower third of the face. Surgeon - Iskornev A.A.
How to tighten jowls surgically
If jowls appear on a “heavy” face against the background of large excess skin, the methods listed above will give a weakly expressed aesthetic effect. In this case, the face can only be modeled using surgical lifting.
Platysmoplasty and SMAS lifting will help tighten the jowls on the face. During the operation, the tissues are moved to their previous, youthful position and securely fixed. Excess skin is removed. In the muscle-free area of the lower jaw, the surgeon artificially creates support systems that keep facial tissues from rapidly sagging.
This method eliminates age-related sagging skin, makes the face young and harmonious. Deep folds and wrinkles are smoothed out, the oval line of the jawline is leveled, a deep, even “angle of youth” is formed between the chin and neck, the corners of the lips are raised and the “crying Pierrot” facial expression disappears.
Postoperative sutures are polished after a month and become completely invisible even without makeup.
“Pumping up” the muscles
Gymnastics for the face, like exercises for the body, should be done daily, only in this case the effect is guaranteed. If regularity is not your thing, look for another way to deal with jowls. There are a lot of exercises to work out the vulnerable zone, for example, you can alternately pronounce the drawn-out sounds “U” and “I”, do at least 10 repetitions. Another way is to try to reach the chin with the tip of your tongue. The minimum number of repetitions is 10 times.
Photos "before" and "after"
SMAS face lift. Surgeon - Andrey Iskornev.
SMAS face and neck lift. Surgeon: Iskornev A.A.
SMAS face and neck lift. Photos before and 7 days after without photo retouching. Surgeon: Iskornev Andrey.
Isolated lift of the lower third of the face and neck. Tightening of jowls and folds of sorrow in the corners of the lips. Surgeon: Vasiliev Maxim.
In the absence of significant excess skin, a comparable effect can be achieved with a thread lift of the face and neck. The best result is obtained by placing 4 threads: 2 on each side of the face.
SMAS mid-face lift, endoscopic forehead lift, deep Hollywood platysmaplasty, CO2 fractional skin resurfacing, lip contouring. “Before” and 10 days “after”. Surgeon: Iskornev Andrey.
It turns out that jowls “after 40” can be avoided
Hollywood beauty standards have long been shaping the fashion on faces and in everyday life: beautiful, high cheekbones and the effect of sunken cheeks even after 50.
The procedure for removing Bisha's lumps performed at a young age is a reliable prevention of the formation of jowls after forty. By the way, it is used not only to get rid of excess cheek fat.
This technique has a dazzling bonus for correcting the shape of the face: you can noticeably highlight the cheekbones and create the effect of sunken cheeks a la Angelina Jolie, lighten the lower part of the face, visually making it narrower and more prominent.
During the procedure, Bisha's fatty lumps are not completely removed. This approach allows you to get “thoroughbred” and young, blooming cheekbones, avoiding the effect of a haggard face.
What are Bisha's lumps
These are encapsulated accumulations of fatty tissue that every person has. Formations that are dense to the touch are formed in infancy and have different shapes and sizes. Fat capsules perform several functions:
- protect facial nerves and muscles from injury;
- make breastfeeding easier for babies;
- in childhood, they make chewing food easier.
As the facial skeleton and muscles become stronger, Bish's lumps lose their functionality, so their removal does not harm the body.
