Sharla DeCelle in Las Vegas, NV asks:

I had a facelift approximately 4 years ago and have started to get the deep fowls around my mouth. I’m 60 years old and want to look vibrant for my age but do not want a another facelift. Are there other alternatives that will help the wrinkles and jowls?


Several options for nonsurgical facial rejuvenation:

If your areas of concern are the “deep frowns” around your mouth; so often the nasolabial folds and marionette lines around the mouth contribute to the sagging and contribute to the aged appearance.  Without doing “surgery”, injections into these areas, particularly with fat transfer or other materials can provide good resolution/good improvement, without undergoing a repeat facelift.  Specifically for wrinkles on the other hand; wrinkles are nicely treated with expert fractionated laser treatment.  If you are concerned about the sagging jowl; in some instances laser lipolysis can provide some tightening in this area although this has to be done with great expertise and care.

Nonetheless there are options to help rejuvenate the face that don’t entail or require facelift surgery.  But there is not a single procedure that will provide resolution for the areas you are concerned about, but a combination of these treatments can remedy the problem.

David Q. Santos, MD

Seattle Facial Plastic Surgeon