Lower face rejuvenation


Lower face rejuvenation         


Non surgical facial rejuvenation requires overall assessment so that the whole face is treated in proportion. As long as your treating practitioner is aware of this, the lower face is very suitable for rejuvenation with injectable substances such as muscle relaxing injections and dermal or tissue fillers.

The lower face includes the area around the mouth, lips, lower cheeks and jawline. Note lip volume or fuller lips is addressed in Lip Rejuvenation.

What can be done to improve the appearance of the lower face without surgery?

Non surgical rejuvenation of the lower face area may be achieved with relaxing injections and filler substances. Filler substances come in different thicknesses. They can be used for very fine lines or injected more deeply to give more volume.

Treating different regions of the lower face

  • Wrinkles of the upper and lower lip

Lipstick bleed lines are a common problem. They can be injected individually with dermal or tissue fillers. The final result is very natural for those who do not want fuller lips as this treatment doesn’t enlarge the lips.

Lipstick bleed lines can also be improved by injecting the border of the lip between the red and pale skin where these lines end. This results in gentle improvement of the lip line with only minor swelling. This treatment also helps the contour of the lip to look more natural.

Some people purse their lips more often than others and this can wear out the filler more quickly. Injecting tiny doses of muscle relaxants can help reduce the problem. However, this procedure is best performed by an experienced injector to avoid too much weakness.

  • Downturned corners of the mouth

These can respond well to treatment if they are not too severe. The mouth corner can be pushed up by injecting dermal or tissue fillers into this area. The hollows beneath the corner of the mouth can be filled as well.

  • Marionette folds/lines

These are the soft tissue fold/lines that start at the mouth corner and descend to where the chin continues on with the jaw. For superficial lines, serial puncture/linear threading can be used. Marionette folds/lines can be treated with dermal or tissue fillers to fill out the depressions and pin back the loose skin.

Muscle relaxants can also be injected into a muscle that normally pulls down the corner of the mouth and the skin below it. By weakening this muscle, the side of the mouth elevates a little and so improves the appearance of the fold of skin.

  • Chin

The chin ages by the bottom of the chin turning up with time which creates a deeper crease above it, in the middle of the chin. The chin’s muscles also cause wrinkling. The chin can also lose volume, resulting in a shortening of the chin and sagging of the skin under it. As a result, the skin of the chin can develop an “orange peel” texture.

These changes can be treated as follows:

    • Muscle relaxing injections can relax the chin muscle which softens and drops it down into its more youthful position and the lines on the chin soften as well.
    • Muscle relaxing injections can improve the crease in the middle of the chin and dermal or tissue fillers can also be injected to fill out this crease.
    • Muscle relaxation also improves the “orange peel” texture of the skin.
    • Dermal or tissue fillers can be used to support a sagging, receding or small chin. The chin can be made to push out more, resulting in a stronger chin or a better balanced profile. This also stretches the skin over the chin, making it smoother.
  • Lower cheek lines

The cheek loses most of its fullness because of reduced fat and shrinking bone. This means that loose skin of the lower cheek often needs correction by using thicker dermal or tissue fillers to increase volume in the upper cheek. However, early lines running down the sides of the cheeks can be treated with thinner fillers. Many lines running side by side are more difficult to correct with fillers alone.

  • Jawline

To enhance and define the jawline, thicker dermal or tissue fillers can be placed deeply. This makes the jawline better defined, though it does not work for every person. The same fillers can be used to inject behind the vertical portion of the jawline (just below the ear). This may help pull back the loose skin over the jawline (the jowl) and define the posterior jawline better.

This information has been written by Dr Howard Studniberg


2019 © Australasian College of Dermatologists.

You may use for personal use only. Please refer to our disclaimer.