Friday, March 20, 2015

What can be done about jowls?

I would like to highlight and discuss my take on some effective non-surgical modes of improving jowls.  For those of you who need to clarify what is meant by "jowls," I am referring to the saggy and sometimes fat pouches of skinon either side of our chin that worsen with age.


Filler treatment to the jawline with Radiesse or a similar sturdy filler ( Voluma ) or multiple treatments with Sculptra can significantly diminish saggy jowls and rejuvenate the jawline.  This can be catered for either men or women, with the goal of maybe giving a more defined strong jawline for men, and a youthful, soft jawline in women.

Laser resurfacing - ablative or non-ablative - have been shown to smooth jawlines and lift jowls, and could be combined with treatment with Lipo Dissolve or a similar product to chemically dissolve fat.
This treatment is not always recommended for darker or melasma-prone skin types.

Radiofrequency heating, either subcutaneous or fractionated and applied to the top of the skin is very effective at smoothing wrinkles and skin tightening.  Treatments may need to be repeated and full results may not be seen for 3-6 months.

As far as which treatment is best for you, it is important to discuss the options with your dermatologist.  Some people, especially when there is both excess fat and skin laxity, do best with a combined approach and treatment with more than one modality.

Can we cure melasma? An update on melasma treatment

Unfortunately, a cure for melasma still remains elusive in the year 2015.  The newest, latest treatments including:  Tranexamic acid oral medication, and QS-Lasers and other lasers, may improve and clear melasma but only temporarily.   The majority of people get a recurrence of their melasma even with only mild sun exposure.   Some physicians are trying (off-label) tranexamic acid orally long term in their patients because recurrence of melasma is certain within two months of stopping the medication.    Tranexamic acid is not recommended in people who have a history of a clotting or blood disorder, are pregnant or nursing, or take aspirin.