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Ask Dr. Rivkin questions on all non-surgical cosmetic procedures, laser treatments, and injection fillers, including Botox, Juvederm, Restylane, Radiesss, Sculptra, IPL, Fraxel, Thermage, Mesotherapy, Non-surgical nose job, chin/cheek augmentation, and many other procedures.


Postby irishginnet » Wed Nov 12, 2008 1:35 pm

Hi Doc, im 38 male and i have jowels that i would like to get "stretched".
I don't want to have a face lift (although i would like to know more about what is involved in this) and would like to know what is the most effective and long lasting non invasive injection or treatment i can get.

Thanks for any advice. Barry
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Joined: Wed Nov 12, 2008 1:28 pm

Postby AlexanderRivkinM.D. » Fri Nov 21, 2008 4:54 pm

hi barry,
you have 2 choices for non invasive treatment of jowls.
1. thermage or a comparable radiofrequency device to tighten the skin will subtly reduce the appearance of the jowling. this will usually work, but results are subtle and it is not for severe jowls.
2. injecting radiesse into the area in front of the jowl, behind the chin. its usually called the pre-jowl sulcus. filling that up will re-create a straight line between the jowl and the chin, camouflaging the jowl.
hard to tell which you'd be a better candidate for without seeing your picture. i think that you are too young for anything surgical.
Alexander Rivkin, M.D.

11645 Wilshire Blvd. Suite 800 Los Angeles, CA 90025
Telephone: 310 443 5273

Online recommendations are not a substitute for live consultation and examination and should not be considered as medical advice.
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