All I did was click on a few Instagram reels about jowls and wigs, and now my feed is 90 percent Facetune-level deep plane facelifts and impossibly realistic-looking hair toppers. And let me tell you, these images are compelling. (Bonus: Daydreaming about looking like your younger self is a soothing escape.) So I dove in, asking the experts about potential options for Gen-X women like me who find their face slowly melting and hair vanishing with each passing year.
If the jowls are jowling
As Medical Director of The Fitz Aesthetic Club in Chicago and Kenilworth, IL, board-certified physician Tatiana Batista meets with patients every day who tell her, “I feel like my lower face is falling down.” The usual culprit: jowls, which are essentially fat pads that migrate below the jawline.
“In our 20s and 30s, those pads are a few millimeters higher, they’re smaller, and the skin is tighter, so it looks like they’re not there,” Dr. Batista says. With gravity and age, the skin and soft tissue underneath start to sag, replacing the snatched jawline and youthful-looking triangular face shape of young adulthood with a heavier, square-shaped jaw that reads older and, like it or not, makes people “feel like they look sad.”
Fluctuating hormones during perimenopause are also to blame. Estrogen receptors are all over our bodies, including in our skin, so it’s common to see more sagging and wrinkling when estrogen levels start to fall in midlife.
Unless you have $150,000+ for one of those turn-back-the-clock facelifts, Dr. Batista says some of your best jowl-fighting options include:
- Non-surgical skin tightening procedures Treatments like the Morpheus8 and Sofwave deliver heat deep into the skin to stimulate collagen production, encourage tissue remodeling and promote tightening. The heat can also help shrink the fallen fat pad behind the jowling.
- Anti-wrinkle injections Dr. Batista strategically uses anti-wrinkle injections like Botox, Daxxify or Xeomin in the platysmal bands (the ropey vertical bands connecting the neck and jaw) to ease any pulling down on the lower face. “If we stop the pulling down,” she explains, “the muscles in the face that lift can work better.”
- Biostimulators Injectable treatments like Radiesse, Sculptra,and PRP (platelet-rich plasma) all prompt the body to ramp up collagen production and restore volume loss.
Prefer a DIY approach? Susie Felber, 54, a marketing agency chief creative officer, artfully ties scarves around her neck to camouflage any “budding sag.”