Bulldog Correction (Marionette/Jowl Lifting)

Tighten the sagging tissue along both sides of the mouth (jowls/bulldog area) to recover a clean V-line jaw and defined mouth corners. SMAS-deep dissection delivers strong, lasting lifting.

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Bulldog (jowl) sagging refers to the drooping fat and skin on either side of the mouth extending to the jawline — named for resembling a bulldog's pendulous cheeks. As skin, subcutaneous tissue, and SMAS layer lose elasticity and retaining ligaments weaken with age, this is a natural aging phenomenon — not simply weight gain, but tissue itself descending.

Why Correct Bulldog Sagging?

Bulldog sagging affects more than appearance — it governs overall impression:

• Makes corners look more drooped, creating depressed or angry impressions even at rest
• Blunts the jawline, collapsing V-line and making the face look larger
• Deepens nasolabial folds, reinforcing aged appearance
• Disconnects the jawline in side profile, blurring the boundary with the neck

Dr.Tak's Bulldog Correction — SMAS-Deep Precision Dissection

Simply pulling skin produces only temporary effects. Dr.Tak Plastic Surgery's bulldog correction performs deep, precise dissection down to the SMAS layer (the fascia surrounding facial expression muscles). By pulling and fixing the sagging fascia layer along with the skin, we achieve more powerful, dimensional lifting effects with reduced recurrence risk.

We also analyze the retaining ligament structure that supports facial skin and muscles, and through anatomical dissection methods considering them, address the root cause of sagging.

Surgical Method

Incision lines follow natural curves in front of the ear and along the hairline. Through highly delicate dissection methods minimizing bleeding and edema, we access the SMAS layer and lift sagging tissue upward and backward, fixing securely. Finally, refined suturing technique with micro-suturing keeps scars from external visibility.

Ideal Candidates

• Bulldog/jowl sagging creating drooped or heavy facial impression
• Blunted jawline with collapsed V-line
• Drooping mouth corners creating depressed appearance
• Patients seeking natural and lasting lifting effects
• Patients who feel limits with simple procedures (filler, laser)

Recovery

Major swelling and bruising mostly subside within 7-10 days. The first week post-op requires incision area cleanliness and rest; sutures removed at day 7-10. Natural lines settle in after 1 month, with final results completing over 3-6 months. During recovery, avoid intense exercise, saunas, and smoking for stabilization.