Shereene IdrissBoard Certified Derm, Founder and Chief Nerd

Snatched Jawline at 28: What I'd Do (+ Avoid) as a Cosmetic Derm

11 May 2026 · 1 min

Watch on YouTube

1:07

In this solo YouTube monologue, cosmetic dermatologist Shereene Idriss addresses a 28‑year‑old viewer named Libby, first condemning the unhelpful, body‑shaming comments flooding the internet. Drawing on 15 years of clinical experience, she systematically advises against popular cosmetic trends for Libby’s age and skin condition: Sculptra is reserved for patients over 40 with significant facial volume loss, and a Nefertiti lift is only useful for pronounced neck banding and crepiness, both of which Libby does not exhibit. She suggests that the only procedure that might be considered is a small amount of masseter Botox, but only if Libby suffers from tension‑headache‑related clenching, warning that over‑use can exacerbate jowling later in life. Idriss ultimately urges Libby to save money, travel, and gain life experiences instead of pursuing premature aesthetic interventions, and she bluntly tells the detracting commenters to “go touch grass.”

Chapters

Libby, if you walked into my office, this is what I would tell you. But first, we have to address your comment section. A beautiful 28-year-old asking about her face, and yet the internet decides to tell her she's bloated, eating garbage, needs a carnivore diet, basically needs to change everything she's doing. What is wrong with you people? These people are angry little gremlins. I've been a cosmetic dermatologist for now 15 years. Let's get into it. Sculptra, huge no. This is reserved for people who are losing volume in their faces, who are 40+, have a lot of crepiness, and don't have any sort of underpadding. You, my friend, are none those things. A Nefertiti lift helps with banding when you speak and your neck is getting a little crepey and bandy like this. Save your money. Instead, the only thing I may consider in your face, only if you tell me you are suffering because of tension headaches, is a tiny bit of masseter Botox, if and only if you are clenching, because this can hold tension and pull on your face. But I wouldn't do this as you get way older because you and I have smaller jawlines, and I don't do it on my— because it can lead to worsening of the dreaded jowl. You're so young and free, go save your money and go to Paris instead and get some life experiences. And for all you dimwits in her comment section, go touch grass. Yeah.