Last updated date: 03-May-2023

Originally Written in English

Jowl Lift


    The first important issue we encounter is jowls, which are a key contributor to visual aging. Tightening this region might make you seem younger and leaner. A neck lift can be performed if your neck is redundant or loose, with or without placation (a simple tight fold) of the platysma muscle. This assists the patient in achieving a sharp and consistent shape from the lower face to the chest.


    What are Jowls?


    Jowls are drooping skin behind the jawline that can develop as we become older. Collagen synthesis naturally diminishes as we age, lowering skin suppleness. The lack of skin elasticity, along with the influence of gravity, drags our skin down with time, causing jowls and an ill-defined jawline.

    Collagen and elastin synthesis begin to stall in our mid-twenties but begins to increase in our late forties. Fillers, collagen boosting therapies, radiofrequency skin tightening, and Ultherapy are non-surgical procedures that can be used to target and prevent skin laxity and the development of jowls.


    What Causes Sagging Jowls?

    Jowl sagging is caused by the cumulative effect of time on your face's skin and soft tissue. The youthful curves and proportions shift as we become 'less young.' Jowls are caused by two factors: increased skin laxity and gravity-induced redistribution of facial fat down the face. As a result, the equilibrium of the face changes. Instead of a youthful triangle with the broadest part of the face in the middle, the triangle becomes inverted as the lower face widens. (age pyramid)

    • Increased connective tissue laxity occurs in all layers of connective tissue in our face. Not only does the skin on the surface become loose, but the retaining ligaments, which attach the bone to the surface skin layers and keep your face in shape, droop as well. Because of the increased laxity, items are not held as securely and fall with the force of gravity.
    • Not only is there less of the lovely subcutaneous fat, but deeper facial fat pads, which are responsible for young facial contours and plumpness, begin to diminish and travel down your face. Lower in the face and neck, the relocated fat pads begin to create more distinct pockets. This downward slide of fat pads generates various indications of face aging, such as nasolabial folds, marionette lines, cheek flattening, and the jowl line. Jowls emerge in your late thirties to early forties, leading in a lack of jawline definition. The drooping jowl line becomes more visible as time passes!
    • The jowls start to blend to the neck (as fat also accumulates here), blurring a straight jawline and causing the so-called “turkey neck.”  We commonly consider treatment for a sagging neck and jowl together.

    We need to treat tissue laxity and facial fat redistribution to restore a more defined jawline: essentially, we want to rebalance the facial characteristics to produce a more harmonious young look. A mix of modalities is beneficial since they each function in various skin layers.


    How to get rid of Jowls?

    Sagging Jowls

    If you wish to decrease or eliminate your jowls, you can try a few different approaches. First, attempt to identify the causes that may have led to the jowls. Quit or reduce your smoking, minimize your UV exposure, and attempt to exercise for at least 30 minutes every day. If your profession or interest requires you to spend a lot of time outside in the sun, you should use SPF 50+ sunscreen that you can carry with you and reapply throughout the day.

    There are several face workouts you may attempt, but there is no scientific evidence that they can help tighten skin. Among the exercises are the following:

    • Opening your mouth as wide as possible then slowly closing it without letting your teeth touch
    • Blowing your cheeks up as far as you can
    • Curling your lower lip over your top lip and tilting your head up


    How can I Reduce My Jowls or Drooping Mouth Corners Non-surgically?

    Drooping Mouth Corners

    There are also several surgical and non-surgical jowl lift procedures available. The creation of jowls is caused by the cheeks descending below the jawline, which interrupts the jawline. A facelift can be performed to restore the cheeks to their normal position and straighten the jawline. Non-surgical treatments are available for people who do not wish to undergo surgery.

        1. Dermal Fillers

    Dermal fillers can be injected into the regions around the jowls (but not into the jowls themselves) to conceal their appearance by integrating the jowls into the surrounding areas. This conceals the jowls and straightens the jawline, offering a non-surgical jowl lift. Also, by supporting the mouth corners with dermal fillers, the mouth corners can be turned back to a more neutral or upwards position. Various dermal fillers can be utilized for the quality department.

        2. Anti-Wrinkle Injections

    Anti-wrinkle injections can help turn the mouth corners up by relaxing the muscles that pull the corners downwards.

        3. Pelleve

    Pelleve is a radiofrequency therapy that heats the skin to a crucial temperature (39-42 degrees Celsius). Collagen fibers'shrink' at this level, causing the skin to tighten. The outcomes are not similar to surgery. However, the procedure is non-invasive and requires no downtime.

        4. Radiofrequency needling

    To induce collagen formation, radiofrequency needling combines microneedling with radiofrequency radiation. A series of tiny needles are inserted into the skin, and radiofrequency energy is delivered through the needle points. This is continued until the entire treatment area has been covered. Through the healing process, the micro-injury caused by the needles and radiofrequency heat generates new collagen in the skin. This results in new collagen and thicker, stronger skin. It is also frequently used to treat atrophic acne scars.

        5. Injectable collagen-stimulating treatments

    In order to stimulate the production of type I and III collagen fibers, products can be injected into the skin. This improves the skin's quality and firmness.

        6. Ultherapy

    Ultherapy employs ultrasonic energy to target particular layers within and beneath the skin in order to tighten and lift the face. Ultherapy, as opposed to diagnostic ultrasonography, concentrates ultrasonic energy on a particular place, creating substantial warmth at that location. As a result, healing processes are activated and new collagen is stimulated. This aids in the firming and lifting of facial tissues, as well as the improvement of jowls.

        7. Thread Lifts

    A thread lift is a non-surgical facelift option. They entail the use of specialized threads to raise the skin on the face and diminish the appearance of jowls. Interestingly, the threads are frequently made from the same material as the previously mentioned collagen stimulating injections and can also help firm skin by producing new collagen.

    Again, the treatment is not equivalent to a true facelift, but it does help to lift the skin to some extent.


    What is a Jowl Lift (Lower Facelift)?

    Jowl Lift (Lower Facelift)

    The Jowl Lift is a cosmetic surgery operation that improves the appearance of the lower face and neck due to aging. It's a great option for those who have loose, sagging skin around their jawline and neck.

    One region that the lower facelift does not target is the cheeks. The deep plane facelift is the finest technique to address deep wrinkles right below your cheekbones (nasolabial folds) or to raise your cheeks and midface.

    Ultrasound technology is used in jowl lifts to dissolve the fat beneath your chin and jawline. During the surgery, which will last around a half-hour, the surgeon will put you under general anesthetic. Following this, patients should expect some bruising and swelling around the chin and jaw. Patients are unlikely to encounter any adverse effects other than slight bruising and edema.

    Though the great majority of patients may resume normal activities immediately following the treatment, the surgeon advises them to rest for a few days. Avoiding excessive physical exertion, as well as prolonged sun exposure, is always a good idea.

    Patients will see immediate and visible benefits once the bruises and swelling have subsided. There will be no scars because this approach does not involve any cutting. A jowl lift may also help to conceal marionette lines.

    Who is a Candidate for a Jowl Lift?

    Jowl Lift

    A man or woman who has soft tissue atrophy and a modest recession of the jaw is a suitable candidate for a jowl lift. The majority of patients are in their forties to seventies, however jowl lifts can even be performed effectively on Orange County patients in their eighties. Candidates are men and women who are physically and psychologically well, and who have realistic expectations.


    Pre-Operative Considerations

    Pre-Operative Considerations

    Patients are recommended to cease smoking and consuming tobacco products one month before jowl lift surgery. Tobacco use is hazardous for people's health in general, but nicotine can impede the healing process and make patients more prone to infections. Patients are also urged to refrain from smoking for many weeks following a jowl lift in order to maintain their general health and well-being throughout the healing time.


    Surgery Preparation

    You may be asked to do the following to prepare for a jowl lift:

    • Obtain laboratory testing or a medical examination.
    • Take certain medications or make changes to the ones you’re already taking.
    • Pre-operatively, apply certain products to the skin of the face.
    • Quit smoking.
    • Because aspirin, anti-inflammatory drugs, and herbal supplements can cause excessive bleeding and bruising, they should be avoided.


    How to Approach a Non-Surgical Jowl Lift?

    Non-Surgical Jowl Lift

    The best treatment approach depends on how much loose skin is present and if you require other areas of the face treated.

    • With early loss of jawline definition, a non-surgical jowl lift is simpler to achieve. That is to say, the earlier you address the drooping, the easier it is to tighten the jowls, and only injecting filler in the jowls may produce appropriate jawline definition.
    • Younger ladies benefit the most with HIFU tightening. For the Korean V Lift, HIFU may also be used with PDO threads.
    • The optimal therapy for drooping neck and jowls differs from addressing cheek volume loss and jawline definition at the same time. In the former case, a barbed thread lift or HIFU tightening would be preferable. The latter dermal filler, on the other hand, would treat both cheek and jowl drooping.
    • Not only does filler in cheeks help lift the appearance of the jowl and nasolabial fold, but it can also be combined with jawline filler for superior results.
    • For advanced skin redundancy, surgical face and neck lift might be indicated.

    The best non-surgical jowl lift, on the other hand, necessitates a combination of treatments. So, let's go over some of the techniques for recreating jawline definition.


    Dermal Fillers for Jowls

    Dermal Fillers for Jowls

    Fillers can be used in several ways to restore the lower face and create a more balanced and youthful appearance. They can be inserted into the cheeks or directly into the lower face along the jawline and chin.


    Filler for Jowls and Marionnette Lines

    Dermal filler is injected along the jawline in the pre-jowl sulcus and the marionette lines to restore jawline definition when used as a jowl filler. When treating jowls with jawline fillers, it is common to also treat the chin region. Adding volume to the chin and marionette regions to plump them out, reduce their look, and restore an upturn to the sides of the mouth.


    Filler in Cheeks to Lift Jowls

    The goal of midface filler is to insert dermal filler in the cheeks to lift jowls. If your cheeks are significantly flattened, this treatment can help. Restoring volume to the cheeks raises not just jowls but also nasolabial lines. It does not, however, provide considerable lifting and must be supplemented with additional procedures, such as jowl filler or a thread lift. Because elevating the retaining ligaments in the cheeks produces a cascade effect that lifts the entire face. 


    Thread Lift Jowls

    There are two types of thread lift procedures for sagging jowls. The first is PDO threads, and the second is lifting threads such as MINT threads.

    • PDO threads are best utilized to address skin laxity and skin tightening. Their activity is focused on the subcutaneous fat layer. It is easiest to consider of PDO Threads as jowl tightening, with any lifting benefit being a bonus.
    • Threads lifting, on the other hand, are intended to lift and are developed for skin redundancy. A thread lift is a non-surgical procedure used to shape the jawline and raise the jowls. MINT threads are great for elevating the lower face and defining the jawline. Even threads are frequently paired with filler in the cheekbones or jawline.


    Which is Better: Surgical or Non-Surgical Jowls Treatment?

    Every jowls therapy must be personalized for each patient. Because a surgical jowls surgery may be the greatest solution for a patient at times. In some cases, a non-surgical technique can help a patient address jowling safely and efficiently.

    Jowl surgery might have benefits that are noticeable years after the procedure. The operation, however, is more costly and requires a longer recovery period than a non-surgical jowl lift. It also increases a patient's chance of problems.

    In comparison, non-surgical jowls therapy can be completed in minutes. The effects of non-surgical jowls therapy can be seen within days of treatment and can endure for months. However, the results are only temporary, and the patient will need to continue treatment to prevent jowling from returning. There are numerous factors to consider when deciding between surgical and non-surgical jowl treatments.


    What are the Potential Side Effects of Jawline lift?

    There is always the possibility of side effects with most cosmetic surgery procedures, including the non-surgical treatment we provide. Juvéderm, a hyaluronic acid-based dermal filler, is known to have some side effects such as bruising and swelling. Others could be:

    • Itching
    • Minor pain
    • Bumps or lumps
    • Tenderness
    • Redness

    The surgery seldom causes severe adverse effects, and when it does, they usually go away after two to four weeks. Severe adverse effects are nearly always the result of inappropriate Juvéderm injectable administration.

    Because errors like these can result in permanent scarring, it is critical that you select a professional doctor who is fully licensed, certified, and trained to perform non-surgical jowl lifts. All of surgeons meet this criteria and will thoroughly discuss all of your needs and answer all of your questions during your consultation.


    Liposuction as Component of Jowl Lift

    Liposuction can be used to remove jowl fat, which will minimize their size. This can be done on its own or in combination with a facelift. Liposuction to reduce the fat that causes saggy jowls typically involves a very small incision below the chin. This is a popular area for liposuction and a simple way to get rid of excess fat under the chin and in the jowls.

    Liposuction is conducted by opening a small incision beneath the chin using a specific instrument (a cannula). The undesirable fat cells are removed using suction coupled to the cannula. The underlying skin contracts to provide a smooth look after the fat is removed. The better the outcome, the more elastic the skin. Surgeon employs a small cannula to limit the possibility of "pebbling," which can occur when bigger instruments are used. Out Clinic patients with drooping jowls may also have neck laxity, in which case a weekend neck lift or modified neck lift can help to achieve a clean line and contour.

    Liposuction of the jowls must be done extremely cautiously and conservatively when performed alone. If you perform it incorrectly, overdo it, or use an inappropriate cannula size, you will have visible abnormalities in the overlying skin. When jowl liposuction is performed as part of a facelift, the skin is lifted and tightened, which usually eliminates this concern.


    How much does a Jowl Lift Cost?

    A cosmetic procedure's cost will always vary. What we can absolutely state is that a jowl lift is less invasive and consequently far less expensive than a standard facelift.

    However, a variety of factors will influence the cost of your jowl lift. First and foremost, the experience of the surgeon you select influences the cost of your treatment. Your comfort with your cosmetic surgeon, on the other hand, is just as significant as the cost of your treatment.



    Sagging jowls are caused by connective tissue laxity and the force of gravity as we age. They emerge in the late thirties to early forties, with a loss of jawline definition. With a jowl lift, you can restore jawline definition and improve the appearance of saggy jowls.