Jowls refer to the loose, sagging skin that develops along the lower part of the cheeks and jawline. They occur as a natural part of the ageing process, when collagen and elastin, the proteins responsible for keeping our skin firm and elastic, begin to break down. With the onset of menopause, there is a rapid decline in collagen production, with a 30% reduction in the collagen content of skin during the first five years of menopause. After this, the decline is more gradual, with approximately 2% loss of skin collagen every year for the next 20 years. This reduction in collagen and the structural components of the dermis leads to skin laxity and wrinkles which can be very prominent around the jawline, jowls and neck. This is compounded by loss of bone density in the cheek bones, jaw and temples, loss of subcutaneous fat and other soft tissues with a resultant loss of facial volume and shifting of the fat pads beneath the surface of the skin with hollowing of the cheeks and temples, and descent of the face. Over time, gravity, sun exposure, and the gradual weakening of facial muscles also contribute to the descent of tissue in this area, resulting in a less defined jawline. Genetics, lifestyle habits, and weight fluctuations can further influence how and when jowls appear.

While they’re a completely normal sign of ageing, many people find jowls to be one of the more noticeable changes in facial structure, often prompting interest in ways to restore contour and lift. The good news is that we offer a range of treatments for sagging jowls here at the Institute of Dermatologists.

Dermal Fillers are considered the best non-surgical treatment for sagging jowls, offering immediate contouring and volume restoration with natural-looking lift. By replenishing lost support beneath the skin, and replenishing volume loss caused by the loss of fat pads and bone mass, fillers redefine the jawline, soften lines, and improve facial symmetry. They’re versatile, minimally invasive, and ideal for addressing the structural changes that cause jowls to form in the first place. Results are seen instantly and typically last from 12–18 months.

Other Recommended Treatments:

• Ultherapy uses focused ultrasound energy to stimulate collagen and elastin at deep structural levels. It’s FDA-cleared to lift and tighten the skin under the chin, jawline, and neck. Ideal for those looking for gradual, natural improvement with zero downtime.
  

• Secret PRO combines radiofrequency microneedling with fractional CO₂ laser technology to rejuvenate both the deeper and surface layers of the skin. It’s effective in tightening laxity, improving texture, and enhancing firmness in the jowl and lower face area.
  

• Sculptra works by stimulating your body’s natural collagen production. Unlike fillers, it gradually restores volume and structure over time, offering long-lasting lift and rejuvenation that can last up to two years.
  
  
• PhilArt Polynucleotide Injections work to hydrate, firm, and improve skin elasticity by supporting fibroblast activity and collagen synthesis. It’s especially beneficial for those experiencing early signs of sagging and wanting an overall skin quality boost.

These options can be tailored to your individual needs and concerns, often used in combination for optimal, layered results. We always recommend patients visit us for an initial Treatment Consultation, where our skincare experts will create the perfect treatment plan for your needs.

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