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Jowls and Sagging Jawline: Causes, Treatments and Expert Advice

Jowls are one of the most common signs of facial ageing and one of the concerns we are most frequently asked about at The Medi-Shed.

Many patients notice that their jawline appears less defined than it once did, with increasing heaviness around the lower face, jawline and neck. These changes can occur gradually over time and are often caused by a combination of collagen loss, changes in facial volume and reduced skin elasticity.

The good news is that there are a number of effective non surgical treatments that may help improve jawline definition, tighten the skin and restore a more youthful facial contour. Depending on the underlying cause, treatment may focus on improving skin quality, stimulating collagen production, restoring support to the tissues or addressing lower face heaviness.

A personalised consultation is always the first step. At The Medi-Shed, we take a whole face approach to assessment and treatment, creating tailored plans designed to deliver natural looking, balanced results.

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Quick Answer: What Causes Jowls?

Jowls develop when the structures that support the face begin to change with age. As collagen and elastin decline, facial fat shifts, bone support reduces and skin loses elasticity. These changes can cause the tissues around the cheeks and jawline to descend, resulting in a softer, heavier appearance.

Depending on the cause and severity, treatments such as Morpheus8 Burst, Evoke, Profhilo Structura, Radiesse and medical skincare may help improve jawline definition without surgery.

What are Jowles?

Jowls refer to the loose skin and soft tissue that develops along the jawline as we age.

Whilst completely natural, they are often one of the earliest signs of facial ageing because they affect the overall shape and definition of the face.

 

Jowls can make the jawline appear:

  • Less defined

  • Heavier

  • More rounded

  • Less youthful

Many patients tell us they feel their face has "slipped downwards" or that they have lost the sharp jawline they once had.

Why do jowls develop?

There is rarely a single cause.

In most cases, jowls develop due to a combination of factors.

Collagen and Elastin Loss

As we age, our skin naturally produces less collagen and elastin. These proteins help keep the skin firm, elastic and supported.

 

As production declines, the skin becomes looser and less able to resist gravity.

Facial Volume Loss

The fat pads that give the face youthful structure gradually reduce and shift position over time.

Volume loss in the cheeks can cause tissues lower in the face to appear heavier, contributing to jowl formation.

 

Changes in Facial Support Structures

Ageing affects not only the skin but also the deeper structures of the face.

Changes in facial ligaments and bone structure reduce support for the overlying tissues, allowing them to descend.

Genetics and Lifestyle Factors

Sun exposure, smoking, stress, weight fluctuations and genetics can all influence how quickly jowls develop.

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Jowls and Jawline 
treatments

The inverted triangle face

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As we age we begin to see signs of gravity as the lower 1/3 of our face which becomes heavier in the jowls and sub-mental (under the chin) areas. The middle 1/3 of our face also loses volume and we can experience gravitational and skeletal changes.

My patient approach

Skin health

Medical grade skincare – OBAGI, ZO Better Science, SBS, AnteAGE

Skin tightening & remodelling

EVOKE

Strategic volumisation

Dermal fillers

Which Treatments Work Best For Jowls?

If Your Main Concern Is Skin Laxity

Morpheus8 Burst combines microneedling with radiofrequency energy to stimulate collagen production and improve skin firmness.

This can be particularly effective for patients experiencing mild to moderate skin laxity around the jawline and lower face.

If Your Main Concern Is Facial Volume Loss

As volume is lost from the cheeks and mid face, the lower face can begin to appear heavier.

Treatments such as Profhilo Structura and Radiesse can help improve support and restore balance to the face.

If Your Main Concern Is Heaviness Around the Lower Face

Evoke uses radiofrequency energy to remodel tissues around the cheeks, jawline and chin.

It is particularly popular with patients who want a comfortable, non invasive treatment with no downtime.

If You Have Multiple Signs of Ageing

In many cases, the most successful results come from combining treatments.

A personalised treatment plan may include a combination of skin tightening, collagen stimulation, injectable treatments and medical skincare.

Tighten, rejuvenate with ease

'Optimise your Skin health first, skintighten with evoke followed strategic volumistaion with dermal fillers'.

Dr Dil

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EVOKE

Evoke is the first-ever facial remodeling device to tighten, rejuvenate, and slenderise the tissues of the lower face and neck. Evoke by InMode is an innovative and groundbreaking facial remodeling technology that restructures the skin and underlying adipose tissues in your face and neck regions. The Evoke treatment allows you to improve your facial structure without surgeries, incisions, or injections. Best results seen at 3 months. 

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Morpheus8 Burst

Morpheus8 Burst is a fractional radiofrequency (FRF) technology intended for dermatological applications that require contraction/coagulation of soft tissue or hemostasis. Equipped with proprietary Burst and Scale functionalities, Morpheus8 Burst has the unique ability, in a single pulse, to automatically deploy bipolar RF to multi-level soft tissue depths, contracting both adipose tissue and dermal tissue. 

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Treatments

 

Dermal fillers

Restoring volume for a fuller, more youthful appearance.Over time there we all lose volume in our face and lips. Dermal fillers offer a non-surgical treatment to help restore a youthful fullness to your face. 

Fillers are popular treatments used restore lost volume and soften wrinkles caused naturally by ageing. Combined with a local anaesthetic, dermal fillers are injected into the skin to give your face a natural volume, leaving your skin completely hydrated and youthful.
 
Popular areas to add volume are the cheeks, chin and temples, in addition, added definition can be carried out on lips and jawlines

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Medical Grade Skincare

Prescription product like Obagi, ZO, Skinbetter Science and AnteAGE target the epidermis, through to the dermis and transform your skin’s health to look brighter, clearer, softer, smoother, firmer and naturally younger! They are also highly effective at treating skin conditions like Pigmentation, Hyperpigmentation, Rosacea and Acne. Only available through a qualified medical practitioner, Obagi, ZO and Skinbetter Science have developed a range of products and skin care systems which I could prescribed to you after a thorough consultation and analysis of your skin is made at the first meeting at my skin clinic. 

Frequently asked questions

Why choose DrDil?

• I am an experienced cosmetic dentist with over twenty seven years of expertise, now specialising in non-surgical facial rejuvenation. Patient safety is central to my practice

• I am a Save Face Platinum accredited practitioner, member of the British College of Aesthetic Medicine (BCAM), InMode Key Opinion Leader and Obagi Ambassador. I have been featured in Grazia, SheerLuxe and other leading publications discussing skin health, facial rejuvenation and aesthetic treatments.

 

• I combine my excellent understanding of facial anatomy and medical knowledge with an artistic eye. My skill lies in assessing your features and proportions and creating the right treatment approach based on your individual needs and concerns

• I specialise in high quality, expert-led skincare and non-invasive “tweakments” to restore beauty and revive inner wellbeing

• I am known for my discreet, natural approach – I believe that when treatments are done well, you get that well-rested, glowing appearance which others can’t help but compliment!

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