Revitalizing Your Profile: Best Treatments for Lifting Sagging Jowls

A sculpted jawline and youthful contour to the face is a timeless symbol of beauty and elegance. However, as the natural ageing process unfolds, many patients find themselves contending with sagging jowls, which can add years to one’s appearance and diminish that once well-defined profile. 

Sagging jowls refer to the drooping or loosening of skin and underlying tissues on either side of the chin. This can be attributed to a myriad of factors including ageing, genetics, weight fluctuations, and certain lifestyle habits.

But hope is not lost. Advancements in cosmetic medicine have brought forth a plethora of treatments, from non-invasive therapies to surgical interventions, that promise to rejuvenate the lower face and restore its youthful vigour. 

This article will guide you through the best treatments available, helping you make an informed decision about reclaiming your radiant profile. Whether you’re looking for a subtle lift or a dramatic transformation, there’s a solution waiting for you.

Non-Invasive Treatments

Ultrasound and Radiofrequency Treatments

Modern aesthetic medicine has brought forth advanced treatments that utilise energy-based devices to lift and tighten the skin. Ultrasound and radiofrequency are at the forefront of this innovation.

Both ultrasound and radiofrequency treatments harness energy to heat the deep layers of the skin without causing damage to the surface. This heat stimulates the production of collagen, a vital protein responsible for skin’s elasticity and firmness.

Ultrasound treatments, like Ultherapy, use sound waves to target deeper layers of the skin, while radiofrequency treatments, such as Thermage, utilize electric currents to penetrate both shallow and deep skin layers.

Pros:

• Non-invasive and relatively pain-free.
• Little to no downtime.
• Gradual and natural-looking results.
• Suitable for all skin types.

Cons:

• Results are not as dramatic or long-lasting as surgical options.
• Multiple sessions might be required.
• Some individuals may experience temporary redness or swelling.

Dermal Fillers

As we age, the face naturally loses volume, which can result in sagging jowls. Dermal fillers aim to restore this volume, creating a lifted appearance.

Types:

• Hyaluronic Acid Fillers: Such as Juvederm and Restylane, these fillers attract and retain moisture, giving immediate plumpness to the treated areas.
• Calcium Hydroxylapatite: Found in products like Radiesse, this filler not only provides immediate volume but also stimulates collagen production for longer-lasting results.

Procedure details:

The process is swift, often taking less than an hour. After a consultation, the chosen filler is injected into targeted areas using a fine needle. Topical anaesthetics or cooling devices might be used to minimise discomfort.

Duration and expected results:

The effects of dermal fillers can last anywhere from six months to over a year, depending on the type of filler and individual factors. Results are immediate, with continued improvement as any swelling subsides.

Laser Treatments

Harnessing the power of light, laser treatments can induce collagen production, thereby tightening and rejuvenating the skin.

Different types:

• Fractional Lasers: These create micro-injuries in the skin, stimulating collagen production without significant downtime.
• CO2 Lasers: More aggressive, these remove outer layers of skin, resulting in a more pronounced effect but with a longer recovery period.
• Erbium Lasers: Offer a balance between CO2 and fractional lasers, providing skin resurfacing with moderate downtime.

How they stimulate collagen production:

By targeting the skin’s deeper layers, lasers cause controlled damage, prompting the skin to heal and produce more collagen, thus enhancing its tightness and texture.

Potential side can range from redness, swelling, and temporary darkening of the skin to more prolonged recovery or risks of scarring, especially with more aggressive treatments. It’s crucial to consult with a skilled professional to determine the best laser treatment for your needs.

Minimally Invasive Procedures

Thread Lift

One of the newer kids on the aesthetic block, the thread lift has gained popularity as a quick, minimally invasive option for those seeking a more youthful appearance without undergoing full-blown surgery.

Thread lifts employ the use of biodegradable threads which are introduced beneath the skin with a fine needle. Once in place, these threads are used to lift and reposition sagging tissues, offering an immediate visible lift.

The threads gradually dissolve over time, but not before stimulating the body’s natural collagen production, lending a prolonged, rejuvenating effect.

Benefits:

• Immediate, noticeable results.
• Short procedure time, typically under an hour.
• Minimal downtime.
• Less invasive than surgical facelifts.

Risks:

• Bruising, swelling, or minor discomfort post-procedure.
• Potential for thread visibility or palpability beneath the skin.
• In rare cases, threads might migrate or cause skin irregularities.

Kybella (Injectable treatment)

A groundbreaking solution for those troubled by a double chin or excess fat under the jaw, Kybella is the first and only FDA-approved injectable treatment to dissolve fat cells in this area.

Kybella’s main ingredient is synthetic deoxycholic acid, a molecule naturally found in the body that aids in breaking down and absorbing dietary fat. When injected into fat pockets beneath the chin, Kybella destroys fat cells, resulting in a noticeable reduction in fullness.

Those with moderate to severe fat under the chin are ideal candidates.

Most individuals require multiple treatment sessions spaced about a month apart.

Once the desired result is achieved, the effects are long-lasting since the destroyed fat cells can no longer store or accumulate fat.

Side effects might include swelling, pain, numbness, redness, and areas of hardness in the treatment site. Most side effects are temporary and subside with time.

While minimally invasive treatments offer noticeable results with reduced risks compared to surgical interventions, it’s essential to approach them with realistic expectations. Always ensure that any procedure is performed by a licensed and experienced professional to ensure safety and optimal results.

Surgical Options

Neck Lift (Lower Rhytidectomy)

A neck lift, often referred to as a lower rhytidectomy, is a surgical procedure tailored to address loose skin and excess fat in the neck and jawline area, providing a smoother and more youthful contour.

Procedure overview:

• The surgeon makes incisions behind the ears and possibly underneath the chin, using these points of access to tighten underlying muscles and remove excess skin.
• Liposuction might be used concurrently to eliminate any stubborn fat deposits.
• Recovery usually takes a couple of weeks, with patients advised to rest and avoid strenuous activities. Swelling, bruising, and tightness are typical post-operative symptoms but generally subside within a few weeks.

Outcomes:

• Noticeably smoother, tighter skin around the neck and jawline.
• Results are long-lasting, often spanning several years.

Risks:

• As with any surgery, there’s a risk of infection, bleeding, and adverse reactions to anesthesia.
• Scarring, although incisions are usually made in discreet locations.
• Nerve damage or complications, though rare when performed by experienced surgeons.

Jowl Lift

Specifically targeting the sagging jowls, this procedure aims to rejuvenate the lower face.

Procedure overview:

• Similar to a neck lift but more localised, a jowl lift involves incisions around the ear to access and tighten the underlying supportive tissues of the lower face.
• Excess skin is trimmed, and the remaining skin is redraped for a firmer look, effectively reducing the appearance of jowls.

Benefits:

• Directly addresses sagging jowls, providing a more defined jawline.
• Results are long-lasting, typically several years.
• Can be combined with other facial rejuvenation procedures for a holistic youthful appearance.

Risks:

• Potential for scarring, although experienced surgeons make incisions in inconspicuous areas.
• Possible complications like infection, hematoma, or nerve damage.
• Prolonged numbness or changes in skin sensation.

For those considering surgical options, it’s paramount to consult with a board-certified plastic surgeon. This ensures not only that you receive a professional assessment tailored to your unique needs but also that your procedure is conducted with the utmost expertise and care.

At-Home Remedies and Preventative Measures

While professional treatments and surgical options promise more dramatic results, maintaining and enhancing the skin’s health at home can offer notable benefits. Here are some at-home remedies and preventive measures to consider:

Facial exercises

Regular facial exercises can potentially tone and strengthen underlying facial muscles, providing a firmer appearance over time.

Just like exercises for the body, facial exercises target specific muscle groups, increasing blood circulation and possibly encouraging skin tightening over time.

Techniques might include chin lifts, neck rolls, and jaw releases.

Recommended exercises:

• Chin Lifts: Tilt your head back and gaze at the ceiling. Pucker your lips as if you’re kissing the ceiling. Hold the pose for a few seconds, relax, and repeat.
• Neck Rolls: With a straight back, turn your head to one side until the chin aligns with the shoulder. Gently tilt the head backward and hold, then switch sides.
• Jaw Releases: Sit or stand straight. Move your jaw as if you are chewing, keeping your lips closed. Breathe deeply and hum while doing so. Then, open your mouth wide with your tongue pressed against the bottom teeth. Hold, breathe, and release.

Skincare regimen

A consistent and effective skincare routine can significantly influence the skin’s health and appearance.

Well-hydrated skin appears plumper and more radiant, potentially reducing the appearance of sagging. Regularly using a moisturiser helps retain skin’s elasticity.

UV rays can break down collagen and elastin fibres, leading to premature sagging and ageing. Consistent use of sunscreen can mitigate this damage.

Recommended ingredients:

• Retinoids: Promote skin cell turnover and collagen production.
• Peptides: Act as building blocks for proteins such as collagen, elastin, and keratin.
• Antioxidants: Protect skin cells from damage by free radicals and UV rays.

Lifestyle changes

Rapid weight gain and subsequent loss can lead to reduced skin elasticity. Maintaining a stable weight can help keep the skin firm.

A diet rich in vitamins, minerals, and antioxidants promotes healthy skin. Regular hydration keeps skin cells plump and radiant.

Smoking accelerates skin ageing by reducing blood supply to the skin. Alcohol can dehydrate the skin. Both habits can contribute to sagging over time.

By integrating these at-home remedies and preventative measures, patients can proactively influence their skin’s health, potentially delaying the onset of sagging jowls and complementing any professional treatments they might choose to undergo.

For more information about facelift and removing jowls at Berkeley Square Medical, please visit: https://www.berkeleysquaremedical.com/face-lift

References and Further Reading

• American Society of Plastic Surgeons: They provide comprehensive information on thread lifts, a procedure beneficial for reducing the appearance of wrinkles and early jowls. It offers immediate results without the downtime or scarring associated with a facelift procedure​​. (ASPS)
• Austin-Weston, The Center for Cosmetic Surgery: They discuss the effectiveness of neck lift surgery in addressing sagging jowls, highlighting contributing factors like age, genetics, sun damage, and smoking​​. (CCS)
• Glowday: They discuss the use of Morpheus8 for tightening sagging jowls, a combination of microneedling and radiofrequency. They also highlight the role of fillers in restoring volume and providing structure to the lower face area​​. (Glowday)

• Author
• Recent Posts

Sanjay Rai

Sanjay is a Senior Clinical Member at Berkeley Square Medical carrying over a decade of experience. He has assisted over 1500 surgeries carried out at the hospital supporting patients both pre and post-surgery throughout their treatment journeys. This article was written with the contribution of Dr Taimur Shoaib, our Consultant Plastic Surgeon.

Latest posts by Sanjay Rai (see all)

• Benefits of Computer Imaging During a Rhinoplasty Consultation - February 27, 2023
• Different Types of Rhinoplasty - May 31, 2021
• Bruising After Rhinoplasty: What to Expect, Timeline & How to Reduce It - May 23, 2021

Sharing is caring!