Sagging jowls: What can you really do to lift your lower face? (2023)

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Scrutinising our faces on endless video calls has caused a spike in searches for facial exercises for jowls as well as jowl treatments. Here’s what the pros recommend

After staring at our own reflections on Zoom for more than a year, it’s no surprise that clinics have seen an uptick in interest in treatments from hooded eyes and creased necks and now especially for sagging jowls. Video calls are particularly unflattering for the lower face as the wide-angle lenses on our laptops and smartphones create distortion, making the bits of us closer to the screen, such as our jaw, look bigger (our ears, on the other hand, look tiny!).

“Jowl treatment has peaked since the first lockdown," confirms Dr Munir Somji, medical director of Dr MediSpa in Knightsbridge. "Not only are patients looking down during Zoom calls, they’re perhaps also having greater fluctuations in weight due to a change in diet and exercise regimes [which can affect jowls].”

Aesthetic doctor Dr Tapan Patel, of London's Phi Clinic and a regular on Channel 5’s 10 Years Younger in 10 Days,said that 90 per cent of his clients ask for jowl treatments. It's a similar story for Prof Khanna, founder of Dr BK Clinic in Reading, who reports a more than 100 per cent increase in enquiries for jowl treatments. Our pros explain the options.

What causes sagging jowls?

Jowls happen as we lose elasticity in the skin with age and the skin below your chin or jawline drops, saysDr Rita Rakus of the Dr Rakus Clinic in Knightsbridge. “As we age, almost everyone will experience this sagging chin. Sagging jowls occur when your skin becomes thinner and the elasticity of the skin decreases.”

Age-related bone loss also comes into play, as Dr Patel explains. “As we age our bones get smaller; our jaw might start to shrink and the skin that used to be taut across the area begins to sag.”

Jowls start to appear in our forties and fifties,adds Dr Tracy Mountford of The Cosmetic Skin Clinic in London . The extent to which we have them can be genetic, though lifestyle factors such as extreme weight loss, chronic stress, or smoking can speed up the arrival of jowls.


Best non-surgical tweakments for jowls

Facelifts are considered the gold standard for ridding yourself of jowls according to Dr Patel, but there are plenty of non-surgical tweakments too. He recommends three treatments in particular to treat jowls, with varying degrees of results. Hifu (High-Intensity Focused Ultrasound) as maintenance to press pause on ageing, radiofrequency microneedling as the middle ground for results over a time to tighten and improve skin texture (Dr Patel uses Secret RF machine) and lastly the Endolift which uses a laser to reduce fat and tighten skin and produces the most dramatic results with a noticeable lift.

Endolift.The ‘as seen on TV’ jowl treatment

Endolift involves a laser fibre just bigger than a human hair being inserted under the skin in the area you want to treat to tighten the skin and remove fat too. Dr Patel performed it on 10 Years Youngerearlier this year and there’s been a spike in Google searches of the treatment since the show aired. After a local anaesthetic is applied (the same kind injected at the dentist) an incision is made in the skin with a needle and the fibre is put under the skin and transmits heat energy, which encourages new collagen production.

The Endolift tightens the skin and removes fat too. It takes an hour to do, and Dr Patel says it’s well tolerated by most but will produce swelling for two or three days.Generally, just one session is needed and results last between two and five years.

The price for Endolift treatments start from £4995 at Dr Tapan's Phi Clinic

Morpheus8:The celebrities favourite jowl treatment:

Judy Murray's skin transformation made headlines when she announced that she had been treated with Morpheus8 to tighten her ‘turkey neck’. Amanda Holden and Kim Kardashian are fans too. Morpheus8 combines radiofrequency with microneedling.

Microneedling creates minuscule injuries to the skin, stimulating a natural healing response of new collagen and elastin fibres which tighten and smooth the skin, explains Dr Somji. “It also delivers fractional radiofrequency energy deep into the dermis, which further enhances skin tightening," he says.

Results are long-lasting and continue to improve months after treatment, as new collagen and elastin develop. You normally need one to three sessions.

Morpheus8 starts from £500 per session at Dr Medi Spa.

(Video) How to Get Rid of Sagging Jowls | Dr. Angela Sturm

HIFU: to press pause on sagging jowls

HIFU is an ultrasound treatment, (it stands for High-Intensity Focused Ultrasound) that delivers ultrasound waves to a precise depth in the skin where thermal energy stimulates the growth of new collagen. Results are noticeable almost immediately in some cases, and continue to improve for up to a year after treatment, with no downtime.

Dr Patel recommends HIFU to clients who don’t want to look vastly different but instead want to press pause on their ageing. “It’s a maintenance treatment rather than something that will give you ‘before and after’ picture results,” he says. “Having one session of HIFU once or twice a year will sustain how you look.”

HIFU treatments start from £1100 at Phi Clinic

Ultherapy for jowls: The insider favourite

Ultherapy has been around for several years and like HIFU it uses ultrasound energy to lift and tighten the neck and jawline by remodelling collagen and elastin at a deep level in the skin to support the neck and jawline. In the early days, it was excruciatingly painful (it feels a little hot) but the technology has moved on a great deal and a numbing cream is applied pre-procedure. Because it doesn't disrupt the surface of the skin, it’s suitable for all skin tones and types.

It's one that experts use on themselves. Harley Street rejuvenation specialist Dr Sabrina Shah-Desai of the Perfect Eyes Clinic says she has it herself to address saggy jowls and thinning skin , while beauty director Rosie Green told us she has Ultherapy at The Cosmetic Skin Clinic every year to lift jowls and give her skin youthful plumpness.

Ultherapy shows impressive results with one session takes less than an hour and has zero downtime. Some patients see an initial lift after their first treatment but real results become more apparent over three to six months as new collagen builds which gradually lifts the skin, lasting a year or more. “I recommend maintenance treatments performed every year to eighteen months depending on your age and lifestyle,” says Dr Tracy Mountford.

The difference between ultherapy and HIFU lies in the ultrasound used. Ultherapy usesmicro-focused ultrasound (MFU) beams, while HIFU stands for High-Intensity Focused Ultrasound. Ultherapy uses a more focused ultrasound beam so targets a smaller, more precise area at a time.

Ultherapy costs from £500 at The Cosmetic Skin Clinic

Ultracel: for an immediate jowl lift

Ulracel is combination of high-frequency ultrasound, radiofrequency (RF) and fractional radiofrequency microneedling . The trio work on all levels of your skin, reducing sagging by tightening the skin with the RF and microneedling as well as stimulating collagen production thanks to the ultrasound.

It’s a pain-free procedure performed with a handheld gun that is moved across the treatment area. It delivers instant results as well as long term collagen stimulating effects and has no downtime, according to Dr Rita. The procedure takes between one and two hours and you leave the clinic feel rejuvenated.

Ultracel starts from £1,800 at the Dr Rita Rakus Clinic

Best at-home jowl treatments and beauty tools for jowls

Experts are divided as to whether at-home treatments make a difference to jowls. “With significant jowls, no home treatments will really be of huge value but it is always worth trying things that will help at home as a preventative measure,” says Dr Tracy Mountford. “Facial exercise can help to strengthen the lower face muscles and lower jaw and this will help."

She also suggests trying radiofrequency home tools to stimulate collagen but the results will be much less than in-clinic treatments.

Facial exercise for jowls

Dr Munir Somji sings the praises of facial exercises to help with jowls."Place your hands either side of your face and put four fingers just above your jaw, then place your thumbs under the sides of the chin," he says. "Pinch your jowl with your fingers at the top and squeeze with your thumbs. Smile and touch your tongue to the roof of your mouth. Repeat daily for six weeks."

At-home tools for jowls

Dr Somji also recommends combining facial exercises with devices such as the NEWA , £239, an at-home radiofrequency device that rebuilds and remodels collagen to tighten and lift the skin. Dr Sophie Shotter of the Iluminate Skin Clinic in Kent recommends using at-home radiofrequency tools daily to see results.

(Video) FACE LIFTING EXERCISES for Jowls & Laugh Lines! (Nasolabial Fold)

Gua sha for jowls

Fans of gua sha will be pleased to learn it can help with jowls, as Katie Brindle and founder of the Hay'ou explains. "Gua sha can help with the jowls by releasing stored tension in your facial muscles and boosting the microcirculation and helping the production of collagen and elastin."

(Video) FACE LIFTING EXERCISES for Jowls & Laugh Lines! (Nasolabial Fold)

"Start by using the double-endededge of your gua sha tool along the jawline at a 45 degree with a gentle to medium pressure, eight times each sidemaking sure you hold the skin to support," she says. "Then with your Hayo'u Precision Tool , £35, use the curved edge upwards, outwards starting at the chin applying light to middle-pressure strokes going from the jawline to the cheekbone for 30 seconds."

DaVisage Visagerfacial exerciser for tightening jowls

Think of this slingshot-shaped tool, £220, as a resistance band for the face. By placing it on different areas, in this instance under the neck, it provides resistance to make the facial muscles work harder and tone up.The Visager comes in a high-tech box with a video screen showing the exercises for your to follow.

Place one of the Visager prongs under the chin, open your mouth and press your tongue against the roof of your mouth. The lower jaw pushes against the Visager, hold for three seconds.

Sarah Chapman The Facialift, £30

This wishbone-shaped tool has many a five-star review on Cult Beauty with users saying it transformed their face and neck and lifted sagging jowls. The rotating noduled massagers reduce puffiness by draining toxins, which in turn delivers a post-facial glow. It mimics the tapping, pinching and knuckling movements Sarah Chapman performs in her facials, which are loved by Victoria Beckham.

Buy now

MORE GLOSS: The best creams for firming your decolletage and neck

(Video) Jowls: Face Yoga to Reduce and Prevent


Can jowls be lifted without surgery? ›

There are a few different non-surgical treatments available to remove sagging jowls. These include fillers, anti-wrinkle treatments, a thread lift or radio frequency radiated heat energy treatment (Pelleve). The best treatment for you will depend on your individual goals and the amount of sagging tissue that you have.

What is the best treatment for lower face sagging? ›

If you have sagging around the jawline, chin and neck, one of the best and most long-lasting treatments is surgery. A surgical procedure eliminates the excess skin and tissues contributing to the sagging, and tightens the remaining tissue and skin, leaving you with a taut, younger-looking jawline, chin and neck.

Can Botox help saggy jowls? ›

Botox reduces sagging jowls by tightening and lifting the jaw area. This pulls back the excess sagging skin that creates jowls in the first place.

What can you do for jowls and marionette lines? ›

What are the treatment options for minimizing marionette lines?
  • Botox.
  • Chemical peels.
  • Dermal fillers.
  • Laser skin resurfacing.
  • Microneedling (collagen induction therapy), which increases the production of collagen to add volume and improve lines.
  • Thread lift.
18 May 2022

How do I get rid of jowls 2022? ›

In addition to fat-freezing, fillers and ultrasound procedures, many other types of treatment exist to target sagging skin and jowls, including laser treatments, thread-lifting and non-surgical peels.

How much does it cost to fix jowls? ›

The procedure can cost anywhere from $6,500 to $56,000, depending on the type of surgery. If you're unhappy with the appearance of your jaw, have pain associated with TMJD, or aren't satisfied with the look of Botox on the jawline, you may be a good candidate for jawline surgery.

Can Microneedling tighten jowls? ›

A facelift or neck lift is usually recommended. However, following this surgery, RF microneedling can help promote skin tightening and reduce scarring. If the jowls are just beginning to lose elasticity, then RF microneedling may reduce the appearance of this and slow the overall progression of the sagging.

How can I lift my face naturally at home? ›

Apart from oils, there are other natural substances which can help in firming up the skin.
  1. Banana. Bananas are rich in potassium, vitamins, and natural oils. ...
  2. Cucumber. Cucumber helps retain elastin and hyaluronic acid which are necessary to maintain firm skin. ...
  3. Pineapple. ...
  4. Aloe Vera. ...
  5. Coffee grounds scrub. ...
  6. Honey.
26 May 2022

How do you lift your jawline? ›

Options include dermal fillers, neurotoxins, fat melting injectable agents and surgical threads.
  1. Dermal fillers to the jawline. ...
  2. Neurotoxin to the masseter muscles. ...
  3. Kybella to the neck and chin fat. ...
  4. Surgical threads to tighten loose skin. ...
  5. Neck liposuction. ...
  6. Neck lift. ...
  7. Radiofrequency energy.
2 Nov 2018

How do you hide jowls? ›

How to Do Makeup to Hide Sagging Jowls : Makeup & Beauty Tips

Where do you inject Botox to lift jowls? ›

The Procedure

Small doses of Botox® are injected into the lower jaw and down the side of the neck along the lateral neck muscles. As with all Botox® injections, it may take up to two weeks to see the final results.

How long does it take for Botox to work on jowls? ›

It takes time for the body to process the injected substance and allow it to act. Generally, results begin to be noticeable by day 3 with the full impact of treatment developed by day 7-10. This is when you'll notice reduced jowls and a more youthful shape and definition to the neck and jawline area.

Can you reverse jowls? ›

There are several options for treating sagging jowls or reducing how saggy or droopy they appear. Surgical procedures, such as neck lifts, can tighten your skin and make it look less saggy. Nonsurgical procedures, such as thermage, lasers, and peels, can change the composition of the collagen in your skin.

What causes jowls to drop? ›

Jowls develop as the skin becomes less elastic with age because of elastin and collagen loss. Jowl development is also affected by various other factors including certain lifestyle choices and facial movement habits, genetic predisposition, exposure to sunlight, and chronic stress.

Are marionette lines the same as jowls? ›

WHAT ARE JOWLS & MARIONETTE LINES? Jowls are loose skin and flesh that hang beneath the lower jawline. Marionette lines or “puppet lines” are lines that run from the corners of the mouth to the chin. Both are a sign of ageing and volume loss in the face.

Do jowls go away with weight loss? ›

If you are overweight, sensible dieting and a regular cardiovascular workout will burn fat from all areas, including your face. For some people, the difference will be dramatic; for others, less so, but all should enjoy some improvement in facial appearance.

What is the downside of Ultherapy? ›

Following Ultherapy, many patients are reporting nerve damage. Ulthera warns that the procedure may cause muscle weakness, numbness, pain, paresthesia, and tingling that “typically” resolves within 6 weeks. Many patients, however, have reported permanent pain, numbness, tingling, and disfigurement.

How long does a jowl lift last? ›

A face-lift can give your face and neck a more youthful look. But face-lift results are not permanent. With age, the skin on the face may begin to droop again. In general, a face-lift can be expected to last 10 years.

Will collagen get rid of jowls? ›

Where collagen is a protein that's responsible for the skin's firmness and suppleness, peptides work to stimulate collagen production. As such, collagen peptides are a no-brainer for jowl treatment.

Is microneedling good for 70 year old woman? ›

Micro Needling with PRP for patients over 65 is a safe and very effective skin–resurfacing tool that creates micro channels in the skin to stimulate new collagen and elastin production.

What is better fillers or microneedling? ›

When the dermal filler wears off, your skin reverts to its original appearance or drops some of its former elasticity. On the other hand, micro-needling works with a patient's natural growth factors to strengthen & add volume to the skin so that it can keep improving over time.

How can I lift my jaw naturally? ›

Step 1: Close your mouth and slowly push your jaw forward. Step 2: Lift up your low lip and push up until you feel the muscles in your chin and jawline stretch. Step 3: Stay in this position for about 10 seconds before repeating the exercise.

Why do you get jowls as you age? ›

Jowls develop as the skin becomes less elastic with age because of elastin and collagen loss. Jowl development is also affected by various other factors including certain lifestyle choices and facial movement habits, genetic predisposition, exposure to sunlight, and chronic stress.

How can I tighten my neck and jowls without surgery? ›

For a more efficient and proven way to tighten jowls and neck without surgery, there are several noninvasive cosmetic treatments available. Some of these treatments include injectable fillers, botox, Kybella, and radiotherapy.

Do jawline exercises work? ›

Jawline exercises can help give the face a more defined or younger look. They can also prevent pain in the neck, head and jaw. They may help reduce the effects of temporomandibular disorders or chronic pain in the jaw muscles, bones and nerves. However, it can take time to see results.

Does weight loss help jowls? ›

Does Weight Loss Cause Sagging Jowls? Extreme weight loss creates sagging jowls earlier or more drastically than typical. As you lose weight, you also lose fat from your face. Hence, the skin will be looser and you're more likely to see the jowls sag.

Does chewing gum help in jawline? ›

Chewing gum can definitely help improve your jawline because it can cause the masseter muscle to hypertrophy. The increase in muscle size can enhance and add to your facial aesthetic.

Do face exercises work? ›

Yes, say some researchers from Northwestern Medicine in Chicago. The researchers say regular facial exercises may strengthen the muscles just below your skin and produce fuller upper and lower cheeks. This can lead to a more youthful appearance.

Can you reverse sagging jowls? ›

There are several options for treating sagging jowls or reducing how saggy or droopy they appear. Surgical procedures, such as neck lifts, can tighten your skin and make it look less saggy. Nonsurgical procedures, such as thermage, lasers, and peels, can change the composition of the collagen in your skin.

How do you hide jowls? ›

How to Do Makeup to Hide Sagging Jowls : Makeup & Beauty Tips

What is the best cream for jowls? ›

Let's get into the details.
  • Dr. ...
  • Estee Lauder Resilience Lift Extreme Ultra Firming Creme SPF 15\
  • L'Oreal Revitalift Anti-Wrinkle and Firming Day Cream.
  • Olay Regenerist Night Firming Cream.
  • Fresh Black Tea Firming Overnight Mask.
  • Elemis Pro Collagen Marine Cream.
  • L'Oreal Revitalift Laser Renew Advanced Anti-Ageing Day Cream.
10 Nov 2017

How much does it cost to fix jowls? ›

The procedure can cost anywhere from $6,500 to $56,000, depending on the type of surgery. If you're unhappy with the appearance of your jaw, have pain associated with TMJD, or aren't satisfied with the look of Botox on the jawline, you may be a good candidate for jawline surgery.

Does losing weight make jowls better or worse? ›

When you lose volume in the face, especially the cheeks and jawline area, along with volume around the mouth, the jowls become more prominent and look saggy. A downside to losing weight is the excess of sagging skin often left over. A common area for loose skin is on the neck and jaw, which results in sagging jowls.

Which jaw exerciser is best? ›

10 Best Jawline Exercisers
  • Jawline Gum.
  • Jawliner Fitness Gum.
  • Chisell.
  • Rockjaw.
  • Greco Gum.
  • Skullpt.
  • Jawinner.
  • Falim Gum.
8 Sept 2021

What are some jaw exercises? ›

With your mouth closed, push your lower jaw out and lift your lower lip. You should feel a stretch build just under the chin and in the jawline. Hold the position for 10–15 seconds, then relax. Perform 3 sets of 15.


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