Jowls are loose skin and fat that hang below the jawline on each side of the chin. They form as skin loses collagen and the tissues of the face move down with age. Genes, weight changes and sun damage can make them show earlier.
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Jowls are soft, loose skin and fat that hang below the jawline on each side of the chin. They form slowly as skin loses collagen and elastin and can no longer hold its shape.
Other things play a part too. Fat pads in the cheeks slide down, the jaw bone slowly loses volume, and neck muscles can pull the lower face down. Genes, sun damage and weight changes add to it. The jawline and neck often show aging early.
Clearer, sharper jawline
Firmer skin along the lower face
Less heaviness at the sides of the chin
Helps the skin make new collagen
No surgery and no stitches
Little or no downtime with most options
Natural results that build over time
Can be combined for a fuller lift
Is it painful? | Mild, depending on the treatment. Most people feel warmth, light pressure or a quick pinch. Numbing cream is used where needed. |
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Is there any downtime? | Depends on the treatment. Thermage FLX usually has none. Fillers and injections can cause mild swelling or bruising for a few days. Morpheus8 Pro can leave redness for 2–5 days. |
How many sessions needed? | Depends on the treatment. Filler is often one session. Morpheus8 Pro is usually 3 sessions. Fat-dissolving injections usually need 2–4. |
When can I see the result? | Filler shows right away. Skin tightening builds over 2–6 months. |
How long does the procedure take? | Most sessions take 30–60 minutes. Thermage FLX can take up to 90 minutes. |
Thermage FLX
Radiofrequency heat tightens the skin along the jaw and neck without needles. It suits early to moderate jowls, often in one session.
Morpheus8 Pro
Fine needles deliver heat under the skin to tighten the jowl area and smooth texture. It is a good fit when skin is loose and also rough or scarred.
Jawline Contouring with Filler
Jowl line fillers add support at the jaw angle and chin, which hides the dip around the jowl. Filler does not tighten skin, so it is often paired with a device.
Botox for Jowls
Small doses relax the neck muscle that pulls the lower face down, sometimes called a "Nefertiti lift". The lift is subtle and works best for early jowls.
Fat-Dissolving Injections
If the jowl is mostly fat, injections can reduce that small pocket. They are not used when the jowl is mainly loose skin.
Notice droopy jowls or a softer jawline
Have mild to moderate loose skin on the lower face
Have lost volume in the cheeks or jaw
Want a natural-looking result without surgery
Are happy for results to build over a few months
Are pregnant or breastfeeding
Have an active skin infection or cold sore in the area
Have a pacemaker or metal implant near the area (for radiofrequency)
Have very heavy jowls or a lot of loose skin that may need surgery
Doctor Consultation and Skin Assessment
A doctor looks at your jawline from the front and side and checks how loose the skin is. You will talk about your goals and health. Photos help track your progress.
Finding the Cause
The doctor works out whether your jowls come from loose skin, lost volume, fat or muscle pull. This decides which treatments make sense for you.
Your Treatment Plan
You get a plan that may use one treatment or a mix, such as skin tightening with filler. The doctor explains the number of sessions and what to expect from each.
The Treatment Session
Your skin is cleansed and numbed where needed. The device or injections are applied with care along the jaw and lower face. Most sessions take 30–60 minutes.
Follow-Up and Maintenance
A follow-up visit checks your result and whether a top-up is useful. Many people book maintenance once or twice a year to keep the jawline clear.
Talk to a doctor about your jawline and what is causing your jowls.
Get a plan that matches the right treatments to the cause.
A clearer, firmer jawline that builds over the following months.
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Jowls are loose skin and fat that hang below the jawline on each side of the chin. They form as skin loses collagen and the tissues of the face move down with age. Genes, weight changes and sun damage can make them show earlier.
The right treatment depends on what is causing your jowls. Loose skin responds to skin tightening, lost volume to filler or Sculptra, and extra fat to fat-dissolving injections. Many people get the best result from a mix, planned by the doctor after an assessment.
A non-surgical jowl lift can reduce jowls, but it will not remove them the way surgery can. Skin tightening firms the skin, and filler lifts and supports the jaw.
Fillers can make jowls look smaller, but they do not tighten skin. Jowl line fillers placed at the jaw angle and chin give better support, so the dip beside the jowl looks less obvious.
Botox for jowls can give a small lift in the right person. It relaxes the neck muscle that pulls the lower face down. It works best for early jowls and is often combined with skin tightening.
The doctor can tell during a short exam. Jowl fat feels soft and full, while loose skin feels thin and folds easily. Fat-dissolving injections only help the first.
Both can tighten jowls, and the choice depends on your skin. Thermage FLX has no needles and usually needs one session with little downtime. Morpheus8 Pro uses microneedles, so it also improves texture, but has a few days of redness and usually needs 3 sessions.
No. Results usually last 1–2 years, depending on the treatment, and aging continues. Jowls can come back slowly as skin keeps losing collagen. Maintenance sessions, sunscreen and a stable weight help the result last.
Start with daily sunscreen, a stable weight and not smoking. Collagen-building treatments in your 30s and 40s can slow sagging before it becomes deep.
Surgery may suit you better if your jowls are heavy or you have a lot of loose skin. Non-surgical treatments work best for mild to moderate jowls. The clinic does not do surgery, but the doctor will tell you honestly if a surgical opinion makes more sense.
Medically reviewed by
Dermatologist · DHA licence 69700032
This page is general information and does not replace a consultation.
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