The Best Procedure for Sagging Jowls (2023 Updated)

Medically reviewed by
Dr Beverly Hillsrn

Sagging jowls can be a significant source of frustration and self-consciousness for many people. As we age, our skin loses its elasticity and gravity causes our facial tissues to droop, leading to the formation of jowls.

Sagging jowls can make us look older and more tired than we feel and can detract from our overall appearance.

Sagging jowls are common among people over the age of 40 and can be exacerbated by factors such as sun exposure, smoking, and genetics.

Treating sagging jowls can restore a youthful and refreshed appearance, as well as boost confidence in one's appearance.

Best Procedure for Sagging Jowls

This article will provide information on the best procedure for sagging jowls in 2023, including skin tightening treatments, facelift surgery, neck lift surgery, and jowl lift surgery.

It will also discuss the importance of consulting with a board-certified plastic surgeon to determine the best procedure for the individual.

What are Sagging Jowls?

Sagging jowls are a common cosmetic concern among people over the age of 40. The term refers to the loose, saggy skin that forms along the jawline and can detract from an otherwise youthful and attractive appearance.

The jowls are an area of the face that is particularly susceptible to sagging due to the combination of thin skin and loss of elasticity that occurs with aging.

Anatomy of the Jowls

The jowls are located in the lower part of the face and are comprised of skin, fat, and muscle. The skin of the jowls is thinner and less elastic than the skin on other areas of the face, making it more susceptible to sagging.

Causes of Sagging Jowls

Sagging jowls are primarily caused by aging, as the skin loses its elasticity and the underlying muscles begin to relax. This results in the formation of jowls along the jawline, which can detract from an otherwise youthful appearance.

Factors that Contribute to Sagging Jowls

While aging is the primary cause of sagging jowls, there are several other factors that can contribute to their formation. These include sun exposure, smoking, genetics, and weight fluctuations.

Sun exposure, for example, can damage the skin and reduce its elasticity, leading to the formation of jowls.

Smoking can also have a similar effect, as it restricts blood flow to the skin and contributes to the breakdown of collagen and elastin.

Evaluation and Diagnosis of Sagging Jowls

Sagging jowls are easily noticeable, as they appear as loose, saggy skin along the jawline. In some cases, the skin may be accompanied by wrinkles and fine lines.

Medical Evaluation

A medical evaluation is the first step in diagnosing sagging jowls. During the evaluation, a healthcare provider will examine the affected area and take into account the patient's age, overall health, and lifestyle habits.

They may also ask about any previous surgeries, as well as any medications or supplements the patient is taking.

Importance of Proper Diagnosis

A proper diagnosis is essential for determining the best treatment options for sagging jowls.

In some cases, the cause of the sagging may be related to an underlying medical condition, such as a hormonal imbalance or a genetic predisposition.

A healthcare provider can help to determine the cause of the sagging and recommend the best course of action.

Non-Surgical Treatments for Sagging Jowls

There are several non-surgical treatments available for treating sagging jowls, including topical creams and lotions, facial exercises, and massages. These treatments offer a less invasive alternative to surgical procedures and can be effective in reducing the appearance of sagging jowls.

Topical Creams and Lotions

One of the most popular non-surgical treatments for sagging jowls is the use of topical creams and lotions. These products contain active ingredients that can help to tighten and firm the skin, reducing the appearance of sagging.

Some common ingredients include retinol, hyaluronic acid, and vitamin C.

Topical creams and lotions can be easily applied at home, making them a convenient option for those looking to improve the appearance of their jowls without undergoing surgery.

How It Works

Topical creams and lotions work by penetrating the skin to deliver active ingredients that help to tighten and firm the skin. The active ingredients in these products can stimulate the production of collagen and elastin, which are the proteins that give skin its elasticity.

By increasing the production of these proteins, topical creams and lotions can help to reduce the appearance of sagging jowls.

Advantages

One of the main advantages of topical creams and lotions is their non-invasive nature. Unlike surgery, these treatments do not require any incisions or downtime.

They are also relatively inexpensive and can be performed at home.

In addition, topical creams and lotions offer a more gradual improvement, making it easier for the individual to see the results over time.

Risks & Limitations

One of the risks associated with topical creams and lotions is that they may cause skin irritation or allergic reactions. It is important to test the product on a small area of skin before using it on the entire face. Some people may also experience dryness or flakiness as a result of using these products.

In addition, the results of topical creams and lotions are not as dramatic or long-lasting as surgical procedures.

For individuals with severe sagging jowls, these treatments may not be effective. It is important to have a realistic expectation of the results and to discuss the options with a qualified healthcare professional before undergoing any treatment.

Facial Exercises

Another non-surgical option for treating sagging jowls is facial exercises.

These exercises target the muscles in the jaw and neck, helping to strengthen and tighten them. Over time, regular facial exercises can help to improve the overall appearance of the jowls.

Some common facial exercises include chin lifts, neck rolls, and facial yoga poses.

One of the patients of a German Health Professional shared her results of the jowls exercise on Instagram. She did Facial exercises with a Keto diet for 2 years and compared her jowls with one of her ten years old photos. You can clearly see the difference.

before and after facial exercise for sagging jowls

How It Works

Facial exercises work by strengthening and toning the muscles of the face and neck. By performing regular exercises, the muscles in these areas can become more defined, resulting in an improved appearance of the skin. This can help to reduce the appearance of sagging jowls by tightening and firming the skin in the area.

Advantages

One of the main advantages of facial exercises is their non-invasive nature. Unlike surgery, these exercises do not require any incisions or downtime.

They are also relatively inexpensive and can be performed at home. In addition, facial exercises offer a more gradual improvement, making it easier for the individual to see the results over time.

Risks & Limitations

One of the risks associated with facial exercises is that they may cause skin irritation or discomfort if performed incorrectly.

It is important to follow proper techniques and to start with a gradual program to prevent injury. In addition, the results of facial exercises are not as dramatic or long-lasting as surgical procedures.

For individuals with severe sagging jowls, these exercises may not be effective. It is important to have a realistic expectation of the results and to discuss the options with a qualified healthcare professional before undergoing any treatment.

Massages

Massages are another non-surgical option for treating sagging jowls. Regular massages can help to improve blood circulation, promoting the growth of new skin cells and increasing skin elasticity.

Additionally, massages can help to stimulate the lymphatic system, helping to reduce puffiness and inflammation.

How It Works

Massages can be an effective non-surgical treatment for sagging jowls.

The gentle massaging motion helps stimulate blood flow and tighten the skin, which can help improve the appearance of sagging jowls.

The massage technique used for treating sagging jowls typically involves gentle upward and outward motions, focusing on the area under the chin and along the jawline.

One of the ladies took professional massage services for 3 months. She shared her results, You can compare the massage before and after results.

massage for sagging jowls

Advantages

One of the main benefits of massages as a treatment for sagging jowls is that they are non-invasive and have no downtime.

Massages can be done at home or in a spa setting, and they are relatively inexpensive compared to other treatments.

They are also very safe, with few risks or side effects.

Risks & Limitations

While massages are generally considered safe for treating sagging jowls, there are some limitations to consider.

For example, massages alone may not produce significant results for severe sagging jowls. They are also not a permanent solution, and the effects of a massage will typically last only a few hours to a day or two.

Additionally, massages may not be suitable for people with certain skin conditions or medical conditions, so it is important to consult with a dermatologist or medical professional before starting this type of treatment.

Benefits and Drawbacks of Non-Surgical Treatments

The benefits of non-surgical treatments for sagging jowls include their affordability, convenience, and minimal risk.

They are also non-invasive, meaning there is no downtime or recovery period.

However, non-surgical treatments may not be as effective as surgical treatments and may not produce the same dramatic results. Additionally, the effects of non-surgical treatments may not be long-lasting and may need to be repeated periodically to maintain results.

Surgical Treatments for Sagging Jowls

Sagging jowls can be a frustrating and noticeable sign of aging, but there are several surgical options available to address this issue. If you are looking for a more permanent solution to sagging jowls, consider these surgical treatments:

Facelift

A facelift, also known as a rhytidectomy, is a cosmetic surgery procedure that is performed to improve the appearance of the face by tightening loose or sagging skin, reducing wrinkles and fine lines, and restoring a more youthful and refreshed appearance.

In the case of sagging jowls, a facelift can target this specific area of the face and help to tighten the skin and muscles to create a more defined and youthful jawline.

How It Works

A facelift for sagging jowls typically involves making incisions along the hairline, behind the ear, and under the chin. The surgeon then lifts and tightens the underlying muscles and removes any excess skin, before closing the incisions.

The procedure may also involve the use of liposuction to remove excess fat from the neck and jowl area.

One of the Dr Glidding Analemmas shared her patient's facelift before and after results that just surprised everyone with a new look.

Advantages

Facelift offers a number of benefits for individuals struggling with sagging jowls. This procedure can provide a more youthful, refreshed appearance, as well as increased self-confidence. Additionally, a facelift is a long-lasting solution that can provide results for up to ten years or more.

  • Improved appearance: A facelift can help to restore a more youthful appearance to the face by tightening sagging skin and restoring a more defined jawline.
  • Increased self-confidence: Many people report feeling more confident and self-assured after undergoing a facelift, as they are pleased with their improved appearance.
  • Long-lasting results: The results of a facelift can last for several years, depending on the individual's skin quality, the aging process, and other factors.

Risks & Limitations

Facelift is a surgical procedure that involves incisions and general anesthesia, and like any surgery, it comes with risks. Possible risks of a facelift include infection, scarring, adverse reactions to anesthesia, and nerve damage. Additionally, a facelift can also result in swelling, bruising, and pain.

  • Complications from surgery: As with any surgery, there is a risk of complications such as infection, bleeding, and adverse reactions to anesthesia.
  • Scarring: Although incisions are typically made in discreet locations, there may still be some visible scarring after the procedure.
  • Unsatisfactory results: In some cases, the results of a facelift may not meet the individual's expectations, and they may require additional surgery to achieve the desired outcome.
  • Cost: A facelift is a costly procedure, and not all insurance plans cover cosmetic surgery.
  • Downtime: The recovery period after a facelift can be several weeks, during which time individuals may experience swelling, bruising, and discomfort.

Neck Lift

A neck lift, also known as a lower rhytidectomy, is a cosmetic surgery procedure that is performed to improve the appearance of the neck and lower face.

The procedure is designed to address sagging skin and excess fat in the neck and jowl area, resulting in a more defined and youthful appearance.

How It Works

A neck lift works for sagging jowls by tightening the muscles and removing any excess skin and fat in the neck and jowl area.

The procedure may involve making incisions under the chin, behind the ear, or along the hairline, and the surgeon will then lift and tighten the underlying muscles and remove any excess skin.

In some cases, liposuction may also be used to remove excess fat from the neck and jowl area.

A 57-year-old patient of Dr. Jacono 2 years after her Neck lift surgery!! She sent him her after selfie in her car with natural lighting. You can compare the before and after results of neck lift surgery.

neck lift before and after

Advantages

  • Improved appearance: A neck lift can help to improve the appearance of the neck and lower face by removing excess skin and fat and tightening the underlying muscles.
  • Increased self-confidence: Many people report feeling more confident and self-assured after undergoing a neck lift, as they are pleased with their improved appearance.
  • Long-lasting results: The results of a neck lift can last for several years, depending on the individual's skin quality, the aging process, and other factors.

Risks & Limitations

  • Complications from surgery: As with any surgery, there is a risk of complications such as infection, bleeding, and adverse reactions to anesthesia.
  • Scarring: Although incisions are typically made in discreet locations, there may still be some visible scarring after the procedure.
  • Unsatisfactory results: In some cases, the results of a neck lift may not meet the individual's expectations, and they may require additional surgery to achieve the desired outcome.
  • Cost: A neck lift is a costly procedure, and not all insurance plans cover cosmetic surgery.
  • Downtime: The recovery period after a neck lift can be several weeks, during which time individuals may experience swelling, bruising, and discomfort.

Dermal Fillers

Dermal fillers are cosmetic treatments that are used to add volume to the face and smooth out wrinkles and fine lines.

They are made from a variety of materials, including hyaluronic acid, calcium hydroxylapatite, and poly-L-lactic acid, and are injected into the skin to restore lost volume and enhance facial contours.

How It Works

Dermal fillers work for sagging jowls by adding volume to the area, which can help to lift and tighten the skin and create a more defined and youthful jawline.

The fillers are typically injected into specific areas of the face, such as the cheeks or jawline, and the results can be seen immediately after the treatment.

One of the patients of Sian Aesthetics had her Dermal Fillers treatment. Her Dermal Fillers before and after results are just mind-blowing.

Dermal Fillers before and after
Sian Aesthetics

Advantages

  • Immediate results: The results of a dermal filler treatment can be seen immediately, and there is no downtime or recovery period required.
  • Non-surgical option: Dermal fillers are a non-surgical option for improving the appearance of sagging jowls, making them a good choice for those who do not want to undergo a more invasive procedure.
  • Customizable: The amount and type of filler used can be customized to suit the individual's specific needs and goals, allowing for a more personalized and natural-looking result.

Risks & Limitations

  • Short-term results: The effects of dermal fillers are typically temporary, lasting anywhere from six months to two years, depending on the type of filler used.
  • Side effects: Common side effects of dermal fillers include swelling, bruising, redness, and tenderness at the injection site, which can last for several days after the treatment.
  • Allergic reactions: Although rare, some people may experience an allergic reaction to the filler material, which can result in itching, redness, and swelling.
  • Cost: Dermal fillers are a relatively expensive cosmetic treatment, and the cost can add up over time if touch-up treatments are needed.
  • Unsatisfactory results: In some cases, the results of a dermal filler treatment may not meet the individual's expectations, and they may require additional treatments to achieve the desired outcome.

Recovery and Aftercare

Recovery and aftercare are important aspects of any cosmetic procedure, including facelifts, neck lifts, and dermal filler treatments. Understanding what to expect during the recovery period and following the recommended aftercare guidelines can help to minimize the risk of complications and ensure the best possible results.

Preparing for Surgery

  • Consult with a qualified surgeon: Before undergoing any cosmetic procedure, it is important to consult with a qualified and experienced surgeon to determine if the procedure is right for you and to discuss the associated risks and benefits.
  • Stop smoking: Smoking can impair the healing process and increase the risk of complications, so it is recommended that individuals stop smoking at least four weeks before and after the procedure.
  • Avoid certain medications: Certain medications, including aspirin and anti-inflammatory drugs, can increase the risk of bleeding and should be avoided for several weeks before and after the procedure.
  • Arrange for transportation and assistance: Depending on the extent of the procedure, individuals may need someone to drive them home and provide assistance for the first few days after the procedure.

Post-operative Care

  • Follow all instructions from your surgeon: After the procedure, individuals will receive detailed instructions from their surgeon regarding the aftercare process, including how to care for the incisions, manage pain and swelling, and avoid specific activities.
  • Rest and limit physical activity: Rest is an important part of the recovery process, and individuals should limit their physical activity for the first few days after the procedure.
  • Use ice packs: Ice packs can help to reduce swelling and discomfort, and should be used according to the instructions provided by the surgeon.
  • Attend all follow-up appointments: Regular follow-up appointments are important to monitor the healing process and ensure that the individual is recovering as expected.

Risks and Complications

  • Bleeding and infection: As with any surgical procedure, there is a risk of bleeding and infection, which can cause significant problems if not treated promptly.
  • Nerve damage: In rare cases, the nerves in the face and neck can be damaged during the procedure, which can result in temporary or permanent numbness.
  • Scarring: Incisions made during the procedure can result in scarring, which may be noticeable and take several months to fade.
  • Unsatisfactory results: In some cases, the results of the procedure may not meet the individual's expectations, and additional procedures may be required to achieve the desired outcome.

Preparation and aftercare are important for the best possible outcome of any cosmetic procedure.

It is important to follow the instructions provided by the surgeon and to attend all follow-up appointments to minimize the risk of complications and ensure the best possible results.

Frequently Asked Questions (FAQs)

What are sagging jowls?

Sagging jowls refer to the drooping or loss of definition in the jawline, which can cause the face to appear older or less defined. Sagging jowls are a common sign of aging and can also be caused by factors such as weight fluctuations, genetics, and sun exposure.

What causes sagging jowls?

The main cause of sagging jowls is aging, as the skin and underlying tissues naturally lose elasticity and volume over time. Other factors that can contribute to sagging jowls include weight fluctuations, genetics, sun exposure, and smoking.

How are sagging jowls diagnosed?

Sagging jowls can be diagnosed during a consultation with a qualified cosmetic surgeon or dermatologist. During the consultation, the individual will be evaluated for signs of sagging jowls, and the doctor will consider factors such as age, skin quality, and overall health.

What are the non-surgical treatments for sagging jowls?

Non-surgical treatments for sagging jowls include:

Dermal fillers: Dermal fillers can be used to restore volume and definition to the jawline, and can provide temporary results that last for several months.

Botox: Botox can be used to relax the muscles in the lower face and neck, which can help to reduce the appearance of sagging jowls.

Ultherapy: Ultherapy is a non-invasive treatment that uses ultrasound energy to tighten the skin and promote collagen production, which can help to improve the appearance of sagging jowls.

What are the surgical treatments for sagging jowls?

Surgical treatments for sagging jowls include:

Facelift: A facelift is a surgical procedure that can be used to tighten and reposition the skin and underlying tissues in the face, which can help to improve the appearance of sagging jowls.

Neck lift: A neck lift is a surgical procedure that is specifically designed to tighten and improve the appearance of the neck, which can help to address sagging jowls.

What is the best treatment for sagging jowls?

The best treatment for sagging jowls will depend on the individual's specific needs and goals. For some individuals, non-surgical treatments such as dermal fillers or Botox may provide effective results, while others may require a surgical procedure such as a facelift or neck lift. A consultation with a qualified cosmetic surgeon or dermatologist can help to determine the best treatment option for each individual.

Is sagging jowls surgery safe?

Sagging jowls surgery is generally considered safe when performed by a qualified and experienced cosmetic surgeon. However, as with any surgery, there are risks and potential complications that should be carefully considered before undergoing the procedure.

Can sagging jowls be reversed without surgery?

While non-surgical treatments such as dermal fillers and Botox can provide temporary results and improve the appearance of sagging jowls, they cannot completely reverse the effects of sagging jowls without surgery.

Conclusion

In conclusion, sagging jowls can be a concern for many individuals as they age. Sagging jowls can be caused by a variety of factors, including genetics, aging, weight loss, and sun exposure. There is a range of treatments available, both surgical and non-surgical, that can help to improve the appearance of sagging jowls. Surgical treatments, such as facelifts and neck lifts, can provide more permanent results, while non-surgical treatments, such as dermal fillers and Botox, can provide temporary results.

It is important to choose a qualified and experienced cosmetic surgeon or dermatologist to discuss your options and determine the best treatment for your individual needs. In addition to treatment, there are several steps that individuals can take to prevent the appearance of sagging jowls, including maintaining a healthy diet and exercise routine, protecting skin from sun exposure, and staying hydrated.

In summary, sagging jowls can be effectively treated with a range of surgical and non-surgical treatments. With the proper treatment and preventive measures, individuals can maintain a youthful and rejuvenated appearance.

References

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