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The Blog How to Reduce Jowls and Sagging Skin Without Surgery

In brief:

  • Jowls form as a result of several interrelated changes: loss of skin elasticity, mid-face volume loss, muscle and bone changes, and the effects of gravity over time
  • Genetics, sun damage, smoking, and weight fluctuation can all influence how early and how prominently jowling develops
  • Non-surgical options including facial thread lifting, volumisation, radiofrequency microneedling, and laser resurfacing may help improve the appearance of jowls depending on the degree of laxity and underlying anatomy
  • The right approach is determined through a thorough 1:1 assessment with a cosmetic practitioner
How Ageing Impacts Jowls

How Ageing Impacts Jowls

As we age, the distinction between the cheekbone, jawline and neck can gradually become less defined. The side profile shifts – bit by tiny bit – as skin loses some of its firmness and the underlying structures that once held everything in place begin to change.

Some laxity along the jawline is a normal part of ageing. Volume loss in the cheeks, changes to skin quality, and the slow redistribution of soft tissue can all contribute to more visible folds and a softening along the jawline. This is commonly referred to as the formation of jowls.

Fortunately, this is not something we have to take on the chin. There are a range of non-surgical jowls treatment options that may help improve your appearance by supporting skin firmness, contour and definition in the lower face. 

If you’re exploring non-surgical options to address facial laxity and a less defined jawline, there are a number of approaches to consider. From skin-tightening energy treatments to volumisation, facial thread lifting, or a combination, the starting point is always a consultation to understand what’s driving the change.

Can You Tighten Sagging Jowls Without Surgery

Can You Tighten Sagging Jowls Without Surgery?

Yes – in many cases, the appearance of jowls can be improved through non-surgical approaches. The extent to which non-surgical treatment may help depends on the degree of laxity, the underlying anatomy, and the combination of contributing factors involved.

Non-surgical options range from energy-based skin tightening treatments through to volumisation and facial thread lifting – more on these below. Surgical facelifts and neck lifts are the most significant intervention for advanced laxity, and are generally associated with longer downtime, higher cost, and greater risk. For mild to moderate changes that can be sustained over time,non-surgical options are worth exploring with a qualified practitioner.

The most appropriate approach is best determined through a thorough 1:1 assessment –  one that takes into account not just what you’re seeing in the mirror, but the structural reasons it is happening.

Facial threads treatment for mature skin, provided by cosmetic doctors at Contour Clinics

What Causes Jowls?

Jowls refer to the softening and descent of skin and soft tissue below the jawline, creating a less defined angle between the jaw and neck. They are not caused by any single factor. They’re the visible result of several interrelated changes that occur over time, and at different rates depending on the individual.

Ageing and the Loss of Facial Structure

The natural ageing process affects the face from multiple structural levels simultaneously.

Our skin produces less collagen and elastin over – the proteins responsible for its firmness and elasticity. As these diminish, skin becomes less able to maintain its position against the downward pull of gravity, and begins to soften along the jawline.

Beneath the skin, the fat pads of the face – particularly in the cheek area – gradually lose volume. This deflation has a cascading effect on the lower face: as mid-face volume decreases, the overlying skin has less support, and soft tissue that was once held in position begins to descend. The facial muscles and underlying bone structure also change with age, further reducing the scaffolding on which the skin and soft tissue sit.

The result is a progressive loss of the clear, angular definition between cheek, jaw and neck – and the gradual formation of jowls.

Cosmetic doctor consultation and treatment at Newtown cosmetic clinic

Genetics

Not everyone experiences jowling at the same age or to the same degree, and genetics play a meaningful role in that variation.

The underlying bone structure of the face is largely genetically determined. Those with a more robust facial skeleton tend to retain definition for longer, as there is more bony support for the overlying soft tissue. Skin quality and elasticity, the distribution of facial fat, the rate of muscle atrophy, and the pace of the overall ageing process are all influenced – to varying degrees – by inherited factors.

Some individuals are simply predisposed to earlier or more pronounced jowling, regardless of lifestyle. Understanding this can reframe the decision to seek treatment. It’s not about preventing the inevitable, but about making an informed choice when the changes become something you’d like to address.

Smoking

Smoking (cigarettes or vaping products) accelerates skin ageing and contributes to the structural changes that lead to jowls.

The chemicals in cigarette smoke and vapour generate free radicals that break down collagen and elastin in the skin. Smoking also impairs circulation, reducing the supply of oxygen and nutrients to skin tissue and impairing its capacity to regenerate effectively. Over time, this combination of oxidative stress, impaired healing, and reduced skin hydration leaves the skin more prone to laxity and descent along the jawline.

Facial analysis at Contour Clinics Bondi Junction

Weight Fluctuation

Changes in weight (up or down) can have a direct effect on skin laxity and the appearance of jowls.

Weight gain can add volume beneath the chin and along the jawline, stretching the skin over time. Significant weight loss, particularly later in life when skin elasticity is already reduced, may leave skin that has been stretched without the volume to fill it – making existing laxity more visible. Repeated cycles of significant gain and loss can gradually reduce the skin’s ability to adapt. Read more on how to address facial changes after rapid weight loss from medications like Ozempic. 

Maintaining a stable weight is one of the factors that may help minimise changes to skin laxity over time.

Sun Damage

Cumulative UV exposure is one of the most significant drivers of premature skin ageing. UV rays generate free radicals that degrade collagen and elastin, thin the dermis, and deplete the skin’s natural moisture and structural proteins over time.

Sun-damaged skin loses its resilience and capacity to hold its position – contributing to the laxity along the jawline that allows jowls to form. Years of unprotected sun exposure can accelerate the timeline of changes that would otherwise occur more gradually with age.

Facial thread lifting tighten sagging jowls at Contour Clinics Sydney and Brisbane

Non-Surgical Jowls Treatment Options

There is no single “best” treatment for jowls. The appropriate approach depends on the degree of laxity, your underlying anatomy, what is primarily driving the change and your aesthetic goals. A thorough assessment is essential before any treatment plan is formed.

The following categories of treatment are among those that may be explored in a consultation for jowls and lower face definition at Contour Clinics in Sydney and Brisbane.

Facial Thread Lifting

Facial thread lifting uses fine dissolvable sutures placed beneath the skin to provide lift and repositioning to descending facial tissue. Threads also stimulate collagen long-term. Threads are a non-surgical option that sits between in-clinic skin treatments and surgical intervention – requiring no general anaesthetic, hospital stay, or incisions.

Suitability varies considerably depending on skin quality, the degree of laxity, and anatomical factors. A consultation with a qualified practitioner is required to determine whether thread lifting is an appropriate option for you.

How Men’s Facial Ageing Can Present - assessed by cosmetic clinicians at Contour Clinics

Volumisation and Structural Support

Volume loss, particularly in the cheeks and along the jawline, is one of the key drivers of jowl formation. Addressing this loss through volumisation may help restore some of the structural support that the lower face has lost, and may improve the transition between the jaw and neck.

Jawline contouring focuses specifically on restoring definition and structure along the lower face. In the context of jowls, the assessment may also consider the mid-face – since cheek volume plays a significant role in the support and position of lower-face soft tissue.

Whether volumisation is appropriate, and which areas are most relevant, is determined through a detailed anatomy-led assessment in consultation.

Morpheus8 for tightening jowls

Radiofrequency Microneedling

Morpheus8 Radiofrequency Microneedling combines microneedling with radiofrequency energy delivered into the deeper layers of the skin and tissue. The combination of controlled microdamage and thermal energy supports collagen remodelling and skin tightening over time.

Results vary depending on skin quality, the degree of laxity, and the number of sessions undertaken. This treatment is generally suited to mild to moderate laxity rather than advanced jowling.

Skin Tightening

Skin tightening treatments use energy-based technology to support the skin’s structural integrity. For individuals where early laxity is the primary concern,  rather than significant volume loss or tissue descent, these options may form part of a broader treatment plan.

Co2 laser can help tighten sagging jowls at Contour Clinics Sydney and Brisbane

Co2 Laser Resurfacing

Co2 laser uses targeted laser energy to remove the outer layers of damaged skin in a controlled, precise way. As skin heals, it produces new collagen and elastin which can drive improvements in skin clarity, texture and firmness. Co2 laser treatment may be considered for individuals with mild to moderate skin laxity, including along the jawline, neck, cheeks and under-eye area.

How to decide if Jawline Laxity Treatment Right for Me

Is Jawline Laxity Treatment Right for Me?

Not everyone with jowls is at the same stage. The degree of change you’re seeing determines which options are worth exploring.

For mild to moderate laxity – where the jawline has softened and definition has reduced but overall position of facial tissue has not significantly descended – non-surgical options are generally the most relevant starting point. Skin tightening treatments, volumisation, and facial thread lifting may all be worth discussing depending on the specific anatomy involved.

For more advanced laxity – where there is significant tissue descent, loose skin with little remaining elasticity, or changes that have developed over many years – non-surgical treatment may offer some improvement, but a surgical consultation may be a more appropriate recommendation. A qualified practitioner will tell you this honestly in a consultation, and can refer you accordingly.

Age is relevant but not the determining factor. Some people in their forties present with more significant laxity than others in their sixties, due to the genetic and lifestyle factors discussed above. Assessment is always individual.

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Where to Start

For most people, the visible changes associated with jowls are the result of several factors occurring simultaneously: volume loss, skin laxity, structural change and soft tissue descent. The most effective approach is rarely a single treatment in isolation.

A consultation at Contour Clinics is a good starting point. Your practitioner will take the time to understand what you are seeing, assess the anatomy of your lower face, and discuss which options – if any – may be suitable for your presentation and goals.

Your consultation is complimentary. A $75 deposit secures your booking and is credited to your treatment if you proceed, or refunded in full if you decide not to. Learn more about our deposit policy.

Contour Clinics has locations across Sydney including Bondi, Castle Hill, Crows Nest, Five Dock, Miranda, Narellan and Newtown – and in Brisbane at Stones Corner.

Frequently Asked Questions

Dr. Josh Wall

About Dr. Josh Wall

Dr Wall has over a decade of experience in non-surgical cosmetic treatments. Founder and Medical Director of Contour Clinics, he is an active clinician, educator and media commentator, known for advanced CO₂ laser resurfacing, natural revolumising, bio-remodelling and bio-stimulation, and male enhancements.

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