Sagging skin and jowls form as facial skin relaxes and fat shifts lower with age, softening the jawline. Paz Dermatology treats them at its Fresno and Visalia, California offices with jawline fillers, Sculptra, and mini facelift or neck lift surgery for more advanced sagging.
Why the jawline softens
With age, the skin of the face relaxes and sags, facial fat falls or thins, and jowls develop along the cheeks and jaw.[1] The crisp line from ear to chin gets softer, and the lower face can look heavier than it feels.
How far along those changes are decides what will help most, from a little filler to a surgical lift.
What you might notice
- Jowls along the jaw, even when you’re smiling
- A jawline that looks less defined in photos
- Loose skin along the lower face
- Deeper lines from nose to mouth[1]
- Up to 1 yearHow long jawline results with Juvéderm Volux XC can last with optimal treatment.[2]
Where the sag comes from
- Skin relaxes Facial skin loses firmness over time and begins to sag.[1]
- Volume moves Fat that once supported the cheeks falls or disappears,[1] so the skin above the jaw has less holding it up. That’s often lost volume as much as loose skin.
- Sun and smoking Sun plays a major role in aging skin early, and smoking greatly speeds it up.[3]
- Up to 2 yearsHow long results with Radiesse can last.[4]
Matching the treatment to the stage
| Where you are | A good fit | What it does |
|---|---|---|
| A jawline starting to soften | Juvéderm Volux XC or Radiesse (+) | Redefines the jawline without surgery[2][4] |
| Cheek wrinkles and smile lines as skin thins | Sculptra | Rebuilds the skin’s support gradually, smoothing wrinkles[6] |
| Early to moderate jowls and loose skin | A mini facelift | Lifts and firms the lower face and jawline |
| Jowls plus loose neck skin | A mini facelift with a neck lift | Addresses the jaw and the neck together[5] |
Providers also use Radiesse for early jowls and marionette lines, and Sculptra for marionette lines. Ask at your consultation whether one of these suits you.
Your free consultation looks at your skin, your volume and your jawline together, and tells you which approach will give you the result you’re after.
Real results from patients
The Paz difference
From a little filler to a full lift
Jawline fillers, Sculptra and lifting surgery are all offered here, so your plan fits where you are now. Many people start with filler and consider a lift later; some are ready for the lift today. Either way, you’ll get a straight answer about what will make the biggest difference.
When to talk to us
It’s a good time if:
- Jowls have started to show along your jaw
- Your jawline looks softer in photos than it used to
- Your lower face looks heavier or more tired
- Filler no longer gives you the lift you want
Services we offer
Each of these treats sagging skin and jowls in its own way. Pick one to see how it works.
What treatment costs
Cost depends on whether filler, Sculptra or surgery suits your face. Your consultation is free, and you’ll know your plan and its cost before anything happens.
Jowl questions, answered
If filler no longer gives you the definition you want, or loose skin is the main issue, a lift is worth discussing. Your consultation will tell you.
A mini facelift focuses on early to moderate changes in the lower face and jawline. A full facelift addresses more advanced aging across more of the face and neck.
It turns back the clock, but the face keeps aging from there.[1]
It’s approved for smile lines and cheek wrinkles, and it works gradually, rebuilding the skin’s support over a few months.[6] For jowls themselves, filler or a lift does more.
Yes. Many people pair filler or Sculptra with a lift, or a mini facelift with a neck lift.
