Look. Feel. Live. Better
| Overview |
|---|
| Also Known |
| Common Causes |
| Affects |
| Primary Treatment Options |
| Time to See Results |
| Results Duration |
| Treatment Areas |
| Details |
|---|
| Jawline Sagging, Lower Face Drooping, Facial Jowling |
| Natural Ageing, Genetics, Sun Damage, Weight Loss |
| Adults Over 35, Both Men and Women |
| Thread Lifts, Energy Treatments, Surgical Lifting |
| 2 weeks to 6 months depending on treatment |
| 12 months to 15 years depending on method |
| Lower Face, Jawline, Upper Neck |
Understanding Sagging Jowls
Sagging jowls refer to the loose, drooping skin and tissue that develops along the lower jawline and upper neck area. This condition creates a loss of facial definition, making the jawline appear less sharp and the face appear older or heavier. Jowls form when the skin loses its elasticity and the underlying facial structures begin to descend due to gravity and natural ageing processes.
The development of jowls involves multiple facial layers including skin, fat, and the underlying SMAS (Superficial Musculoaponeurotic System) layer. As these tissues lose their structural support and elasticity, they begin to sag downward, accumulating along the jawline and creating the characteristic jowl appearance that can significantly impact facial harmony and self-confidence.
Jowl formation results from a complex combination of factors that typically work together to create progressive facial sagging. Understanding these underlying causes helps determine the most effective treatment approach for each individual’s specific concerns.
Natural Ageing Process represents the primary cause of jowl development. As we age, collagen and elastin production naturally decreases, leading to reduced skin elasticity and firmness. Additionally, the facial fat pads that provide youthful volume begin to descend and redistribute, contributing to lower face sagging and jowl formation.
Genetic Predisposition plays a significant role in determining when and how severely jowls develop. Family history often indicates the likelihood of early jowl formation, as genetic factors influence skin thickness, elasticity, facial bone structure, and the natural ageing timeline of facial tissues.
Environmental Damage accelerates jowl development through various mechanisms. Sun exposure breaks down collagen and elastin fibres, while smoking reduces blood circulation and accelerates skin ageing. These factors compound natural ageing processes, leading to earlier and more pronounced jowl formation.
Weight Fluctuations can contribute to jowl development in multiple ways. Significant weight loss may leave behind loose skin that lacks the elasticity to retract, while weight gain can stretch facial tissues. Repeated weight cycling can permanently damage skin elasticity, contributing to long-term sagging.
Facial Structure and Anatomy influence jowl susceptibility. Individuals with naturally weaker jawlines, less prominent cheekbones, or specific facial proportions may notice jowl development more readily than those with stronger underlying bone structure that provides better tissue support.
Jowl development typically begins in the mid-thirties to early forties, though the timeline varies significantly based on individual factors. Most people will experience some degree of jowl formation as part of the natural ageing process, with progression continuing throughout life without intervention.
Both men and women develop sagging jowls, though presentation patterns may differ. Women often notice changes during hormonal transitions such as menopause, when decreased oestrogen levels accelerate collagen loss. Men may develop jowls alongside overall facial ageing or following significant weight changes.
Certain lifestyle and occupational factors can accelerate jowl development. Individuals with high sun exposure, smokers, and those who have experienced significant weight fluctuations may notice earlier or more pronounced jowl formation than their peers with different lifestyle patterns.

How we at Shumaila’s can treat this
Begin with light treatments. Step up to advanced options. Consider surgical solutions when appropriate.
Excellent 4.9 out of 5
At Shumaila’s, we understand that jowl treatment requires a personalised approach based on the severity of sagging, skin quality, and individual aesthetic goals.
Our comprehensive range of solutions allows us to recommend the most appropriate treatment pathway for your specific concerns.
Non Surgical
First-Line Treatments

HiFu (High-Intensity Focused Ultrasound)
Advanced non-invasive technology that delivers focused ultrasound energy to deep tissue layers, stimulating natural collagen production and providing skin tightening effects. HiFu treatments target the SMAS layer without surgery, creating lift and firmness in the jowl area with no downtime required.
Ideal for
Mild to moderate jowl sagging with good skin quality
Results
Progressive improvement over 3-6 months
Duration
12-18 months with maintenance treatments

Morpheus8
Radiofrequency Microneedling Revolutionary fractional treatment combining precision microneedling with radiofrequency energy to remodel skin and underlying tissues. Morpheus8 stimulates deep collagen production while improving skin texture, providing both lifting and skin quality enhancement for jowl concerns.
Ideal for
Moderate jowl sagging with skin texture concerns
Results
Gradual improvement over 3-6 months
Duration
12-24 months depending on skin condition
Progressive Treatments
Advanced & Combinations

PDO Thread Lift
Minimally invasive treatment using biocompatible PDO (Polydioxanone) threads to provide immediate lifting and long-term collagen stimulation. Threads are strategically placed to lift sagging jowl tissue while stimulating natural healing responses that continue improving results over time.
Ideal for
Moderate jowl sagging requiring immediate lift
Results
Immediate lifting with continued improvement over 6 months
Duration
12-18 months with gradual absorption

RF Microneedling
Precision radiofrequency treatment that combines controlled micro-injuries with heat energy to stimulate natural healing and collagen production. This treatment improves skin texture, reduces fine lines, and provides mild skin tightening effects in the jowl and lower face area.
Ideal for
Skin quality improvement and mild tightening
Results
Progressive improvement over 2-4 months
Duration
6-12 months with regular treatments

Dermal Fillers (Jawline Enhancement)
Strategic placement of MHRA-licensed hyaluronic acid fillers to restore volume and definition to the jawline. While not directly treating jowl sagging, jawline enhancement can create better facial balance and make mild jowl sagging less noticeable.
Ideal for
Weak jawline contributing to jowl appearance
Results
Immediate enhancement with optimal results at 2 weeks
Duration
12-18 months depending on product used
Definitive Treatments
Surgical Solutions

Face and Neck Lift Surgery
Comprehensive surgical procedure that addresses jowl sagging through tissue repositioning, excess skin removal, and underlying muscle tightening. This definitive treatment provides the most dramatic and long-lasting improvement for significant jowl concerns and overall facial rejuvenation.
Ideal for
Significant jowl sagging, loose skin, and comprehensive facial ageing
Results
Immediate dramatic improvement with final results at 6-12 months
Duration
10-15 years of lasting transformation
Why choose Shumaila’s
for Your Jowls Treatment?
Frequent Asked Questions
The most effective treatment depends on several factors including the degree of jowl sagging, skin elasticity, age, and your desired outcome timeline. Patients with mild jowl sagging and good skin quality respond excellently to HiFu or Morpheus8 treatments. Those requiring immediate lifting benefit from PDO Thread Lift procedures. Patients with moderate to severe jowl sagging and loose skin achieve optimal results with surgical face and neck lift procedures. Our experienced practitioners will assess your specific anatomy during consultation to recommend the most appropriate treatment pathway for your individual concerns.
Results duration varies significantly by treatment type. Non-surgical treatments like HiFu and Morpheus8 provide results lasting 12-24 months, with maintenance treatments recommended to sustain improvements. PDO Thread Lift results last 12-18 months as threads gradually dissolve while stimulating ongoing collagen production. Surgical procedures like face and neck lift provide the longest-lasting results, typically maintaining significant improvement for 10-15 years. Maintaining stable weight, protecting skin from sun damage, and following aftercare recommendations helps maximise result longevity across all treatment types.
All jowl treatments at Shumaila’s are performed by GMC-registered practitioners using MHRA-licensed products and equipment in CQC-regulated facilities. Non-surgical treatments like HiFu and Morpheus8 carry minimal risks, with temporary redness, swelling, or mild discomfort being the most common side effects. PDO Thread Lift procedures involve slightly higher risks including bruising, asymmetry, or thread visibility, though these are rare with experienced practitioners. Surgical procedures carry standard surgical risks including anaesthesia reactions, bleeding, scarring, or nerve injury. We conduct thorough medical assessments and provide detailed risk discussions during consultation to ensure informed decision-making.
Recovery varies significantly by treatment type. Non-surgical treatments like HiFu have no downtime, while Morpheus8 may cause mild redness for 24-48 hours. PDO Thread Lift procedures involve 3-7 days of swelling and bruising with return to work after 2-3 days. Surgical procedures require 2-3 weeks initial recovery with gradual return to normal activities over 6-8 weeks. We provide comprehensive aftercare instructions including activity restrictions, skincare protocols, and follow-up appointments to ensure optimal healing and results throughout your recovery period.
Yes, jowl treatments often work synergistically with other facial rejuvenation procedures for comprehensive results. Popular combinations include HiFu with anti-wrinkle injections for complete facial tightening, PDO Thread Lift with dermal fillers for enhanced jawline definition, or face and neck lift with other surgical procedures for total facial transformation. Combining treatments can provide more comprehensive results while potentially reducing overall costs and recovery time. Our practitioners will discuss combination options during consultation, ensuring treatments complement each other safely and effectively for your desired aesthetic outcome
