How Do I Treat My Jowls? A Guide to Lower Face and Jawline Treatment
“How do I get rid of my jowls?” is one of the most common questions patients ask when they begin noticing changes in the lower face.
Jowls can make the jawline look less defined and can create a heavier or less contoured appearance around the lower cheeks and chin. But there is not one treatment that works for everyone.
The best way to treat jowls and lower-face laxity depends on what is causing the change. For some patients, the issue is primarily loss of volume. For others, it may be skin laxity, changes in facial fat, muscle activity, or a combination of several factors.
At The Beauty Source / Mashriqi Internal Medicine in Plainview, NY, we evaluate the lower face as a whole before recommending a treatment approach.
What Causes Jowls?
Jowls are usually the result of several normal changes that occur with aging.
As we age, we can experience:
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Loss of facial volume
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Changes in the distribution of facial fat
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Decreased collagen and elastin
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Skin laxity
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Changes in the supporting structures of the face
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Less definition along the jawline
Genetics, sun exposure, smoking, weight fluctuations, and overall skin health can also influence how early or prominently jowls develop.
This is why simply treating the area directly under the jaw is not always the best solution.
Can Botox Treat Jowls?
In selected patients, Botox or another neuromodulator may help improve lower-face definition.
One approach is treatment of the platysma muscle, sometimes referred to as a Nefertiti lift. Relaxing selected portions of the platysma may reduce downward pull along the lower face and jawline, potentially creating a more defined appearance.
Botox may also be appropriate when strong muscle activity contributes to the appearance of the lower face.
However, Botox does not remove loose skin or replace lost facial volume. Patients with significant skin laxity may benefit from a different treatment or combination approach.
Can Dermal Filler Treat Jowls?
Sometimes.
One of the most important concepts in treating the aging lower face is that you do not necessarily want to put filler directly into the jowl.
For certain patients, restoring strategic support to areas such as the chin, prejowl sulcus, or jawline can improve facial proportions and create a more defined lower face.
This is sometimes referred to as lower-face contouring or a liquid facelift.
The goal is not simply to add volume. The goal is to strategically restore structure and balance while maintaining a natural appearance.
Too much filler, particularly in the wrong location, can make the lower face appear heavier rather than more defined.
What About Sculptra for Jowls?
Sculptra® is another option that may be considered for appropriate patients.
Rather than functioning like a traditional hyaluronic acid filler, Sculptra works by stimulating collagen production over time. This can gradually improve aspects of facial volume, skin quality, and support.
Sculptra is not an instant “jowl remover.” Instead, it can be part of a longer-term treatment plan for patients experiencing age-related changes in the face.
Can Skin Tightening Help Jowls?
If skin laxity is a major contributor to your jowls, skin-tightening treatments may be considered.
Energy-based treatments can be used to encourage collagen remodeling and improve the appearance of skin laxity in appropriately selected patients.
At The Beauty Source, we may also discuss Fotona® laser treatments when appropriate for facial and lower-face rejuvenation.
The ideal treatment depends on the degree of laxity and the patient's anatomy.
What If I Have Jowls After Losing Weight?
Significant weight loss can change the appearance of the face.
When facial volume decreases, some patients notice more loose skin or reduced support along the cheeks, chin, and jawline. This can make jowls more noticeable.
In this situation, simply adding filler to the jowls may not be the best approach.
A personalized assessment can help determine whether the primary concern is:
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Loss of facial volume
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Loose skin
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Changes in fat distribution
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Reduced jawline support
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A combination of these factors
Depending on the findings, treatment may involve injectables, collagen-stimulating treatments, skin tightening, or a combination approach.
Can You Treat Jowls Without Surgery?
Yes, depending on the severity and cause.
Non-surgical options may include:
Neuromodulators: May help when muscle activity contributes to lower-face changes.
Dermal fillers: Can restore strategic support and improve chin, prejowl, or jawline definition in appropriate patients.
Sculptra: Can stimulate collagen production and provide gradual improvement in facial support and volume.
Laser and skin-tightening treatments: May help improve skin quality and mild-to-moderate laxity.
Combination treatments: Many patients benefit from addressing more than one component of facial aging rather than relying on a single treatment.
It is important to have realistic expectations. Non-surgical treatments can improve the appearance of jowls, but they cannot reproduce the results of a surgical facelift when significant excess skin is present.
What Is the Best Treatment for Jowls?
There isn't one universal “best” treatment for jowls.
The right treatment depends on what is creating the appearance of your lower face.
For example:
If muscle activity is contributing: A neuromodulator may be considered.
If structural support has been lost: Strategic dermal filler may help restore definition.
If collagen and volume loss are prominent: Sculptra or another collagen-focused treatment may be considered.
If skin laxity is the primary concern: A skin-tightening or laser treatment may be more appropriate.
If several changes are present: A combination approach may provide the most balanced result.
This is why an in-person assessment is so important.
What About a “Liquid Facelift” for Jowls?
A liquid facelift is a non-surgical approach that uses strategically placed injectables to address multiple signs of facial aging.
Rather than focusing only on the jowls, treatment may address areas such as the cheeks, chin, prejowl area, and jawline to improve overall facial balance.
The goal is not to make the face look “filled.” Instead, the goal is to restore proportion and support while maintaining your natural facial expressions and features.
When Should I Consider a Surgical Facelift?
For patients with significant skin laxity, substantial jowling, or excess skin, a surgical facelift may provide a more significant and long-lasting result than non-surgical treatments.
Non-surgical treatments are best suited to patients who want improvement without surgery and who have anatomy that is appropriate for injectable or energy-based treatment.
A good consultation should include an honest discussion of what can—and cannot—be achieved without surgery.
Treating Jowls in Plainview, NY
If you're searching for jowl treatment in Plainview, NY, jawline contouring in Long Island, or non-surgical lower-face rejuvenation near you, The Beauty Source / Mashriqi Internal Medicine offers individualized aesthetic consultations.
Our approach is to first determine why your lower face has changed and then recommend treatments based on your anatomy, goals, and comfort level.
You may not need more filler. You may not need Botox. And you may not need treatment at all.
Sometimes the best aesthetic plan is the one that makes a subtle improvement while still allowing you to look like yourself.
Frequently Asked Questions About Jowl Treatment
Can Botox get rid of jowls?
Botox cannot remove loose skin or excess tissue, but it may improve lower-face definition in selected patients when muscle activity contributes to the appearance.
Is filler good for jowls?
Filler can be helpful for some patients, particularly when loss of structural support contributes to lower-face changes. Strategic placement is important because placing too much filler directly in the jowl can potentially make the area look heavier.
What is the best non-surgical treatment for jowls?
There is no single best treatment. The ideal option depends on whether the primary issue is volume loss, skin laxity, muscle activity, fat distribution, or a combination.
Can Sculptra help with jowls?
Sculptra may be considered when gradual collagen stimulation and restoration of facial support are appropriate. Results develop gradually rather than immediately.
Can jowls be treated without surgery?
Mild to moderate lower-face changes can often be improved with non-surgical treatments. More significant skin laxity may require surgical consultation for the most substantial correction.
Ready to Find Out What Is Causing Your Jowls?
If you're not sure whether you need Botox, filler, Sculptra, laser skin tightening, or a combination treatment, a personalized consultation is the best place to start.
At The Beauty Source / Mashriqi Internal Medicine in Plainview, NY, we can evaluate your lower face and discuss options designed to create natural-looking jawline definition without a one-size-fits-all approach.
The Beauty Source / Mashriqi Internal Medicine
1120 Old Country Road, Suite F
Plainview, NY 11803
929-390-2862