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Non-Surgical Jowl Lift for Sagging Jowls 

Jowl Lift with Thread Lift, HIFU Tightening or Jowl Fillers

Chances are, when you look in the mirror and pull your facial skin back, you are trying to lift the sagging caused by the jowl and marionette fold. Surgery is an option. However, you can restore jawline definition and improve the appearance of saggy jowls with a non-surgical jowl lift. There are several treatment approaches to tighten jowls with minimal downtime. These include filler for jowls placed on the jawline and chin, thread lifts, HIFU skin tightening, dermal filler in the cheeks to lift the jowl, liposculpture and clever use of anti-wrinkle injections. There are also surgical approaches for treating sagging jowls, such as liposuction and facelifting.

So how do you work out the best non-surgical jowl lift? And when is it time for a surgical approach? The answers depend on how advanced the jowl sagging is and the degrees of volume loss across your face. Below is an outline of treatment options we offer at Pearl Clinic. But first, a little understanding of what causes sagging jowls?

For a free consultation with our Doctors, call us on 07 33505447 or book online.

PDO threads for jowls before and after photo.

*PDO thread jawline tightening – results are individual

Jowl thread lift before and after photo.

*Jowl lift with PDO threads – results are individual

Jowl thread lift before and after photo.

*Non-surgical jowl lift with MINT Threads – results are individual

Thread lift for jowls before and after image.

*Thread lift jowls – results are individual

Jawline definition from jawline and chin filler.

*Jawline and chin filler – results are individual

What Causes Sagging Jowls?

The sagging of jowls occurs from a cumulative effect of time on your face’s skin and soft tissue. As we get ‘less young’, there are changes to the youthful contours and proportions. The two factors responsible for jowls are increased skin laxity and redistribution of facial fat down the face under the influence of gravity. The result is a change in the balance of the face. Instead of a youthful triangle, with the broadest part of the face in the midface, the triangle becomes inverted with widening the lower face. (pyramid of age)

  • Increased laxity of the connective tissue in our face occurs in all layers of connective tissue. So not only does the skin on the surface become lax,  retaining ligaments, which connect the bone to surface skin layers and maintain your facial shape, also droop. The increased laxity means things are not held quite so tightly and slip down with the pull of gravity.
  • Facial fat decreases; not only is there less of the lovely subcutaneous fat, but deeper facial fat pads, which are responsible for youthful facial curves and plumpness, also start to shrink and move down your face.  The repositioned fat pads begin to form more discrete pockets lower in the face and neck. This downward slipping of fat pads causes several telltale signs of facial ageing, including nasolabial folds, marionette lines, flattening of the cheek area and the jowl line. Jowls begin to appear in your late ’30s to early ’40s with a resulting loss of jawline definition. As time progresses, the sagging jowl line become more evident!
  • The jowls start to blend to the neck (as fat also accumulates here), blurring a straight jawline and causing the so-called “turkey neck.”  We commonly consider treatment for a sagging neck and jowl together.

To return a more defined jawline, we need to address tissue laxity and facial fat redistribution: Essentially, we aim to rebalance the facial features to create a more harmonious youthful appearance. A combination of modalities is complementary as each works in different skin layers.

Sagging Jowls Treatment Modalities

  1. Increase volume higher up in the face as this has a domino effect, lifting all facial vectors higher: e.g. placing filler in cheeks to lift jowl.
  2. Lifting techniques – PDO thread lift for jowls and surgical lifting.
  3. Skin tightening to address skin laxity – such as RF skin tightening.
  4. SMAS tightening – using HIFU facial treatment or surgical lifting.
  5. Restoring jawline definition –
  • Fillers can be placed along the jawline and chin. Filler for jowls and marionette lines can return a more defined and sharper look to the jaw and chin.
  • Local liposculpture or Lipodissolve are used to remove discrete deposits of fat under the chin and jawline.
  • Neuromodulators relax the muscles in the neck and jawline to allow the muscles in the face to pull structures back up. (Nefertiti lift)

For a free consultation with our Doctors, call us on 07 33505447 or book online.

*Thread lift for sagging neck and jowls – results are individual

Jowl filler before and after image with filler in cheeks, jawline and chin.

*Jowl lift with filler placed in cheeks, jawline and chin- results are individual

*Thread jowl lift defining jawline – results are individual

Non-surgical approach to jowl lifting, before and after thread lift.

*Thread lift jowls – results are individual

*Marionette line fillers – results are individual

Non-surgical jowl lift with threads before and after image.

*Jowl lift with MINT threads -results are individual

Before and after treatment to improve jawline definition with anti-wrinkle and filler.

*Filler and anti-anti wrinkle treatment for jawline definition – results are individual

How to Approach a Non-Surgical Jowl lift

The best treatment approach depends on how much loose skin is present and if you require other areas of the face treated.

  • A non-surgical jowl lift is easier to achieve with the early loss of jawline definition. That is to say; jowl tightening is easier the earlier you treat the sagging and simply using filler in the jowls may achieve adequate jawline definition.
  • HIFU tightening is also best in younger women. HIFU can also be combined with PDO threads for the Korean V Lift.
  • The best treatment for sagging neck and jowls is different from treating loss of cheek volume and jawline definition together. In the former, something like a barbed thread lift or HIFU tightening would be more appropriate. Whereas the latter dermal filler would address both cheek and jowl sagging.
  • Not only does filler in cheeks help lift the appearance of jowl and nasolabial fold, but it can also be combined with jawline filler for superior results.
  • For advanced skin redundancy, surgical face and neck lift might be indicated.

However, the best non-surgical jowl lift requires combinations of treatments. So let us run through some of the modalities to recreate jawline definition.

Dermal Fillers for Jowls.

Fillers can be used in a couple of ways to restore the lower face to create a more balanced and youthful look.  They can be placed directly in the lower face on the jawline and chin or into the cheeks.

Filler For Jowls and Marionnette Lines

When the dermal filler is used as a jowl filler, it is injected along the jawline in the pre-jowl sulcus and the marionette lines to regain jawline definition. Treatment of jowls with jawline fillers often involves treating the chin area as well.  Restoring volume to the chin and under the marionette areas to plump them out, lessen their appearance, and return an upturn to the sides of the mouth.

Filler in Cheeks to Lift Jowls

The aim of using filler in the midface, is to place dermal filler in the cheeks to lift jowls. This technique is beneficial if there is significant flattening of the cheeks. Restoring volume in the cheeks has the effect of raising not only jowls but also nasolabial lines. However, it does not create significant lifting and must be combined with other treatments, such as filler in jowls or a thread lift. So why does contouring the midface with cheek fillers improve the appearance of the lower face? Because when you create a lift to the retaining ligaments in the cheeks, it has a domino effect lifting across the whole face.

Thread  Lift Jowls:

There are two types of thread lift procedures for sagging jowls. The first is PDO threads, and the second is lifting threads such as MINT threads.

  • PDO threads are best used for skin laxity and as a skin tightening treatment.  Their action is centred around the subcutaneous fat layer. It is best to think of  PDO Threads as jowl tightening, and any lifting effect you get from PDO threads is a bonus.
  • On the other hand, MINT lifting threads are designed for skin redundancy and are designed to lift. A MINT thread lift is a non-surgical approach to create a defined jawline and lift the jowls.  MINT threads provide excellent lower face lifting and jawline definition. Once again, even MINT threads are often combined with filler in cheeks or jawline.

Jowl tightening with HIFU

Treatments such as HIFU or Ultherapy are used to lift a sagging jawline.  HIFU works by tightening the SMAS ( connective tissue sheet extending from your neck to forehead). It can be combined with PDO threads. However, you will not achieve the same degree of jowl lift as supplied by facial threading or facelift, so this treatment is usually used in women with jowls in their 30’s and 40’s.

Liposculpture or Lipodissolve to Remove Fat Pockets

Double chin and jowls can be dissolved or removed with facial liposculpture.  Liposculpture is a handy technique that reduces accumulated fat pockets in the lower face and chin to create a more defined jawline and neck. Once again, liposculpture is usually combined with thread lifting, HIFU or dermal fillers.

Muscle relaxants for Sagging Neck and Jowl

As a novel treatment, muscle relaxants used into the neck and lower face (Nefertiti Lift) assist a jowl and neck lift. The effectiveness of this approach depends on the pull of the antagonist’s muscles in the face. I.e. once you relax the muscles in the neck and lower face, you need muscles in your face to pull up. This procedure creates a modest jowl lift and is seldom used as a stand-alone treatment.

Surgical Jowl Lift

Facelifts are the ultimate for advanced jawline disruption.  There are costs and downtime involved with this approach, but when jowls are advanced non-surgical procedures will not provide suitable lifting. Surgical lifting does address skin redundancy and skin laxity. However, it does not replace volume, so facelifts are often combined with fat transfer or dermal fillers to rebalance facial contours. We can provide a referral to plastic surgeons for a surgical jowl lift.

Which Treatments to Avoid with Jowl lift?

Most often, our doctors recommend combination face contouring treatments to return more jawline definition. However, some therapies are contraindicated for the neck and jowl area treatment because instead of creating a more refined appearance, they exaggerate the heaviness in the jaw area. Procedures that can make sagging worse include jawline slimming with masseter injections. Similarly, excessive use of filler worsens the appearance of jowls, exaggerating a square rather than v shape to the jawline.

For a free consultation with our Doctors, call us on 07 33505447 or book online.


The sagging of jowls results from laxity in connective tissue and the pull of gravity as we get less young. They appear in the late ’30s to early ’40s with a loss of definition to the jawline. You can restore jawline definition and improve the appearance of saggy jowls with a non-surgical jowl lift.

    • A combination of modalities is complementary as each works in different skin layers.
    • Facial fillers can be used to return a more defined jawline, either used in the jaw and chin or the cheeks. In addition, contouring the upper face improves the appearance of the lower face.
    • HIFU tightening works on SMAS and retaining ligaments and is best for early jawline sagging.
    • There are two types of thread lift procedures for the sagging jawline.
    • PDO threads act through jawline tightening by placing about 100 floating threads in the lower face.
    • MINT lifting threads, lift facial fat pads back up the face, by placing longer barbed threads under the skin.
    • Liposculpture or Lipodissolve removes pockets of accumulated fat in the lower face and chin.
    • Muscle relaxants used in the neck can assist in restoring a more defined jawline.

Facelifts are the ultimate for advanced jawline disruption, as when jowls are advanced non-surgical procedures will not provide sufficient lifting.


The triangle of youth refers to the proportions in a young woman face, where the widest part of the face is the cheeks. As we age and the fat pads descend the face, the triangle becomes inverted, as the jowls and neck widen and become more square. This is referred to as the pyramid of age.

Facial thirds; for aesthetic purposes, we divide the face into thirds, the upper, middle and lower face.

Youthful arcs and curves: Youthful appearance is defined by a continuous smooth outer frame of the face. A defined jawline and the s-curve of the cheek in profile – (the ogee curve) are considered the two main features of youthful beauty.

Marionette Lines: refer to the vertical lines that run from the mouth’s outer corners and the chin.

Nasolabial fold: fold that developed between the nose and the mouth; as facial fat pads move down. The fold is caused by a retaining ligament anchoring the tissue to bone, so the fat folds over the fixated ligament.

Facial fat pads are deeper collections of fat that give shape, volume and definition to your face. They are held in place by retaining ligaments. As a result, they are distinct from the subcutaneous fat layer distributed over the face just under the skin.

Retaining Ligaments; Are ligaments in your face that extend from the bone to the dermis in your skin. They separate your facial fat pads into compartments and are responsible for holding facial structures firm.

HIFU: High intensity focussed ultrasound. A cosmetic treatment used for skin tightening. HIFU principally acts on the SMAS and retaining ligaments. The tightening effect is caused by collagen contraction.

PDO threads: Polydioxane threads are cosmetic facial threads that were popularised in Korea. They are placed in the subcutaneous fat layer. Although their use in cosmetic medicine is relatively new, PDO has been used as a suture material for decades and was adopted into aesthetics because they stimulate a healing response and new collagen deposition.

SMAS or the superficial musculoaponeurotic system is a connective tissue sheet that extends from the neck to the forehead. It consists of collagen and elastin fibre and connects facial muscles to the skin – so it is responsible for transmitting expression.

For a Free Consultation call us on 07 3350 5447  
* MEDICAL DISCLAIMER: Results of treatments vary from person to person. The information on this website is not intended to be a substitute for professional medical advice. All content and information contained or available through this website are for general information and educational purposes only.  The information, including products, services and treatments discussed, are not meant to diagnose, treat, cure or prevent any condition or disease. Statements on this website are not a substitute for consulting a registered Medical Professional or Physician.