Illustration of facial aesthetic treatments

I WANT TO MAKE MY JOWLS DISAPPEAR : WHAT TO DO ?

Dernière mise à jour : 8 July 2026

Jowls involve sagging skin and tissues in the lower face along the jawline. They reflect lost contour definition, making the face look less firm and sometimes tired. Their development is multifactorial :
• Skin ageing : collagen and elastin production naturally decreases with age.
• Volume loss : subcutaneous fat that once supported the face diminishes and slides downwards.
• External factors : smoking, sun exposure, inactivity and oxidative stress accelerate this process.
• Genetics and morphology.
Jowls are therefore more than an aesthetic sign : they reflect a gradual imbalance between the skin, muscles and underlying volume.

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How can jowls be removed without surgery ?

Many patients seek more defined facial contours without a surgical lift. Aesthetic medicine now offers effective, non-invasive and personalised options. 

Hyaluronic acid injections to remove jowls

Hyaluronic acid, a molecule naturally present in the skin, is injected to restore volume, rebalance structures and support tissues. It acts in several ways when treating jowls. It restores shape to the cheekbones and malar area, tightening sagging tissues. It reshapes the jawline to recreate clear separation between face and neck. Finally, it fills certain hollows, such as marionette lines, whose depth increases the impression of laxity.
For jowls hyaluronic acid is particularly used in non-surgical lifting techniques that reposition fat which has shifted downwards.
Results are immediately visible. Facial contours look more defined and skin firmer. The result is natural, expressions are preserved.

Are Skinboosters effective for eliminating jowls ?

For patients whose skin has lost firmness and hydration, Skinboosters provide an effective complementary option. These fluid hyaluronic acid injections deeply rehydrate the dermis and stimulate fibroblasts, the cells responsible for collagen production. Skin becomes denser and firmer, resisting gravity better.
Meanwhile, certain biorevitalisation treatments or collagen stimulators, such as Sculptra, encourage longer-lasting collagen production. Their gradual action contributes to a natural lifting effect that complements and prolongs Skinbooster benefits.

When should a jowl lift be considered ?

When skin laxity is too pronounced, aesthetic medicine may reach its limits. In this situation, a face and neck lift remains the most effective option. It tightens skin, repositions volume and provides comprehensive, stable and lasting rejuvenation. Unlike non-invasive techniques that act through gradual stimulation, surgery directly addresses deep facial structures.
However, it involves anaesthesia, surgery and postoperative recovery. It is therefore indicated when laxity is too advanced for medical treatments alone. Performed with judgement, a face and neck lift gives a natural, harmonious result that can subsequently be maintained through appropriate aesthetic medical care.

What is the best treatment for getting rid of jowls ?

No standard protocol suits every patient. The treatment strategy must always be based on personalised assessment.
Age is an initial criterion because it influences the extent of laxity and the response to treatments.
Skin quality, thickness and density also influence which techniques are preferred.
The degree of sagging naturally guides the level of intervention, while personal expectations determine whether the aim is subtle, gradual improvement or a more pronounced result visible quickly.
A medical consultation is therefore essential. It allows precise clinical assessment and development of a tailored treatment plan. This may involve one technique or a considered combination of approaches for an optimal, harmonious and lasting result.

How should jowls be treated according to age ?

Jowls do not appear suddenly : they develop gradually and manifest differently across the decades. Adapting treatment to each age is essential for natural results.

Between 30 and 40 : prevention

At this age, jowls are generally not pronounced. There is usually subtle firmness loss, sometimes intensified by morphology or lifestyle factors such as smoking, stress or sun exposure. The main aim is preventing sagging and improving skin quality. Suitable treatments include Skinboosters, collagen stimulators, radiofrequency and hyaluronic acid injections. The expected result is firmer skin, maintained contour definition and prevention of laxity.

Between 40 and 50 : mild correction 

The first visible signs often appear around forty : marionette lines deepen and the jawline loses definition. The aim is to correct these changes by restoring lost volume and reshaping contours. Options include targeted hyaluronic acid injections (cheekbones, jaw angle, marionette lines, lifting technique), laser photorejuvenation and collagen stimulators. The expected result is subtle rejuvenation and visible but natural improvement.

Between 50 and 60 : moderate laxity

At this stage, jowls are generally established and become a frequent concern. The face loses definition and may look tired. The aim is to tighten and reposition tissues. Care combines hyaluronic acid injections, tissue stimulators and laser photorejuvenation. The expected result is a restructured face, more defined contours and visibly reduced jowls.

After 60 : advanced laxity 

From 60, medical treatments are often no longer sufficient. Skin becomes thinner, volumes shift and jowls are often pronounced. The aim is then to improve skin quality and, according to expectations, consider surgery such as a face and neck lift. However, combined medical protocols (injections, laser, collagen stimulators) can provide notable improvement. 

Why is personalised treatment essential ?

Every patient is unique : morphology, skin quality, degree of laxity and personal expectations. A standard protocol therefore cannot suit everyone. The doctor's role is to design a personalised strategy.
A careful examination assesses :
• Skin quality : thin or thick skin, superficial wrinkles and degree of elasticity.
• Facial volume : fat resorption, tissue migration and any asymmetry.
• Facial morphology : angular or round face, projecting or recessed chin and the jaw's role in contour definition.
• Lifestyle habits : sun exposure, smoking, weight loss and physical activity.
This examination is fundamental to selecting the right technique and avoiding artificial results.

Dr Valeria Romano

Article written by Dr Valeria Romano

Dr Valeria Romano supports each patient through a comprehensive approach to facial, body and intimate aesthetics, as well as skin and hair quality. Every treatment is based on a personalised medical assessment.

Learn more about Dr Valeria Romano
Contact Dr Valeria Romano : +41 78 209 02 89 dr.romano.valeria@gmail.com

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