Skin sagging of the face results from a combination of biological and mechanical transformations that gradually develop with age. The skin loses density and elasticity, the deep volumes shift, the bone structures evolve, and the muscles lose their tone. The visible result is a loss of overall harmony, marked by a subtle and then more pronounced sagging of different areas of the face. This phenomenon, natural but often difficult to accept, is one of the main reasons for consultation in aesthetic-oriented medicine.
The appearance of the first signs is rarely sudden. It first manifests as a subtle change in the definition of the facial contour, less toned skin and softer outlines. Jowls begin to form, the nasolabial folds become slightly more pronounced, and the entire face appears less supported. A global and thoughtful approach is important to propose an appropriate treatment plan.
The associated pages detail the different therapeutic approaches available to correct skin sagging and restore the facial contour. They explain the principles of reshaping, rejuvenation, jawline redefinition, Texas Face, jawline contouring, as well as the specific indications for hyaluronic acid injections dedicated to this area.
The aging of the skin is influenced by intrinsic and extrinsic factors that accumulate over time. On a biological level, the progressive reduction in the production of collagen, elastin and hyaluronic acid contributes to the thinning of the dermis and the loss of firmness. To this is added the natural evolution of the facial fat tissues : some compartments resorb while others shift downward, modifying the fat distribution of the face.
Hormonal variations, exposure to the sun, smoking, oxidative stress and weight fluctuations can accelerate this process. The bony support itself changes with age, particularly in the jaw and cheekbone areas, contributing to the evolution of the facial contour.
Understanding this complex interaction between skin, fat, muscles and bone structure helps to consider adapted and logical solutions.
Skin laxity manifests differently from one person to another. Some first exhibit a loss of definition of the mandibular line, while others notice a sagging of the mid-face or a loss of support in the temporal area. The most frequently affected zones are the facial contour, the cheekbones, the temples, the nasolabial fold and the lower third of the face.
These changes often give the face a tired or less dynamic appearance. Yet these signs do not necessarily reflect the patient’s overall condition. An adapted approach makes it possible to restore the initial balance without altering the personality of the face.
Before any treatment, a rigorous analysis of the face is essential. It makes it possible to identify areas of loss of support, variations in volume, structural imbalances and muscular dynamics. This personalized approach takes into account the morphology, the history of each patient and their personal goals.
An effective treatment plan is based on this detailed analysis, which guides intervention strategies in order to obtain a harmonious, natural and lasting result. The objective is never to transform a face, but to restore its coherence and freshness.
The hyaluronic acid is one of the key techniques for correcting skin laxity. Thanks to its biomechanical properties, it helps restore lost volume, support the tissues, redefine contours and improve the definition of the facial oval.
Depending on the area to be treated, different types of hyaluronic acid may be used : some provide deep support, others reinforce superficial structures. Injections are often performed in the cheekbones, temples, jawline or chin, taking into account the anatomical logic specific to each face.
This controlled and precise approach offers discreet, adjustable results that remain perfectly coherent with the patient’s natural expression.
The botulinum toxin does not act directly on skin quality, but it can complement the management of skin laxity by modulating certain muscular contractions responsible for worsening sagging.
An excess of tension in the platysma muscle can impair the sharpness of the facial oval. Targeted modulation can therefore help restore balance between the muscular forces of traction and support, optimising the action of other treatments.
Botulinum toxin is indicated exclusively for the temporary improvement of the appearance of the platysma if it is moderately to highly visible during maximum contraction and causes significant psychological distress in adult patients.
Skin laxity is not just a matter of volume. Skin quality, thickness and radiance strongly influence the perception of firmness. When relevant, complementary treatments may be proposed : mesotherapy, Skinboosters, photorejuvenation lasers, suitable peelings or revitalisation techniques.
These treatments stimulate collagen production, improve firmness and provide a more homogeneous result, in perfect synergy with volume-correction techniques.
The loss of definition of the facial oval is among the most common concerns. Depending on the patient, objectives may vary : restoring natural support to the lower third of the face, harmonising the lower face, or accentuating the mandibular structure in a more defined style.
Concepts such as jawline contouring or the Texas Face fall within this search for stronger definition, while other approaches favour a more subtle rejuvenation. Each technique has its own indications and will be detailed in the dedicated pages.
The face is a unique whole. Treating only one area without considering its interactions with other structures rarely leads to an optimal result. A global, progressive and personalised strategy, on the contrary, makes it possible to restore natural harmony, without excess or artificiality.
The quality of a treatment relies on understanding the patient’s expectations, on clinical examination and on mastery of injection techniques. The goal remains constant : to enhance without transforming, to rejuvenate without freezing, to beautify while respecting the singularity of the face.
The sagging of the facial oval corresponds to the loss of firmness and definition of the contours, particularly in the jawline, cheeks and lower face. It is caused by the descent of the tissues and by the reduction of collagen, elastin and subcutaneous fat.
It generally appears between the ages of 35 and 45, but it depends on genetic and hormonal factors and on lifestyle (smoking, sun exposure, stress, weight loss, etc.).
The first signs are a less defined jawline, early jowls, a slight sagging of the cheeks, a loss of volume and less harmonious contours.
The causes are multiple : natural skin ageing, loss of collagen and elastin, depletion of the facial fat compartments, muscular relaxation, sun exposure, lifestyle and weight fluctuations.
Prevention relies on a healthy lifestyle, sun protection, hydration, appropriate dermatological care and, in some cases, light medical treatments to stimulate collagen synthesis.
The main solutions are hyaluronic acid injections, collagen stimulators, thread lifts, radiofrequency, focused ultrasounds (HIFU) or sometimes a combination of several techniques.
Yes. Hyaluronic acid restores volumes, reshapes contours and supports the tissues. It helps improve the jawline, the cheeks and early jowls in a natural and progressive way.
