REMOVE JOWLS : MINI FACELIFT

What are jowls ?

Jowls are small fatty deposits located on either side of the chin that extend beyond the mandibular line, causing a loss of definition in the jawline.

This unaesthetic feature represents the ultimate stage of facial oval sagging and is often associated with the appearance of a double chin. The jawline loses its definition, and the face appears sad and tired.

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Key Points

Make jowls disappear in Geneva 

What is sagging of the jawline ? Loss of definition in the jawline refers to the loss of firmness and contour in the jaw and facial outlines, often accompanied by the appearance of jowls — localized fat deposits that weigh down the jawline.

From the age of thirty, the first wrinkles appear, and from the age of forty, sagging begins.

The face becomes square and tired. The treatment of sagging jowls is a common request in aesthetic medicine.

How to lift a sagging face? How to lift jowls without surgery? Several non-invasive techniques exist: hyaluronic acid injections to sculpt the jawline, thread lift, radiofrequency treatments. These methods aim to redefine the jawline and improve skin elasticity.

image causes oval loosening

Why do I have jowls ? Why does the jawline sag ?

The appearance of jowls is essentially linked to facial aging. With age, the production of collagen and elastin decreases, leading to a loss of skin firmness and elasticity. Other changes are also involved.

  • Descent of malar fat : the fat in the cheekbone area gradually descends and, in its final stage, extends beyond the mandibular line.
  • Loss of bone support : the mandibular bone becomes thinner, and its length and height decrease.
  • Structural changes : the lower border of the jawline loses its definition because the jaw angle increases with age, and the skin becomes less firm, less toned, and less elastic.

Other factors, such as sun exposure, smoking, and poor lifestyle habits, which accelerate skin aging.

  • Gravity, which gradually pulls the skin downwards.
  • Weight fluctuations.
  • Certains facteurs environnementaux, comme l’exposition au soleil, le tabagismes, une mauvaise hygiène de vie, qui accélèrent le vieillissement de la peau.

What are jowls made of ?

The jowls are mainly made up of :

  • Tissu adipeux (graisse) : les bajoues contiennent une quantité significative de tissu adipeux qui s’accumule et provoque un affaissement de cette zone.
  • Cutaneous tissue (skin) : the skin covering the jowls loses its elasticity and firmness over time, contributing to the appearance of sagging jowls.
  • Tissu conjonctif : ce tissu, composé de collagène et d’élastine, donne à la peau sa fermeté et son élasticité. Avec l’âge, la production de collagène diminue, ce qui entraîne un relâchement de la peau.

What exercises help with jowls ?

Some facial exercises can help strengthen facial muscles and improve blood circulation, but their benefits on skin tone in the jowl area remain minimal.

  • Exaggerated smile : smile as widely as possible without showing your teeth.
  • Le baiser vers le plafond : inclinez légèrement la tête vers l’arrière en regardant le plafond. Poussez vos lèvres vers le haut comme si vous essayiez d’embrasser le plafond.
  • Tongue resistance : press your tongue as firmly as possible against the roof of your mouth
  • Le poisson : aspirez vos joues vers l’intérieur pour faire un visage de poisson.
  •  Le ballon de baudruche : gonflez vos joues en prenant une grande inspiration. Déplacez l’air d’une joue à l’autre lentement.

Stages of severity of jowls and sagging of the jawline

photo oval release

Le relâchement de l’ovale du visage et les bajoues s’aggravent avec le temps.

Au stade initial, on constate une légère perte de fermeté et d’élasticité de la peau, due à la diminution progressive du collagène. À ce stade, les contours du visage commencent à s’affaisser subtilement, mais restent encore relativement bien définis.

The intermediate stage is characterized by more pronounced sagging — the jowls become visible, and the mandibular line begins to lose its sharpness.

Au stade avancé, le relâchement est significatif, les bajoues tombent de manière marquée et l’ovale du visage apparaît fortement altéré, donnant au visage un air fatigué et vieilli.

Five stages of the phenomenon are described.

  • Stage 0 : no sagging of the mandibular line.
  • Stage 1 : slight sagging of the mandibular line.
  • Stage 2 : moderate sagging of the mandibular line.
  • Stage 3 : deep sagging of the mandibular line.
  • Stage 4 : very deep sagging of the mandibular line.

How to re-tighten the jawline without surgery ?

Advancements in aesthetic medicine make the treatment of jowls (removal or improvement) possible.
A cervico-facial lift without surgery is now achievable.
In the past (and unfortunately still today), there was a tendency to fill the hollows before and after the jowl with hyaluronic acid injections. This weighs down and puffs up the face by widening the lower third. Doctor Romano uses two techniques to treat jowls. She begins with the medical lift technique, which she completes with the Abeille Lift technique.

How to lift jowls without surgery ? Remove jowls through hyaluronic acid injections

Jawline redefinition techniques are personalized to address the specific needs of each patient. This allows for natural results adapted to each face’s unique characteristics.

photo lift oval sagging face

Hyaluronic acid injection is the flagship method for treating jowls and restoring the jawline.

Doctor Romano first performs a medical lift technique. The 8-point face lift has a lifting effect on the descended fat. The injection is performed with a needle using a fairly firm product injected deeply.
This technique is complemented by filler injections intended to replace the fat and bone that have disappeared over time. The injection sites depend on the patient's anatomy.

The doctor’s expertise is essential to achieve a harmonious result. In fact, this technique is not performed by all practitioners and requires specific expertise.

hyaluronic acid photo injection for oval sagging

How to lift a sagging face ?

The 8-point lift acts on fat, and it is evident that the skin follows the fat and will be lifted at the same time.
Nevertheless, sagging of the skin itself — due to skin thinning — is treated with the technique developed by doctor Romano, the ‘Bee Lift’’. Injections, designed in a pattern reminiscent of a spider web or honeycomb, will be performed in a targeted manner and adapted to each face. The hyaluronic acid used must contain very fine particles and will be injected into different skin layers depending on the patient’s needs.
A failed injection swells and deforms the face, hence the importance of consulting an experienced practitioner.

Before/after results of sagging jawline treatment

The result on the jawline is immediate and lasts for one year.

Patients describe :

  • A feeling of facial rejuvenation, a fresh and rested appearance. The face looks less sad and tired, becomes more radiant and youthful.
  • Disappearance of jowls : depending on the stage of severity, the jowls will be improved or completely erased.
  • A slimming effect on the face.
  • A lifting and tightening effect.
  • An improvement in skin quality. Hyaluronic acid injections stimulate collagen production, thereby improving the skin’s overall texture in the long term.

The goal of the treatment is to restore the patient’s original anatomy and re-establish the triangle of youth
A failed injection weighs down, swells, and distorts the face

How long do treatment results last ?

The duration of results depends on the treatment chosen. The results of filler injections typically last around twelve months.

What is the cost of a lower face medical lift ?

The treatment of jowls with hyaluronic acid aims to restore tension in the facial oval by filling volume loss and redefining the mandibular contours. The price of a hyaluronic acid injection to correct jowls is 600 CHF per syringe.
The number of syringes required varies depending on facial anatomy, the degree of skin laxity, and the desired aesthetic effect. In some cases, a more complete correction may require a larger volume, combined with additional injections in the cheeks, jaw angle, or chin.
The total cost of the treatment is determined after the medical consultation, based on a personalized plan. This pricing is always communicated clearly and transparently.

Jowl treatment : reviews

Patient reviews :

  • Satisfaction générale : la plupart des patients sont très satisfaits des résultats obtenus, ils décrivent une amélioration de la fermeté et de la définition de l’ovale du visage.
  • Self-confidence : many patients feel younger and more attractive.
  • Natural results : the face is rejuvenated in a natural way.
  • Treatment experience : patients generally appreciate the speed and simplicity of the treatments, which are non-invasive and provide visible results with no downtime.


Professional reviews :

  • Proven effectiveness of jowl treatments.
  • Customization of treatments : personalized protocols can be developed.
  • Sécurité : les traitements des bajoues sont bien tolérés et comportent un faible risque de complications lorsqu’ils sont réalisés par des médecins expérimentés. 
Why do you want to reshape the oval of your face?

Reshaping the oval of the face is a frequent request for a number of reasons.

  • Rejuvenation: reshaping the oval of the face gives a younger, fresher appearance.
  • Harmonising features: a well-defined facial oval is important if you want balanced, harmonious facial proportions.
  • Self-confidence.
  • Preventing ageing.
  • Reduced jowls.

There are several treatments.
Non-invasive options include hyaluronic acid injections, tensor threads and radiofrequency.
The surgical procedure is a facelift.

Unfortunately, it is not possible to prevent the oval of the face from sagging.
However, it is advisable to maintain a stable weight and adopt an appropriate skin care routine: use products containing retinoids and antioxidants, protect the skin from the sun and maintain a healthy lifestyle.

It is advisable to consult a specialist as soon as you notice any signs of sagging of the oval or jowls in order to discuss possible treatments and obtain personalised advice.

No, not everyone has a complex about the appearance of jowls. It depends on a number of factors.

  • Personal perception.
  • Emphasis on appearance.
  • Cultural and social context: beauty standards and societal expectations can influence how individuals perceive the signs of ageing. In some cultures, a youthful appearance is highly valued.
  • Self-confidence.
  • Individual experiences: personal experiences such as compliments or criticism can play a role.
  • Access to information and treatment.

Toute personne constatant une perte de fermeté de l’ovale et des bajoues peut être un bon candidat. Une consultation avec un médecin expérimenté permet d’établir  le traitement le plus adapté.

Most non-invasive treatments for jowls and sagging facial contours are well tolerated. 

Side effects include redness, swelling, bruising and slight sensitivity. These effects are temporary and disappear within a few days.

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