Jowls develop when the structural support of the face changes with age. Skin loses elasticity, facial fat redistributes, and the jawline definition that once kept the lower face looking sharp begins to blur. The result is that familiar softening along the jaw, a gradual rounding that can make the face look heavier and older than it did even a few years earlier.

For a long time, the only treatment was surgery. That is no longer the case. Non-surgical approaches have improved significantly and can produce meaningful results for many people.

What causes jowling?

Multiple factors combine: the loss of collagen and elastin reduces skin's ability to spring back; fat in the face redistributes downwards; the bone underneath the skin resorbs over time, reducing the scaffold that holds everything up. Gravity does the rest.

Non-surgical options

Jowl lift with botulinum toxin

The depressor anguli oris, the muscle that pulls the corners of the mouth downwards, also contributes to jowling when overactive. By relaxing this muscle with botulinum toxin, the lower face is given a subtle lift. This approach also addresses the downturned mouth that often accompanies jowling.

Dermal fillers for jawline definition

Placing filler along the jawline restores the structural definition of the jaw, creating a clearer boundary between the face and the jowl. It lifts and anchors the tissue above rather than adding volume indiscriminately.

Polynucleotides and skin boosters

Improving skin quality, firmness and elasticity in the lower face can slow the progression of jowling and complement other treatments. These are often used alongside botulinum toxin or fillers rather than as a standalone approach.

What results are realistic?

Non-surgical treatments can improve the appearance of jowling meaningfully, but they cannot replicate the result of a surgical face lift in severe cases. For mild to moderate jowling, non-surgical approaches can produce significant improvement. For advanced jowling, they can improve the situation but may not fully resolve it.

An honest assessment of what is achievable for your specific case is an essential part of the consultation.

Explore jowl treatment options at Tu Bella or book a consultation in Hemel Hempstead.

Z

Zupi

Senior Aesthetician, Tu Bella Beauty Salon

Zupi is a senior aesthetician at Tu Bella in Hemel Hempstead, with extensive hands-on experience across facial aesthetics, skin treatments and injectable therapies. If you have questions about any of the treatments mentioned in this article, the Tu Bella team is happy to help.

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