Everything You Need To Know About Sagging Jowls
As we age, it is natural for the skin to lose its firmness and elasticity. One of the most visible signs of this process is the development of sagging jowls, the drooping skin that forms along the jawline and below the cheeks. While this change is common, it often affects how we perceive ourselves, especially when it alters the natural contour of the face.
The good news is that sagging jowls can be treated. Today, there are effective, non-invasive solutions that address the root causes of skin laxity without the need for surgery or prolonged downtime. This article explores what causes sagging jowls, how to prevent them and which treatments offer the best results for restoring a more youthful appearance.
What are Sagging Jowls?
Sagging jowls refer to the loose skin that develops along the lower cheeks and jawline. This often leads to a less defined facial contour, with skin that may appear to hang or droop beneath the chin.
This condition typically develops gradually and is most noticeable in individuals over the age of 40. However, it can also appear earlier due to genetics, lifestyle or significant weight loss.
What Causes Sagging Jowls
Several factors contribute to the development of sagging jowls, many of which are related to the natural ageing process. These include:
- Loss of collagen and elastin: As we age, our skin produces less collagen and elastin, as proteins responsible for firmness and elasticity. Without these, the skin becomes thinner and looser.
- Gravity and facial volume loss: Over time, the effects of gravity and the loss of fat and muscle tone in the face cause skin to shift downward, especially around the cheeks and jawline.
- Sun exposure: Ultraviolet (UV) rays break down collagen fibres in the skin, accelerating ageing and weakening skin structure over time.
- Smoking and poor diet: Smoking reduces blood flow to the skin, while poor nutrition can deprive skin of essential vitamins. Both can speed up skin ageing.
- Genetics: If sagging jowls run in your family, you may be more likely to develop them earlier or more prominently.
- Rapid weight loss: Sudden or significant weight loss can lead to excess skin, especially in the face and neck area.
Early Signs of Sagging Jowls
Sagging jowls usually do not appear overnight. Here are some early signs that may indicate changes in your jawline:
- Less definition along the jaw
- Skin under the chin is beginning to loosen
- Mild folds forming at the corners of the mouth
- A soft or less structured appearance to the lower face
Recognising these early changes allows for earlier intervention, which often results in better outcomes.
Can Sagging Jowls Be Prevented

While ageing is inevitable, certain lifestyle habits and skincare choices can help delay or reduce the severity of sagging jowls:
- Use sunscreen daily to protect your skin from UV damage
- Maintain a balanced diet rich in antioxidants and vitamins
- Stay hydrated to support skin elasticity
- Avoid smoking and limit alcohol consumption
- Keep a stable weight to prevent skin stretching
- Exercise facial muscles to promote tone and circulation
- Use skincare products that support collagen production, such as retinoids and peptides
Although prevention can slow the onset, once jowls begin to form, professional treatments are usually needed to restore firmness and lift.
Treatment Options for Sagging Jowls
Modern aesthetic medicine offers several non-surgical solutions to lift and tighten sagging jowls. The right treatment will depend on the severity of the condition, your skin type and your personal goals.
Here are some of the most effective options:
High Intensity Focused Ultrasound (HIFU)
HIFU uses focused ultrasound energy to stimulate collagen production deep within the skin. It lifts and firms the jawline gradually, with results continuing to improve for several months after the session. This treatment is ideal for mild to moderate sagging.
Thread Lift
A thread lift uses dissolvable threads inserted under the skin to lift sagging tissue. It provides an immediate lifting effect while also promoting collagen production over time. It is often recommended for patients who want visible results without surgery.
Pengisi Dermal
Dermal fillers can be used to restore lost volume in the cheeks and jawline, which helps improve facial definition and reduce the appearance of sagging. They offer a quick, minimally invasive solution with natural-looking results.
Radiofrequency Skin Tightening
This technique delivers controlled heat to the deeper layers of the skin, stimulating collagen and improving firmness. It is painless, suitable for all skin tones and requires no downtime.
Laser Skin Rejuvenation

Fractional lasers and carbon dioxide lasers can improve skin tone and stimulate collagen, especially when combined with other treatments. They are often used to refine the lower face and neck.
Microneedling with RF
Microneedling combined with radiofrequency energy enhances skin tightening and rejuvenation by delivering heat and stimulation below the surface. It is suitable for a range of skin types and is often used for early signs of laxity.
How to Choose The Right Treatment
Choosing the right treatment depends on a few key factors:
- How advanced your jowls are: Mild sagging may respond well to ultrasound or filler, while more noticeable sagging could benefit from thread lifts.
- Your comfort with downtime: Non-invasive options typically require no recovery, while some treatments like thread lifts may involve a short rest period.
- Your skin condition and age: The elasticity of your skin and your overall facial structure will influence which treatments are most effective.
- Your goals and expectations: Clear communication with your aesthetic provider ensures your treatment plan aligns with your desired results.
Always consult a trained medical professional for a personalised assessment before starting any treatment.
Lift Your Confidence with Expert Care at Dr Chong Clinic
If sagging jowls are affecting how you feel about your appearance, you do not have to settle for less. At Dr Chong Clinic, we offer non-surgical, medically proven treatments that target sagging skin at its root.
Our doctors specialise in aesthetic lifting procedures such as:
- HIFU for deep collagen stimulation and lifting
- Thread lifts to support facial structure and definition
- Dermal fillers to restore natural volume along the jawline
- Custom treatment combinations designed to suit your facial anatomy
Pada Klinik Dr Chong, we believe beauty begins with understanding. That is why we take the time to assess your needs, explain your options and create a plan that is as realistic as it is effective.
You have worked hard to age with grace. Now let your skin reflect the confidence you feel inside. Book your consultation today and discover what is possible — no surgery required.
Soalan Lazim
1. Can sagging jowls go away on their own?
No. Once the skin has lost its elasticity and structure, professional treatment is usually required to lift and tighten the area.
2. Are non-surgical treatments safe for all skin types?
Most non-surgical options like HIFU, radiofrequency and microneedling are safe for all skin tones when performed by experienced practitioners.
3. How long do results last?
This depends on the treatment. For example, HIFU results can last up to a year, while thread lifts may last 12 to 18 months with proper care.4. Is there any downtime after treatment?
Many treatments have little to no downtime. You can usually return to daily activities the same day, especially with ultrasound or filler-based solutions.