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Jowls: Causes, symptoms and treatment

Jowls is a term used to describe sagging skin around the jawline and chin. Jowls can come with age, weight loss, sun damage, smoking and even genetically. 

What causes jowls?

Jowls can appear due to genetics, weight loss and a number of lifestyle choices. The causes of jowls include:

Natural ageing. As we get older, collagen and elastin (proteins that keep skin plump and firm) stop being produced in the skin, and then break down. This allows gravitational pull to droop the skin, as it doesn’t ‘snap back’ as easily as it may have done in earlier life. 

Genetics. Early appearance of jowls can be related to your genetics. If your parents have them, you’re also more likely to. 

Sun damage. UV exposure, from the sun or tanning beds, causes faster breakdown of collagen. This affects the elasticity of the skin, causing it to droop or sag.

Weight loss. As weight is gained, skin stretches to accommodate adipose (fat) tissue. When this weight is then lost too quickly, skin isn’t given the opportunity to shrink back and becomes loose. This can contribute to indications like jowls, which are caused by sagging flesh.

Smoking. Nicotine and harmful chemicals in smoke speed up the natural ageing process by creating collagen-destroying enzymes and restricting circulation and blood flow to the skin, depriving it of vital nutrients. 

How to get rid of jowls

When it comes to getting rid of jowls, knowing where to start can be the hardest part. Whilst some embrace this change, often caused by ageing, others turn to treatment. When thinking about getting rid of jowls, a surgical neck lift may seem like the only answer. But sagging jowls can be treated without surgery.

Whilst facial exercises can create results, a non-surgical treatment could be a quicker and more effective solution. Our experienced team of medical professionals perform thousands of non-surgical treatments to reduce the appearance of jowls, including dermal fillers, Endolift, EMFACE and Ultraformer

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Sagging jowls before and after

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Fillers for jowls

Excess and saggy skin around the chin and jawline, also known as jowls, can take a real knock to your confidence. In an Aesthetic Surgery Journal study on hyaluronic acid filler for chin and jawline redefinition, 96.7% of the patients involved commented on their appearance being "much improved" or "very much improved". So if you're ready to part ways with your sagging jowls, surgery doesn't have to be the answer. 

Filler for jowls has become an increasingly popular solution as the results are temporary. Our specialist doctors and nurses carefully inject filler into the area to rebuild structure in the face, reducing the appearance of jowls and even a double chin

Our medical professionals only use Juvéderm soft tissue dermal filler infused with hyaluronic acid, a substance naturally found in skin but diminishes with age. The chin filler is carefully injected into the sagging skin to lift the face and neck. 

This non-surgical injectable treatment is non invasive with minimal downtime. So you can go about your day as usual, with little disruption.

Skin tightening treatments

To tighten the skin in the affected area, a device-based skin tightening treatment could be the right solution for you. 

With our Endolift laser technology, we can achieve great results without invasive surgery. By utilising a minimally invasive laser, we stimulate collagen production beneath the skin. This can result in a lifted, defined, and tightened complexion.

Our Ultraformer ultrasound device can tighten and contour the face. We customise this treatment, meeting every patient's unique skin and desired outcomes.

EMFACE combines HIFES (high-intensity facial electrical stimulation) and radio-frequency technology to boost collagen and elastin production. These two essential components keep the skin plump and rejuvenated.

What is the best non surgical treatment for jowls?

When gravity works against us, it can really take its toll on our skin and confidence. So no matter the cause, you may be looking for the best treatment to reduce the appearance of jowls.

During your consultation, our experts will find the best treatment for you. Whether that’s with dermal filler, a non surgical facelift, Endolift, EMFACE or Ultraformer, we’ll work with you to find the perfect solution.

If your jowls can't be treated with a non-surgical treatment, surgery may be the way forward. If this is the case, a surgical neck lift, face lift or liposuction could be the right solution. At PHI clinic, we only perform non-surgical treatments but our experts will always be honest if they think surgery is the best route for you.

Safe and effective treatment

Your safety is our priority at PHI Clinic. To ensure maximum standards of patient care, jowl treatments are only ever carried out by our experienced, highly qualified practitioners. 


All our patients have a thorough consultation before having procedures with us and treatment is always carried out on a separate day. We believe it is essential for patients to be able to think before deciding whether to go ahead with any treatment.

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Jowls frequently asked questions


PHI Clinic
102 Harley Street,
W1G 7JB,
United Kingdom

Tel: +44 7883 317963

Opening Hours

Monday & Tuesday - 9:30am to 6:00pm
Wednesday & Thursday - 9:30am to 8:00pm
Friday - 9:30am to 5:30pm
Saturday & Sunday - Closed

Opening times can change, if your appointment is outside of these times please contact the clinic for confirmation.