5 Effective Jowl Treatment Options

By Elizabeth Geddes-Bruce, MD September 19, 2018 7 Comments

jowls treatments

Not many areas of the body show a person’s age more than the lower face. Natural aging causes the sleek contours of the chin and jawline to sag from loosening skin around the mouth and cheeks. This excess droopy skin that collects along the lower part of the face (specifically along the jawline and below the cheeks) is commonly referred to as the jowls. Learn more about the causes of jowls in this blog post.

There are several effective treatments to get rid of sagging jowls. People who exhibit early stages of jowl formation can benefit from non-surgical procedures like laser skin tightening or dermal fillers, while others with more severe jowls may require surgical intervention.


Dermal fillers can be injected into the soft tissue of the skin to restore lost volume or fill in lines and wrinkles. Fillers can provide dramatic results without the pain and necessary recovery inherent in surgical procedures. To counteract the formation of jowls, fillers can be injected to lift both the cheeks and the skin around the jawline and mouth. One of the best fillers for treating jowls is Sculptra, since it instantly plumps the area where it is injected while simultaneously stimulating new collagen growth to provide a longer-term youthful appearing result. While the results are not permanent, many patients will enjoy a noticeable improvement for 1-2 years or longer.


Thermage is a non-invasive laser tightening treatment with the ability to re-contour the skin. Thermage transfers radiofrequency energy to the deep layers of the skin which firms up existing saggy collagen and elastin fibers while concurrently forcing the production of new collagen. Thermage is a great solution for younger patients who are in the early stages of jowl formation.


Similar to Thermage, Ultherapy is a non-surgical laser-based procedure with the ability to tighten and firm the skin through the stimulation of collagen production. However, Ultherapy uses ultrasound technology to lift and tighten the skin. Many patients receive good clinical results with a single treatment, though some people who have a fair amount of laxity may benefit from more than one treatment. In one study, 70% of Ultherapy patients realized a significant improvement in the neck and jawline that continued to last months after their treatment.

Fraxel (CO2 Laser)

Fraxel Re:Pair is an ablative CO2 laser system that can actually reduce the amount of skin surface through two methods. First, the Fraxel Re:Pair laser ablates targeted tissue (vaporizing tiny columns of the skin). Secondly, the heat transferred during vaporization works to shrink the remaining skin while stimulating new collagen. While more invasive than fillers, Thermage, and Ultherapy, Fraxel Re:Pair and other CO2 systems offer quick and dramatic results as they have the power to reduce the volume of jowl-causing sagging skin within a single treatment.

Neck Lift

Neck lift surgery (platysmaplasty) is the most effective, but also most invasive, treatment for jowls. It may be the only option available to patients with severe jowls or substantial laxity. During a neck lift procedure, 1-inch incisions are made under the chin or behind the ears to the surgically remove excess skin and tighten loose muscles. Compared to other options, neck lifts provide the most dramatic and long-lasting result. However, they are also more expensive and require a longer recovery time.

Elizabeth Geddes-Bruce, MD

Elizabeth Geddes-Bruce, MD is a board certified dermatologist and dermatologic surgeon specializing in the practice of both cosmetic and medical dermatology. Dr. Geddes-Bruce is fellowship-trained in cosmetic dermatology and laser surgery. She served as Chief Resident at one of the nation’s top dermatology programs – The University of Texas at Houston and M.D. Anderson Cancer Center.

7 Responses to “5 Effective Jowl Treatment Options”

  1. Elizabeth says:

    Hi Dr Geddes-Bruce –

    I am a patient at your office in West Lake and I am interested in creams or treatments to help with the loose skin on my neck. I don’t have double chin but I have loose skin I can actually grab and it stays – it looks like it’s just lost its elasticity! Is there a cream or anything I can do to help? I’m 39 and I’m in good health and my skin is fair – not a lot of sun damage or even wrinkles (though I could benefit from botox like anyone else). My neck is my main concern! Please let me know your advice!

    Thank you!

    • WD Staff WD Staff says:

      Hi Elizabeth,

      Thanks for reading our post and submitting your great question! I’ve spoke with Dr. Geddes-Bruce and she provided me with this response:

      “For skin laxity on the neck we usually recommend a combination of treatments to target different parts of the skin. Start with a cream to be used twice daily called Nectifirm (there is even an advanced version with more peptides – and the peptides are the compounds that trick your skin into thinking it needs to build collagen), then a procedure for deeper skin tightening called Ulthera, as well as a series of 3 laser treatments with the Fraxel laser. And of course, sunscreen! Sunscreen prevents further collagen breakdown from UV rays.”

      I hope that helps! We currently sell Nectifirm on our online store Iderma if you are interested. Here is the product page: https://www.iderma.com/revision-nectifirm

      Thanks again,

      WD Staff

  2. Neil says:

    Really it would work to lose weight from my chubby cheeks.

    • WD Staff WD Staff says:

      Hi Neil, Thanks for reading our post and submitting your great comment. Depending on the specific characteristics of your cheeks, a better treatment option may be buccal fat removal. You can learn more about that in this blog post: https://www.westlakedermatology.com/blog/cheek-reduction-surgery/

      The best thing you can do is get an in-person consultation with a skilled plastic surgeon. Through the assessment a skilled surgeon can provide you with the best treatment option for your needs.

      WD Staff

  3. Nancy says:

    Hello…. I’m a young 71 year old woman with lots of sun damage, especially my jowls. The Jowls are the big issue I would love to correct-without surgery-as quickly as can be done . Please let me know what to do…..thank you so much for this

    • WD Staff WD Staff says:

      Hi Nancy,

      Thanks for reading our post and submitting your great question! The best route for you to take at this point would be to get an in-person consultation with a dermatologist or cosmetic surgeon. They’ll be able to access your specific needs and recommend the best non-surgical treatment options to achieve your desired end results.

      We hope that helps!

      –WD Staff

  4. Kate says:

    Non-surgical jowl reduction methods are very effective. Methods like dermal fillers, anti-wrinkle injections, radiofrequency treatments, etc.

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