Those looking for face rejuvenation sometimes worry about drooping jowls. Providing the finest results as medical aestheticians begins with knowledge of the causes and selection of the appropriate course of action. A non-surgical approach to raise the lower face and restore a more youthful, balanced look is with dermal fillers for sagging jowls.
Understanding the Formation of Sagging Jowls
As patients age, obvious changes in the lower face usually start with sagging jowls. These alterations follow known anatomical adjustments; they are not random. Gravity pulls tissue down as skin loses suppleness, fat pads migrate, and face bone structure diminishes. These elements, taken together, cause the jawline to soften.
The Anatomy and Aging Process
- At one age, the skin produces less collagen and elastin, which lowers firmness and elasticity.
- Particularly in the midface, subcutaneous fat reduces and moves downward, which helps to create a hollowed look and drooping skin.
- Bone loss in the mandible and maxilla changes facial features and reduces structural stability over time.
- The whole action of gravity aggravates tissue fall and causes jowl development.
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The Role of Dermal Fillers in Jawline Contouring
Dermal fillers play a key role in sagging jowls treatment, offering a safe and non-surgical way to improve jawline contour. By restoring volume and lifting the lower face, fillers help create a more defined and youthful profile—without the need for surgery.
- Restoring Volume: Injecting fillers into specific areas replenishes lost volume, providing lift and support to sagging tissues.
- Enhancing Contours: Strategic placement of fillers along the jawline and chin enhances definition and creates a more youthful profile.
- Stimulating Collagen Production: Certain fillers promote neocollagenesis, improving skin texture and elasticity over time.
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Strategic Injection Areas for Jowl Correction
Effective treatment of sagging jowls involves targeting multiple anatomical regions:
Cheeks (Malar Region)
Filling the cheeks with Juvéderm Voluma or Restylane Contour creates a lifting effect on the midface, indirectly lowering jowl prominence.
Pre-Jowl Sulcus
Filling the pre-jowl sulcus helps correct volume deficits close to the chin, smoothing the jawline and reducing the jowl look.
Jawline (Mandibular Angle and Body)
Lyft sharpens jawline definition and maintains overlaying tissues by adding strong fillers like Juvéderm Volux or Restylane to the mandibular angle and body.
Chin (Mental Region)
Filling the chin with Radiesse or Sculptra enhances facial equilibrium and generates anterior projection, helping to create a more contoured lower face.
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How Fillers Support Skin Structure and Improve Definition
- Mechanical Support: By occupying space, fillers provide immediate structural support to sagging tissues.
- Hydration: Fills based on hyaluronic acid draw water molecules, improving skin hydration and growth.
- Collagen Stimulation: Sculptra and Radiesse, two biostimulatory fillers, boost fibroblasts to generate fresh collagen, gradually enhancing skin firmness.
Best Types of Dermal Fillers to Use
Appropriate elevation of drooping jowls depends on the choice of dermal filler. Varied fillers offer varied degrees of lift, support, and longevity, so your selection should match the anatomy of the patient and the intended application. Look at the most dependable hyaluronic acid and biostimulatory fillers now used in clinical environments.
Hyaluronic Acid (HA) Fillers
- Juvéderm Volux: Designed especially for jawline improvement, Juvéderm Volux provides structural support and great cohesiveness.
- Restylane Lyft: Perfect for midface and jawline augmentation, offers significant lift and volume.
Biostimulation Fillers
- Sculptra (Poly-L-lactic Acid): Sculptra (poly-lactic acid) increases collagen synthesis, resulting in slow, long-lasting skin texture and volume changes.
- Radiesse (Calcium Hydroxylapatite): Ideal for contouring and lifting, radiesse (calcium hydroxylapatite) restores instantaneous volume and stimulates collagen formation.
Considerations When Choosing a Filler
When selecting a dermal filler, consider the following factors:
- Thicker fillers provide lift but might not be best for superficial injections based on viscosity and elasticity.
- Generally speaking, biostimulatory fillers produce effects that stay longer than HA fillers.
- HA fillers can be dissolved with hyaluronidase, providing a safety net for overcorrection or side effects.
- Patient Anatomy and Objectives: Choose filler depending on desired results and personal anatomical factors.
Case Example: How Fillers Improve Jawline Definition
Consider a 54-year-old patient with moderate jowl sagging and noticeable midface volume loss. The treatment approach focused on restoring structure and creating definition.
Using 2ml of Juvéderm Voluma in the cheeks restored volume to the midface, which indirectly lifted the jowls. To smooth the pre-jowl hollow and support the jawline, 1.5ml of Radiesse was injected strategically. 1ml of Restylane Lyft was placed along the jawline to add definition and structure. Finally, a small amount of Botox was injected into the platysma for a Nefertiti Lift, reducing the downward pull.
The result? A more sculpted lower face, improved chin-to-jaw transition, and a refreshed, natural look. Maintenance was recommended every 12–18 months, depending on product longevity and patient metabolism.
Expected Results, Longevity, and Number of Sessions
Before starting dermal fillers for sagging jowls, it’s important to set clear expectations with your patient. Some fillers give instant lift, while others work slowly by boosting collagen. Results depend on the type of filler and the treatment plan.
You should also explain how long the results will last and when touch-up sessions may be needed. In many cases, combining fillers with Botox for sagging jowls can offer better and longer-lasting results by relaxing the muscles that pull the jawline downward.
- Immediate Improvement: HA fillers offer quick volume restoration; the best results are seen in 1-2 weeks.
- Gradual Enhancement: Biostimulative fillers cause increasing improvements over several months as collagen output rises.
- Longevity: While biostimulatory fillers can last up to two years, HA fillers usually last six to eighteen months.
- Maintenance: Regular touch-up sessions are advised to maintain the intended results.
Integrating Botox for Sagging Jowls
Many practitioners also use Botox to get the best outcome from dermal fillers for sagging jowls. When combined, Botox relaxes muscles that pull the jawline downward—helping the fillers lift and contour more effectively.
Combining dermal fillers with neuromodulators like Botox can enhance results:
- Injecting Botox along the platysma muscle releases downward-pulling pressures, balancing fillers' lifting action.
- Targeting the depressor anguli oris muscle with Botox enhances the mouth's corners, improving lower facial appearance.
Continuing Education for Medical Aestheticians
One must keep current with advanced methods. Consider signing up for specialist training courses to improve your jowl correction and full-face rejuvenation technique.
If you’re focusing on sculpting, the Advanced Chin and Jawline Contouring course dives deep into projection and balance.
For a more product-specific tutorial, explore the Advanced Chin Contouring with Belotero session and understand the nuances of using HA fillers in precision areas like the mental region.
Including these video-based courses in your education will provide practical insights beyond academic knowledge—perfect for up-to-skill and provide improved client outcomes.
Final Takeaway
A strong, non-surgical approach to restore structure and shape to the lower face are dermal fillers for sagging jowls. Mastery of this treatment includes knowing facial anatomy, choosing the appropriate filler, and applying competent injection procedures for medical aestheticians. The most balanced and lifted effect comes from a combination technique aiming at the jawline, chin, and cheeks.
Don’t forget: patient education and aftercare also impact results. And to stand out as a skilled injector, keep learning.
➡️ Explore HubMedEd’s Masterclasses and VOD courses to stay ahead in facial aesthetics.
➡️ For deeper results, also study how to combine dermal fillers with Botox for sagging jowls.
FAQs
1. Can fillers fix sagging jowls?
Indeed, dermal fillers are among the greatest non-surgical choices to restore volume and shape the jawline, thereby lifting sagging jowls.
2. Is Botox or filler better for sagging jowls?
Both support. Fillers raise and define; Botox for drooping jowls releases downward-pulling muscles. Many patients gain from a combined approach.
3. What is the best cosmetic procedure for sagging jowls?
Fillers for the cheeks and chin are often the best way to treat sagging jowls. Botox or skin tightening may also help.
4. How long do fillers for jowls last?
HA fillers hold six to eighteen months. The product and patient's metabolism will determine how long biostimulatory fillers last—up to two years.
5. How do you fix jowls without fillers?
Exercises for sagging jowls, radiofrequency skin tightening, at-home treatments for sagging jowls, or use of the best cream or serum to firm the jawline are among the options.
References
- Cleveland Clinic. Jawline Filler. Cleveland Clinic website. https://my.clevelandclinic.org/health/treatments/23368-jawline-filler. Published 2023. Accessed April 15, 2025.