04/16/2026
How to get rid of jowls?
Jowls are one of the earliest signs of facial aging, and they often create frustration because they change the overall shape of the face. A youthful face typically has a defined jawline and a lifted, heart-shaped contour. As we age, the soft tissue begins to descend, creating heaviness along the jawline and a more square appearance.
The main cause of jowls is the gradual weakening and elongation of the SMAS layer, the deeper structural support of the face. Over time, this layer loses its firmness due to aging, hormonal changes, genetics, and lifestyle factors. As it stretches downward, the cheeks drop and the jawline loses definition. This also affects the neck, leading to sagging and loss of contour.
Many patients first try non-surgical options like fillers, threads, or energy-based devices. While these may offer subtle improvement in younger patients, they often fall short in more advanced aging and can sometimes lead to unnatural results.
The most effective way to treat jowls is by addressing the deeper structures of the face. A deep plane or preservation facelift repositions the underlying tissues rather than simply tightening the skin, restoring a natural jawline and youthful contour with long-lasting results.