Sagging Jawline

Does HIFU actually work or make a difference to the jawline area?

Hiya, TTG editor Georgia here. Yes, if you're the right candidate. HIFU can't tighten severely sagging skin, so it depends on the level of laxity.

I’m looking to tighten my neck and jowls. Can you advise which gives the best results between the following treatments – Morpheus 8, Profound, and NeoGen Plasma? Also have you heard of Facetite (a fine probe in place under the skin to tighten).

Hiya, TTG editor Georgia here. What will give you the best result depends on your neck and jowls specifically – how much sagging you have, if it's skin or fat – and other factors like budget, how much downtime you're willing to deal with, etc. Morpheus8 and Profound are RF needling devices that can be used in a certain way to melt fat at the same time as tightening up the overlying skin via stimulating collagen production, but if there's a fair bit of fat in addition to skin laxity, you'd be better off going with Facetite because liposuction can be done at the same time. Find a great practitioner who can advise you what will be best for...

Hi Alice. I have read about Ellevate for neck treatments. I think it’s quite new. Do you have any information on it?

Hiya, TTG editor Georgia here. It looks to essentially be a thread lift procedure to contour the jaw and neck, so could be a good solution for sagging skin in that area that needs some structural support and tightening. I don't know loads about it but there are some TTG-registered practitioners who offer it, like Dr Munir Somji of Dr MediSpa in London and Essex.

I'm thinking of having a skin-tightening procedure (non-surgical) and I'm looking at two devices: Ultracel and Sofwave. I would be interested in hearing which one you would prefer. The areas of concern I have are upper eyelids and submental chin.

Hiya, TTG editor Georgia here. They're both great treatments but slightly different – Sofwave is a newer technology that uses its own, patented type of ultrasound delivery and just works at the level of the skin and is great across the forehead and just under the brow, while ULTRAcel Q+ is a HIFU device. It can also be used to define the structure of the jawline by deliberately targeting fat tissue as well as lax skin, if that is what you're after for the area under the chin. Find out more about both on those links....

Do you recommend Ultherapy for the neck specifically? So many specialists – plastic surgeons and dermatologists – have differing opinions on its effectiveness.

Hiya, TTG editor Georgia here. Totally depends on what you want to treat. Ultherapy can get brilliant results on lax skin on the neck but it's very patient-specific – which is probably why you're finding such mixed opinions – so it's vital you see a practitioner experienced in using it who can advise if you're a suitable candidate.

The dreaded neck area – can Profhilo, toxin, a thread lift or Morpheus8 etc. help to tighten and lift it while I'm saving up for a neck lift? Practitioners of these kinds of tweakments say they absolutely can, but the surgeon I'm considering going...

Hiya, TTG editor Georgia here. So, Profhilo and other injectable moisturisers: minimal tightening, no lift. Toxin: can help to soften 'stringiness' in the neck caused by over-tight muscles, but will only last 3-6 months. Threads: absolutely avoid because a lot of surgeons are very wary of performing a lift on a face or neck that has previously been altered with threads – they can complicate the procedure. Morpheus8 or other radiofrequency microneedling devices, and ultrasound: great options for achieving a small amount of tightening and lifting but not cheap and won't give the big results you're looking for. So they're both right -...

What are your views on FaceTite as a treatment for loose skin around jawline? I am 50. Also, what is the downtime after the procedure and how long does it last? Thank you for any thoughts you have!

Hiya, TTG editor Georgia here. Neither Alice or I have tried FaceTite but people seem to get good and fairly predictable, reliable results – largely because it involves liposuction, so you're pretty much guaranteed to get fat reduction in the area. That being said, it's an invasive, surgical treatment and you'd need to prepare for downtime of at least a week, maybe two, depending on what your bruising is like. You should also wear a compression garment for around 5 days, and there will be discomfort in the area. The brand says results last up to five years. Have a consultation with an experienced practitioner who offers it and see if...

Hello, I am 48 and really starting to look old, especially when I look at photos. What do you recommend as the most effective way to look fresher and better without toxin or filler? Is it HIFU or profound or another treatment? Or would I really need...

Hiya, TTG editor Georgia here. Dr Strawford will be best placed to answer all these questions for you once he's assessed your face and talked to you about your exact concerns. He is an expert practitioner with a great deal of experience. The tweakments you mention – HIFU, Profound (RF microneedling), toxin, and filler – all do different things that work towards making you look fresher and younger, but not in the same ways. Toxin for example won’t do anything about sagging skin but HIFU will, Profound will stimulate collagen production to tighten and plump the skin, but won’t replace lost volume in the ways filler will. So it all...

Can you recommend a surgeon who has good results performing lower face lifts in Surrey or the South East? I have tried a few different procedures with varying results, including filler along the jawline and chin, but feel results aren’t great.

Hi, The Tweakments Guide is all about non-surgical work, so I have very few cosmetic surgeons listed. Take a look at the facebook page of Karen Perrett aka Surgeon Sourceress, these may be helpful.

Hello I’m 44, almost 45 and the lower part of my face is starting to feel a bit jowly! I’ve had toxins and cheek filler, also a little filler under my eyes and in my chin. What’s the best option for my sagging jawline? Thanks.

Have a look at this page which has a bunch of suggestions and FAQs for how to manage a sagging jawline, and take it from there.

What are you thoughts on the Nefertiti Neck Lift for lifting the neck/ jawline to reduce saggy jowls?

The Nefertiti Lift is a fancy name given to the process of doing lots of injections of botulinum toxin A into the platysma, the muscles that run down the neck from the jaw to the collarbone. Releasing muscles that are pulling too tight can really help the appearance of the whole area and in skilled hands it gives great results. It's a terrific procedure for the right candidate, so whether it will work well for you really depends on your particular face and whether the changes you want can be achieved like this, or whether you'd be better off with other tweakments. How can you find out? Locate one of my trusted practitioners and book in with...

Hi Alice, I've just watched your video on Secret RF. I'm having the treatment in a few weeks. Did you think it's worth the money for the results seen? Thank you.

I only had one round of Secret RF when filming it (at my age, I'd need about three sessions to see proper results) so I only saw a bit of skin-smoothing. But I know from practitioners who have the device that they absolutely love it for the results it gives, so yes, I'd recommend it.

Hi Alice, could I please ask what your thoughts on threads are? I could do with some help with my jowls and under my chin. Many thanks! X

Hiya, editor Georgia here. Threads can achieve great lifting and tightening results in the right hands and providing you’re a suitable candidate. There are different types of threads and some are better suited to certain indications than others (e.g. the degree of skin laxity). You can also have bio-stimulating threads which help stimulate collagen within the skin, so you also get a gradual improvement in skin firmness. Threads are deemed 'minimally-invasive' but they aren’t for the faint-hearted, and things can go wrong. Plus, the results don't always last as long as advertised. It’s really important to find someone who knows what...

Jowls... I have had Ultherapy and there is an improvement, but not as much as I thought. Would your suggest fillers?

Maybe fillers to define the line of your jaw. Or maybe radiofrequency microneedling to smooth and tighten the skin in a slightly different way? I'd ask your practitioner as they know your face and can suggest what sort of treatment could work best for you.

Hi Alice, Do you know anything about the Facial-Flex facial exerciser that Rosemary Conley uses? I have one and cannot find any recent reviews but want to firm up the area around my mouth and cheeks! I also take collagen supplements plus retinol.

Not much, sorry. I was interested in trying it but my doctor friends said forgodsake no, because it would only make already over-tight muscles in my jaw and neck tighter still. Collagen supplements and retinol are both a really good idea, so keep up with those.

Hi Alice, I was considering Profhilo for my sagging jawline and to make me look more refreshed – what’s your opinion on Profhilo please?

Hi, like all the other injectable moisturisers, Profhilo is a great product and it does give a small tightening effect BUT it is primarily for improving the resilience and condition of the skin. So if you're looking to do some proper tightening of sagging skin around your jawline, you would do better with radiofrequency microneedling, or some form of ultrasound skin tightening, or (if you need to reduce fat along the jawline as well as tightening the skin) with something like Facetite or Endolift, all of which tighten the skin more convincingly. Find a great practitioner, book a consultation so they can assess your face and skin, and see...

Hi, can you recommend what a 73-year-old can have after 3 Profhilo treatments and 3 Skinpen treatments (alternate months)? As in RF or any other skin and jaw tightening treatment?

Hi, I'd be tempted to keep going with monthly microneedling for another three months, then leave it for a while because those needling sessions will go on delivering their benefits (in skin strength, smoothness and tightening) for several more months, particularly with all that Profhilo in your skin (which won't need doing again until six months after your first session of it).  See what your skin is looking like after all that before you step up to anything else. Yes, you could try RF – what does your practitioner suggest?...

At 53 years old I hate the way my face is losing its 'scaffolding' and the lack of firmness around my jawline. I have had numerous Profhilo treatments and more recently 3 sessions of Morpheus8, but I can't see an improvement. What do you suggest?

I know what you mean about losing the 'scaffolding' in the face – that is exactly what's happening thanks to bone resorption all over the skull. It's like our skull is being sanded down on the inside. Those treatments that you've had WILL have helped – the Profhilo will have improved your skin condition and the Morpheus8 will have helped smooth and tighten your skin. What I'd suggest, if your practitioner thinks it's a good idea, is some careful work with filler along your jawline and in your chin, and maybe in your cheeks, to strengthen that internal scaffolding and redefine your contours....

What is your honest opinion of Endolift? I have been recommended it for neck and lower face.

It's a really interesting procedure. If you take a look at the video of the Endolift treatment I had, you'll see there were improvements in the three-months-after 3D pictures – but they're not huge. Maybe I wasn't a good candidate for the procedure. I understand it works really well for recontouring fatty jawlines where people are looking for fat-busting plus the skin-tightening that the laser can give.

Dear Alice, from what I can gather, I think you've had both radiofrequency with needling and also ultrasound treatments. My biggest problem area is my turkey neck and jowls. Which have you found to be the most effective treatment?

Hi, yes, I've had Ultherapy a few times over the past decade and it seems to have given me good results in tightening my lower face and neck, and more recently I've tried a couple of types of RF needling. The one that gave me the most obvious improvement was Profound RF, which is a hard-hitting, one-off RF needling procedure – there's a picture on my blog showing the difference it made to my jawline 3 months after treatment.

The fat from my cheek pads seems to have slipped downwards, making me look jowly. What is the best treatment for this?

Hiya, editor Georgia here answering on Alice's behalf. There are a few things you can do for jowls. If you suspect yours are more to do with fat rather than loose skin, I'd look into fat freezing with CoolSculpting (if the fat is beginning to group under the chin and around the jawline), or FaceTite. FaceTite is slightly more invasive as it involves extraction of the fat from under the skin with a cannula, but it can be very effective and only one session is needed. It first uses radiofrequency energy to melt the fat before sucking it away and leaving you with a more taught jawline. There are more options on our free Jowls factsheet,...

I have lumps under the surface of my skin (lower jaw area from Radiesse filler, which have become more pronounced. I have that this filler cannot be removed. Please can you advise?

Hiya, editor Georgia here answering on Alice's behalf. I'm sorry to hear this. You're right – Radiesse is a type of collagen-stimulating filler that can't be dissolved. How long ago did you have treatment? Lumps can occur immediately following injection but should settle after around four weeks. If it's been longer than this, unfortunately you'll have to wait until the filler is absorbed by your body, which can take up to 18 months. If they're really troubling you they can be surgically removed. I'd suggest following up with your practitioner and asking for a referral.

Hi Alice, I had Ultherapy after watching you have it! I went to Dr Victoria's clinic in Edinburgh...3 months later there is a subtle lift but wondering if I should try microneedling or fillers...it's the saggy jowls and tightening of the jaw.

Hi Becky, editor Georgia here answering on Alice's behalf. How long has it been since you had Ultherapy? Full results can take up to three months to be visible so you may wish you wait and see if you really do want to do something else. Having said that, yes – RF microneedling would be great to tighten up jowls and define the jawline a little more. You could have some filler along the jawline further down the line for extra definition, but fillers won't do anything for the jowls as such....

What do you think about Ulthera for skin tightening? Or just ultrasound in general?

I prefer Ultherapy (Ulthera) to other types of HIFU skin tightening as it has a visualiser in the device so the practitioner can "see" into the skin and position each pulse at the right depth so it hits the collagen layer, not the fat.