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Lines, Laxity & Structure

Jowls

Softening and descent along the lower face, breaking the clean line of the jaw.

01

What it is

Jowls are the pockets of descended tissue that form either side of the chin, where the jawline transitions into the neck.

They are one of the earliest structural changes people notice in photographs before they notice it in the mirror.

02

Why it happens

  • Descent of the mid-face fat pads under gravity as the retaining ligaments weaken.
  • Loss of dermal collagen reducing the skin's ability to hold the tissue in place.
  • Bone resorption along the jaw reducing the underlying scaffold.

03

The layer involved

Structure

SMAS, retaining ligaments, fat compartments and dermis

Jowls are a structural concern. Treatment targets the deep layers to lift and reposition, with dermal remodelling to firm the overlying skin.

05 · When we may need a medical assessment

Some things belong with a doctor first.

  • Advanced descent with significant excess skin, where a surgical consultation is the more honest recommendation.
  • Swelling or firmness along the jaw that is not tissue descent — this needs a medical opinion.

This page is general education, not medical advice. If anything here sounds like your skin, we will tell you honestly at consultation whether we can help or whether you should see your GP or dermatologist first.

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