A tighter, well-defined jawline creates a younger-looking appearance.

The jowls and jawline are areas of the face that often show signs of aging first. From drooping skin and fat to a general look of heaviness, the jowls distort the face shape and distract from the natural beauty and balance of your face. At Reflections, we are able to help you achieve the tight, defined jawline you desire with an array of cutting-edge treatment options, each tailored to your individual concerns and goals.

“I saw a few people who haven’t seen me in 2 months and they couldn’t figure out what was different. They kept asking if I lost weight or had a facial!”
Lower Facelift patient, Laurie T. via RealSelf.com

Age, Genetics, Lifestyle Play a Role in Jawline Looseness

AGE Time stops for no one. Everyone will experience sagging jowls and jawline laxity as they age. Natural aging processes affect all three types of tissues in the face: fat, muscle, and skin, at varying rates and in different ways. For that reason, our team of Cosmetic Physicians focuses on identifying your unique aging pattern, and how it has affected each of these layers of the face, so that we can correct the changes right where they have occurred and create the most natural-looking and long-lasting results.

GENETICS You may be genetically predisposed to a looser jawline, squarer jawline, or weaker jawline than you’d like. The shape of the jawline plays a key role in facial balance and the overall masculine or feminine appearance of the face. So when it is out of proportion or incongruent to the other facial features, it is noticeable to most people. We offer a variety of treatments, both surgical and nonsurgical, which can enhance, define, and alter the overall shape of the jawline, including jawline slimming, squaring, and defining.

LIFESTYLE & ENVIRONMENTAL FACTORS Sun damage and sleep/repetitive motions can cause jowls or laxity along the jawline; however, this is much less likely to be the culprit than genetics or age. Clenching of the jaw or TMJ, though, creates a noticeably larger and more square jawline that many patients do not like. Not to mention that these conditions cause jaw pain and create an anxiety-related feedback loop and can cause serious damage to the health of the gums and teeth.

Correct Jawline Sag and Jowls at the Source

This image shows how the loss of upper cheek pad fat causes skin to sag downward, creating a fuller, more square jawline. Fat transferred from her love handles and stomach to the face restored the fat she had lost in the high cheeks and restored her youthful, rounded face shape. Click the image to learn more about fat transfer for facial rejuvenation.

To tighten and tone your jawline, first, we’ll need to determine the underlying structural causes. Many patients may try to determine the cause for their sagging jawline, without much luck. At Reflections, we offer consultations and evaluations where one of our board certified cosmetic physicians will determine the cause of your jawline concerns and create an effective treatment plan for you. The face is made up of bone, muscle, fat, and skin, for the most part, and so we start by determining which of these tissues need to be addressed in order to create the results you desire.

SKIN laxity or looseness is most commonly seen starting in the mid to late 30s or very early 40s. Typically this is due to loss of natural fat pads in the high cheek area (also referred to as the “cheekbone”). When the fat pads above start to shrink, as part of the natural aging process or due to significant weight loss, the skin slides down the face. The end result is excess skin along the jawline. As we continue further into the aging process, what fat does remain loses its suspension points and begins to slide down the face, too. The weight of this fat stretches out the skin, causing it to eventually lose its elasticity or ability to bounce back if we were to lift back up the fat pads. The degree of damage to the skin and speed at which it occurs is very individual.

FAT naturally diminishes in our face as we age, and the fat pads that remain lose their connection points and slide down the face, pulling the skin down with it. This forms visible lines in the face, which point out this underlying change.

This patient has a noticeable horizontal line from the innermost corner of the eye, down through the middle of her cheek in the before photo. This shows where the fat pad has lost its connection with its outer point near the ear and has drifted down and forward, towards the mouth. This is what causes the severe drooping and jowls seen in older patients. It cannot be completed corrected without surgery, but this patient received injectable dermal fillers to restore the volume in the cheek, creating a natural refreshed look, without any downtime. Click the image to learn more about Dermal Fillers.

This patient has a noticeable horizontal line from the innermost corner of the eye, down through the middle of her cheek in the before photo. This shows where the fat pad has lost its connection with its outer point near the ear and has drifted down and forward, towards the mouth. This is what causes the severe drooping and jowls seen in older patients. It cannot be completed corrected without surgery, but this patient received injectable dermal fillers to restore the volume in the cheek, creating a natural refreshed look, without any downtime. Click the image to learn more about Dermal Fillers.

MUSCLE laxity occurs much later than laxity to the skin and fat, usually becoming a problem in the mid-40s to 50s. Muscle laxity can only be corrected through surgical tightening of the muscles. For this reason, when muscles become too weak or lax to support the fat and skin properly, a surgical procedure like a facelift becomes the only way to create a stellar, natural-appearing result.

Finally, when TMJ or jaw clenching is corrected using Botox to relax these muscles, you can create a laxity problem in the skin of that area. If the temporalis jaw muscle has been allowed to over-develop for years, the added volume can stretch the skin out, making it loose when the underlying volume is reduced.

BONE loss in the face becomes noticeable with advanced aging, typically beyond 60 years of age. At this time, the only cosmetic remedy for bone loss is to replace the bone’s missing volume with dermal fillers placed very deeply, just around the bone itself.

Ready to find out what’s causing your jowls or jawline laxity?

Call 732-356-1666 to schedule your consultation with one of our cosmetic physicians today!

What Can I Do About My Jowls/ Jawline Sag?

Jawline Looseness & Lack Of Definition

Silhouette Instalift provides instant lifting and definition for the jawline. It’s one of our most popular procedures because it offers almost no downtime with instant, dramatic results. Click the image to learn more.

Silhouette Instalift provides instant lifting and definition for the jawline. It’s one of our most popular procedures because it offers almost no downtime with instant, dramatic results. Click the image to learn more.

While this is typically just a skin issue, sometimes small amounts of fat or muscle laxity can cause a sagging jawline. If you relax overactive jawline muscles with Botox to create a slimmer jawline or to treat TMJ, this can create laxity because it reduces volume. We find this is easily treated by supporting the skin with certain kinds of injectables – typically PDO Mesh or a stiff dermal filler like Restylane Defyne or Radiesse, which will create the kind of structure the skin needs. Sometimes a nonsurgical skin tightening treatment can be helpful to create a “shrink wrap” effect on the skin in these areas.

Non-surgical Skin Tightening

Skin tightening treatments such as Ultherapy, ThermiTight, Exilis Ultra, Thermage, and GentleYAG, Evolastin, and Fraxel Re:Pair can tighten loose and sagging jawline skin and jowls. These cutting-edge lasers work to remodel collagen in the skin, tightening and restoring strength and bounce within the skin, for a more youthful appearance. For instant lifting and definition, Nova PDO Threads and Silhouette Instalift offer an innovative solution. These injectable, dissolving threads create instant lift and definition along the jawline, and stimulate collagen production as they dissolve over time.

ThermiTight helped this patient in her 50’s tighten and define her jawline, without surgery. Results are shown at 2 months post-treatment but will be at their best at 6 months post-treatment. ThermiTight works well for skin laxity and very small amounts of excess fat. Click the image to visit the ThermiTight page to learn more.

ThermiTight helped this patient in her 50’s tighten and define her jawline, without surgery. Results are shown at 2 months post-treatment but will be at their best at 6 months post-treatment. ThermiTight works well for skin laxity and very small amounts of excess fat. Click the image to visit the ThermiTight page to learn more.

JOWLS

Jowls occur when fat shifts, pulling skin down and forward. Sometimes muscles are involved, especially in those beyond the age of 50. At Reflections, we offer multiple treatment options to correct sagging jowls.

DERMAL FILLERS OR FAT TRANSFER

Dermal fillers or fat transfer can help to fill in areas of lost volume. While dermal fillers, often made with hyaluronic acid, work by binding water molecules to add fullness under the skin, fat transfer moves fat from other areas of the body to the areas of fat loss (in this case, the jowls).

SKIN TIGHTENING (NONSURGICAL)

Non-surgical skin tightening treatments at Reflections include Ultherapy, ThermiTight, Exilis Ultra, Thermage, and GentleYAG, Evolastin, and Fraxel Re:Pair. These FDA-approved options employ the use of lasers to stimulate collagen and tighten the skin for a rejuvenated appearance.

MINI FACELIFT or NVLIFT

A mini facelift is a surgical option to restore a youthful jawline with a shorter scar line and less downtime. This procedure restores muscle, fat, and skin to a more lifted position for a rejuvenated appearance. The NvLift is a comprehensive rejuvenation procedure for face and neck that uses small multidirectional corrections using layered support stitch, which are dissolvable stitches. Both of these procedures are performed under local anesthesia for decreased downtime, risks, and recovery period.

Meet Our Team Of Top Cosmetic Physicians In New Jersey With The Skill & Experience To Correct Jowls & Jawline Laxity


Dr. Mark Karolak, Board Certified Facial Plastic Surgeon

Focused solely on natural-looking rejuvenation of the face and neck

Dr. Karolak is highly sought after for his detail-oriented approach to plastic surgery. His results can be seen on New Jersey’s most famous faces, including many celebrities and high-profile executives. For over 11 years he has focused solely on face and neck rejuvenating surgeries, making him one of America’s most specialized surgeons and most experienced neck lift surgeons.

Dr. Mitchell Chasin, Founder & Medical Director of Reflections, Board Certified Physician

Top Cosmetic Physician known for creating advanced anti-aging plans to combat all the signs of aging, over time, with natural-looking results, minimal downtime, and cost-effective treatment plans

Dr. Chasin is renowned for his multi-treatment approach to anti-aging, which puts an emphasis on creating subtle, natural-looking tweaks that restore a youthful look without giving a “done” look. His patients enjoy his long-term approach which slowly turns back the hands of time, and leaves them looking younger and more vibrant over time (the so-called “Benjamin Button Effect”).

Dr. Renata Wix-Harris, Board Certified Physician
Injectable and non-surgical skin tightening specialist

Her extensive experience as a general surgeon and work in the plastic surgery department has helped to her to become an excellent laser liposuction surgeon. She is also quite skilled at laser and energy-based skin therapies, injectables, and non-invasive body contouring. Beyond her skill, patients most enjoy that Dr. Wix-Harris focuses on creating a comfortable experience centered around the patient.

Dr. Michelle Ellern, Board Certified Physician
Injectable and non-invasive skin tightening specialist

Dr. Michelle Ellern’s skillful hands, artful techniques, and warm and caring personality make her a wonderful cosmetic physician. Her nurturing style of care draws patients to her, and immediately sets them at ease; but it’s the natural, artistic results they experience that keep patients returning to her care.

Call 732-356-1666 to schedule your consultation today!