The sagging of tissues along the jawline, leading to the formation of jowls, is one of the aesthetic concerns that most heavily ages a face. Recently, a 62-year-old patient visited my practice with a very specific request: to eliminate these jowls and restore a defined, youthful facial oval. In today’s video, we explore the structural causes of this issue and the minimally invasive surgical strategy we used to resolve it definitively and naturally.
The primary issue behind jowl formation is not just superficial skin laxity, but the drooping of the deep musculoaponeurotic tissues, known as the SMAS. Because of this, a Neck Lift combined with a mini mandibular lift is the gold standard approach. Using this technique, we structurally reposition the deep tissues and gently reshape the skin, directly addressing the root cause of the problem. The required incisions are minimal—hidden around the ear and eye—and become practically invisible within about a month.
To complement the surgical repositioning—which is comfortably performed under sedation in a day hospital setting—we integrated SEFFILLER regenerative therapy. This state-of-the-art treatment harnesses the patient’s own cells to regenerate tissues from the inside out, significantly improving skin tone, firmness, and natural volume.
There is a critical warning I frequently share with my patients: you should never attempt to correct jowls using traditional dermal fillers. Adding volumizing substances to an area that has already yielded to gravity is a strategic mistake. Filling the jawline area does not lift the tissues; instead, it adds excess weight, creating a swollen, unnatural appearance and trapping the patient in a vicious cycle that is hard to break. True aesthetic rejuvenation comes from repositioning and regenerating, not merely filling.
If you are looking to redefine your jawline with harmonious, long-lasting results, Book your Contact/Appointment here for a personalized consultation.




