We develop jowls along the jawline as we age. The soft tissues lose elasticity and descend and, as they fall, their descent is held up by its various attachments by deep ligaments to the eyes, nose, ears, mouth, chin and mandible behind the chin. This develops the characteristic shape of the older person.

The triangular wider upper face and narrow chin become inverted with a sunken narrow upper face and wide jawline. The outer angle of the eyes slip down and there is a downturn of the mouth. The deep attachments force the skin to fold at the nasolabial (smile) lines and the hitch at the jawline behind the chin forms the jowls behind it.

This happens to all of us, but for some, it is more of a problem than others and is inherited. It relates to skin type and nationality. It is a particular problem of Celtic skin, were exposed to sunshine and the elements. Strong cheek and jawbones delay the onset.

The treatment is to delay the process with sunblock and quality skincare, including the range of non-surgical treatments. Eventually, the jowls and associated problems are established and surgery becomes the answer to recreate the triangular shape with strong cheekbones and defined jawline.

The soft tissues are lifted away from the mandible to restore volume of the upper face and floppy skin tightened. We have an armoury of the many types of face lifting, fat grafting, and strong permanent sutures to choose from. We find that the temporary solution of threads disappointing.

Ageing, unfortunately, does not stop. Maintenance can be treated with non-surgical treatments such as Ulthera and Indiba.

Related Treatments:


Of course, we use the very latest technology. But our real skill is in knowing how and when to use it to suit each individual patient.


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