13 Ways to Treat the Appearance of Jowls

Opt for Products Formulated With Hyaluronic Acid

Shafer says that one of the most essential ingredients for promoting skin elasticity is hyaluronic acid, which naturally occurs in the body and is known to hold up to 1,000 times its weight in water. As such, he recommends using products—especially neck creams when it comes to the formation and reduction of jowls—formulated with the hydrating and plumping ingredient.

Consider CoolSculpting

On the opposite end of the spectrum, Shafer recommends CoolSculpting. “For people who have submental and submandibular fullness and jowling—often referred to as a double-chin—we recommend a CoolSculpting treatment to freeze the fat, which destroys the underlying fat,” he shares. “As the fat is reabsorbed into the body the skin contracts and may tighten, which is an observation from the clinical trials.”

Opt for Skin Tightening With Thermage

If injections aren’t your thing, consider radiofrequency. “Thermage is the gold standard for non-invasive skin tightening,” Green says. “It addresses the early signs of aging such as superficial fine lines, wrinkles, sagging jowls, crows feet, cellulite, and loss of skin laxity.” What’s more, it’s non-invasive. 

“Thermage (RF) technology delivers heat deep into the epidermis, dermis, and subcutaneous (fat layer) layers of the skin,” Green explains. “It is the tightening of these layers of skin which produces the smoother skin texture and defined contour. There is no downtime and you can return to all your normal activities right after treatment. Results may appear immediately after treatment with improvements continuing in two to four months."

Cozy Up to Products Infused With Collagen Peptides

Where collagen is a protein that’s responsible for the skin’s firmness and suppleness, Green reminds us that peptides work to stimulate collagen production. As such, collagen peptides are a no-brainer for jowl treatment. 

Look Into Kybella

Kybella injections are the most popular—and most direct—jowl treatment. “The presence of submental fullness in the jowl is a common concern that affects both women and men,” Green explains. “In the past, the only way to permanently enhance the jowl was through surgical procedures such as liposuction or a neck lift which required anesthesia, incisions and lengthy recovery periods.” Thankfully, now Kybella exists. “Kybella is the first-of-its-kind injectable treatment that melts away fat cells to offer long-lasting improvements to your appearance,” Green explains. "The active ingredient in this injectable is deoxycholic acid which is a naturally-occurring substance that destroys fat cells permanently," Green says. The best news? Green says that as little as a few treatments of Kybella can help trim down jowls and create a more defined jawline and profile.

Add Vitamin A or Retinol Derivatives to Your Routine

Retinol for aging? Groundbreaking, we know. But hey, it works! “Retinol is a vitamin A derivative best known for its ability to neutralize free radicals, stimulate collagen production, and facilitate cell turnover, therefore smoothing fine lines and wrinkles,” Green explains, noting that it’s the gold standard of anti-aging and works best at night to improve the tone and texture of the neck—meaning it’s a shoo-in for jowl treatment.

Book a PRP Treatment

Platelet-rich plasma treatments are another option because, as Shafer points out, they concentrate growth factors from your blood directly into your skin, which can promote firmness and suppleness, minimizing the appearance of jowls. 

Approach Elasticity Loss From a Metabolic Level

Shafer reminds us that elasticity can be addressed from the inside out, as well. Where he offers hormone balancing in the Metabolic Aesthetics Center at Shafer Clinic Fifth Avenue, another option is to add a collagen supplement to your routine. One study found that participants who consumed collagen supplements regularly noticed significant improvements in skin elasticity. 

Schedule a Laser Treatment

Another in-office treatment revolves around lasers. “For people who have slight jowling, there are many non-surgical options like energy-based treatments—Fraxel, picosecond, and IPL—to stimulate skin and induce collagen and elastin production,” Shafer says.

Make Room for Vitamin C in Your Routine

As one of the most powerful antioxidants, Green says that vitamin C helps fight free radical damage (which is known to accelerate aging), while also boosting collagen production, making it a must for an anti-jowl routine.

Take It a Step Further With Fillers

Shafer says that hyaluronic acid fillers can help provide a more defined chin and jawline, taking away from the appearance of jowls. The biggest thing to note is that, like all in-office treatments, you want to do your due-diligence so as to go somewhere reputable.

Consider a Nefertiti Lift

Another option is to get creative with Botox. While the injectable is widely used for addressing crow’s feet and forehead wrinkles, Green says that it can be beneficial for the neck and jowl area, as well. 

“Botox injections can be used to help reduce the look of bands across the neck,” she explains. “As you get older the main muscle in the neck, the platysma muscle, can look as though it is separated, creating two vertical bands up and down your neck. Botox injections into the muscle helps it relax, reducing the appearance of the bands. Botox can be injected into the platysmal bands across the neck to lift the lines and wrinkles giving the neck a more youthful appearance—this is also referred to as the Nefertiti Lift.”

This lift is a non-invasive option for those looking to restore contour to the neck and jaw, Green says. 

“The treatment is two parts,” she explains. “The first part consists of injections of Botox across the platysma muscles and jawline. The Botox causes the muscles of under the jaw to relax which causes an upward pulling of the facial muscles reducing the sagging jowls. The second step in the treatment is injecting dermal fillers along the jawline to increase the volume further correcting any sagging.

If You Want the Fastest Solution—Consider Liposuction or a Face Lift

 If nothing else works, or if you simply want a faster solution for your sagging jowls, Shafer says liposuction is on the table. “As a plastic surgeon, it would be remiss if I didn’t [mention] liposuction and facelift surgery,” he says. “I perform a lot of facelifts in our surgical sky suite at Shafer Clinic. Facelift is surgical and involves lifting the skin of the neck and cheeks and tightening the underlying muscles and then gently repositioning and smoothing the skin and removing any excess skin. This is the most effective and beneficial treatment for people who have a lot of excess skin.”