You have seen the before and after pictures. Here is the in-between: how your jaw, chin and neck change month by month after Endolift at Dr Joney De Souza Clinic in Marylebone.
You have looked at plenty of before and after pictures, and what you really want to see is the in-between, week by week, in your own mirror. Perhaps it was the soft fullness along your jaw that sent you looking, the shape you can pinch between finger and thumb. That whole journey, from the first evening to the six-month photograph, is what Endolift at Dr Joney De Souza Clinic in Marylebone is planned around.
| Performed by | Appointment | Downtime | Results |
|---|---|---|---|
| Dr Joney De Souza, or directly supervised by him | 60 to 90 minutes under local anaesthetic | Normal activities within 24 to 72 hours, swelling settles over about two weeks | Clearest at two to four months, last two to three years |
Endolift works from the inside, beneath the surface you see. A laser fibre thinner than a hair, just 300 microns across, slips under numbed skin through one tiny entry point. Its laser energy warms the deeper layers until they tighten. On the same pass it shrinks small fat pockets from within, with no cut to heal.
The change can be measured, not just admired. In a small study of nine people with that same pinchable fullness along the jaw, three dermatologists judged the photographs blind and rated about 90 percent of the results good or very good. Nine is a modest number, so the most useful record will still be the photographs taken of your own face.
Dr Joney De Souza (GMC 7008632) performs or directly supervises every Endolift treatment at the clinic. The doctor who plans your result is the one watching it unfold. That matters, because the treatment has two moments in it. The tissue contracts on the day, then fresh collagen arrives slowly over the following months.
The treatment day itself is calmer than most people expect. Local anaesthetic numbs the area, you stay awake throughout, and the session runs for 60 to 90 minutes. As the fibre glides beneath the jaw you feel a gentle, spreading warmth, and most patients rate the sensation at around two or three out of ten.
The evening after treatment the area feels warm and full, like skin after a long afternoon in the sun. Along the jaw you notice a tight, slightly puffy band. The single entry point, covered with a small sterile dressing, is barely bigger than a freckle. A small bruise sometimes sits beside it, easy to cover by morning.
The fullness builds over the first few days and peaks somewhere between day four and day seven, when the lower face can look softer than when you arrived. This is precisely when people feel tempted to judge the result. Leave the verdict for later. Simple pain relief keeps the tenderness comfortable, and within about two weeks most of the swelling has settled.
The plan for that first week is simple and gentle. You keep pressure off the treated skin and take simple pain relief if the tenderness asks for it. Steam rooms, saunas and hot yoga wait for a fortnight. Most people are back at their desks within 24 to 72 hours, perhaps with a soft scarf if the neck was treated.
Once the swelling clears, the first change often arrives through touch rather than sight. Run your fingers along the jaw and the skin feels denser and springier. It seems to sit more closely over the bone. That is the contraction from treatment day holding steady while the first new collagen forms underneath.
In the mirror the change at four weeks is quiet but real. Under the chin, the soft fold you noticed on video calls sits a little higher. The neck catches less of that crumpled shadow under overhead light. Friends rarely spot anything yet, which is part of the appeal, because nobody sees a sudden switch.
This is also when Dr Joney De Souza turns to surface quality. Profhilo fits neatly from six to eight weeks after Endolift. It adds a hydrated bounce and glow to skin the laser has already firmed from beneath. Some people then keep it up twice a year, so the surface stays as fresh as the contour.
Between two and four months the clearest change shows, and it shows best from the side. Stand beside a window and turn your head slowly. The line from chin to ear reads cleaner, with the jowl tucked back towards the jaw. Photographs taken at a three-quarter angle start to look like you again.
Each area moves at its own pace. A softening jawline tends to sharpen early, because the laser tightens tissue lying right along the bone. A double chin takes a little longer, as the treated fat cells are cleared away gradually. The neck smooths in parallel, and its horizontal creases look shallower in photographs.
Across the cheeks and jowls the change is subtler and more about how the skin holds itself. The skin over the lower face looks smoother when you smile and sits closer to the bone when you tilt your head down. Foundation glides over it rather than settling into soft creases, and that is often when people stop checking and simply enjoy it.
By six months the collagen has largely done its work, and this is the photograph to judge Endolift by. The skin across the lower face and neck looks firmer and the contours are crisper. The overall impression is of somebody well rested rather than somebody altered. Nobody sees a new face, only a fresher version of yours.
That result typically lasts two to three years from a single session. Your face carries on ageing gently in the meantime. The clinic therefore suggests a top-up around the two to three year mark, keeping the jawline where you like it. Where the laxity was pronounced or the fat pocket larger, a second session between six and twelve months builds on the first.
The overall impression is of somebody well rested rather than somebody altered.
Simple habits help the new collagen hold. Daily sunscreen protects it from the light that slowly breaks it down. Skin quality treatments such as polynucleotides keep the surface supple and bright. Together they keep that six-month photograph recognisable in the mirror for a long while.
Endolift does not resurface the skin itself. Fine lines across the cheek, open pores and old sun marks live in the outer layers, and UltraClear resurfacing is the treatment for those. Dr Joney De Souza often places it in a later month, once the contour has settled, so tone and texture catch up with the firmer jaw.
Some people bring their own photographs to the six-month review, the holiday picture or the wedding snapshot that first made them notice the softening along the jaw. Laid beside the new images taken in clinic, in the same chair where the plan began, those old pictures make the slow work of the past months suddenly and pleasingly visible.
Why does the change take months rather than days? Skin collagen falls steadily with age and is lower in women at every age, as a 1975 study in the British Journal of Dermatology measured, and dermal thickness falls with it. Endolift asks the dermis to rebuild some of that collagen, and new fibres take weeks to form and months to organise.
The jowl study tracked exactly that change. Biometric readings after treatment showed the skin along the jawline had become thicker, denser and more elastic, which is the springier feel you notice under your fingertips at month one. The patients scored their own satisfaction just as warmly as the blinded dermatologists scored the results.
A 2024 systematic review in Aesthetic Plastic Surgery gathered 23 studies of the technique and reported favourable results for face and neck lifting and for skin laxity, with high patient satisfaction across them. The authors named larger controlled trials as the next step, so the photographs taken of your own jaw at each review remain the clearest evidence you will see.
When you look at Endolift photographs anywhere, check that both images share the same light and head angle. The mouth should be relaxed and unsmiling in each. A chin tipped up by a few degrees can fake a sharper jaw. A brighter after shot flattens every shadow along the neck that the before shot exaggerated.
Look for the timepoint as well. A picture taken on treatment day shows contraction mixed with early swelling, which can look dramatic before it softens. Pictures at three and six months show what the collagen has actually built. That is the face you will be living with for the next couple of years.
It helps to know which view suits which area. A neck photographed from the front hides most of its change, while the same neck seen in profile with the head level shows a smoother line from chin to collarbone. Jowls need a three-quarter view in soft, even light, since a single overhead bulb carves shadows into almost any lower face.
At the clinic you are photographed at consultation and again at review, standing in the same spot under the same light. Your own record is therefore a fair one. Seeing your jawline side by side at month six, with only the skin changed, is one of the quietly satisfying moments of the whole treatment.
Your first visit is a consultation with Dr Joney De Souza or Dr Mattia Parducci (GMC 7635663). They look at your jaw, jowls and neck in good light and from the side. They feel the skin for thickness and spring, and check how much soft fullness sits under the chin. Then they take the photographs that become your before.
Most people need one session, and the consultation gives the real answer for your face. Dr Joney De Souza sets out the plan and its investment at that first meeting, area by area, once he has felt how the skin along your jaw and neck responds under his fingers. You leave knowing which areas will be treated and the month the change should show.
A few direct questions come before any date is set. Which medicines do you take, and is any of them a blood thinner? How much alcohol do you drink in a usual week, and is your general health good? Where it is safe, blood thinners and alcohol pause for five to seven days beforehand, only ever on medical advice, and you arrive with clean, bare skin.
The clinic sits in Marylebone, close to Harley Street and a short walk from Baker Street station. It is an easy stop from anywhere in central London, or from Bond Street after work. If the jawline in your own profile has been bothering you, come and see how Endolift in London could change the picture by spring.
Short clips filmed at Dr Joney De Souza Clinic in Marylebone, so you can see how Endolift is carried out before you book.
Book a consultation with Dr Joney De Souza and have your jawline photographed in the same light it will be judged in at six months. Call 020 7043 0748 or message the clinic on WhatsApp to choose a time that suits you.
These are the questions people ask as they watch their own jawline change, from the swollen first days to the settled six-month photograph, answered by the clinic team.
Some tightening is felt on the day as the tissue contracts, though the first week’s swelling hides most of it. The clearest change usually shows between two and four months. The full collagen effect builds over three to six months, so the skin keeps improving long after you have stopped thinking about the appointment.
Through the first week it can look fuller rather than sharper, which surprises people. That puffiness is ordinary swelling around the treated tissue and peaks at around four to seven days. It eases steadily after that and has mostly settled within about two weeks. The firmer contour underneath then shows itself as the collagen builds.
Expect mild swelling and some tenderness along the jaw that peak at around four to seven days, with any small bruise following the same curve. By about two weeks most of it has settled. Many people return to normal activities within 24 to 72 hours, and the jaw is ready for photographs well before the main collagen change arrives.
There is an immediate effect, because the laser makes the deeper tissue contract during treatment. You may notice the skin feels tighter as you leave. The visible lift is the slower part of the story and arrives gradually as new collagen forms. That is why the clinic photographs you again at review rather than on the day.
Rarely, and that is the idea. There are no stitches or incisions, only a tiny entry point that fades quickly. The change builds so gradually that friends tend to say you look well rather than different. Your jaw simply reads cleaner in photographs, and the neck looks smoother under harsh overhead light.
Only if they were taken at three to six months. A photo taken on the day or in the first fortnight still includes swelling and early contraction. In the 2022 jowl study, the improvement was judged by dermatologists working blind. A trustworthy after image is labelled with its timepoint and shot in the same light and pose as the before.
The fat cells reduced under the chin are cleared away gradually over the following months. The skin above them firms at the same time. The overall result typically lasts two to three years. Weight changes and natural ageing still play a part, which is why some people come back for a top-up around then.
Results from one session typically last two to three years. The clinic times a top-up to the way your face is ageing rather than to a fixed date. For pronounced laxity or a larger fat deposit, Dr Joney De Souza sometimes suggests a second session between six and twelve months after the first. See Endolift at the clinic.
Yes, and the two pair nicely. Endolift firms the deeper layers while Profhilo hydrates the skin itself. The surface gains glow and bounce over the tightened contour. The clinic plans it from six to eight weeks after Endolift, once the initial swelling has settled, and many people then repeat it twice a year.
Keep firm pressure off the treated area for the first days, so no tight chin straps or vigorous facial massage, and leave saunas, steam rooms and hot yoga for two weeks. Before treatment you pause alcohol and, where it is safe and only on medical advice, blood-thinning medication for five to seven days, which helps keep bruising light.
