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Jowls and Facial Laxity

Jowls and facial laxity develop gradually as skin structure and support change over time. Led by Medical Director Dr Joney De Souza, our medical team focuses on understanding the cause before considering treatment.

What Are Jowls and Facial Laxity?

Jowls refer to the sagging or downward movement of skin and soft tissue along the lower face and jawline.

Facial laxity describes reduced firmness and elasticity in the skin. These changes often affect the jawline, lower cheeks and the area between the chin and neck. They reflect structural and skin-related changes rather than surface texture alone.

Dermal fillers can improve facial laxity and jowls by restoring structural support in areas that have weakened with age. Strategically placed filler rebuilds support along the jawline and cheeks, lifts sagging areas, and improves contour. As a result, the lower face appears firmer, more defined, and better balanced without surgery.

Get Face Laxity and Jowls treated with Endolift

Why Do Jowls Develop?

Jowls develop due to a combination of age-related structural changes.

These may include:

  • Gradual collagen and elastin loss

  • Weakening of ligament support

  • Shifts in facial fat compartments

  • Skin thinning

  • Genetic influences

As support reduces, tissue descends and jawline definition softens.

Endolift can improve facial laxity and jowls by tightening and repositioning tissue from beneath the skin. By delivering targeted laser energy under the skin, Endolift stimulates collagen production and promotes tissue contraction. As a result, the jawline appears firmer, jowls look reduced, and overall facial definition improves without traditional surgery.

Explore more about Dermal Fillers
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How We Assess Facial Laxity

Assessment focuses on skin quality, tissue descent and structural balance. Our medical team evaluates whether laxity is primarily skin-based, structural or a combination of both.

This allows us to explain which approaches may support jawline definition and where non-surgical treatment has limitations.

Speak with us about Jowls and Facial Laxity
Before
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After
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Jowls and Facial Laxity Treatments at Dr Joney De Souza

Jowls and facial laxity develop as collagen and elastin decline, letting the skin along the jawline and lower face soften and drop. At our Marylebone clinic we lift and tighten from within using energy and thread based treatments, and a consultation matches your skin, laxity and goals to the right option.

Ultherapy
From £765
Focused ultrasound reaches the deep foundational layer to stimulate fresh collagen, gradually lifting jowls and tightening lax skin with no surgery.
Morpheus8
From £550
Microneedling paired with radiofrequency remodels collagen and firms the lower face, refining a heavy jawline and softening the appearance of jowls.
Endolift
From £1,275
Laser fibres placed under the skin tighten tissue and melt small pockets of fat, redefining the jawline and lifting sagging areas.

Book a consultation with our Marylebone team to find the lifting approach best suited to your jawline and skin.

Frequently Asked Questions

What is one of the most commonly discussed treatments for Jowls and Facial Laxity?

Dermal fillers are often discussed where structural support along the jawline may improve facial balance.

 

 

Ask us your question

How can jowls and facial laxity be improved?

Improvement depends on the degree of laxity and underlying structural change. Options that may be discussed include Ultherapy for deeper tissue support, UltraClear laser for skin quality, Endolift for targeted tightening, Morpheus8 for collagen stimulation, and dermal fillers where structural balance is required. The aim is gradual, natural refinement rather than surgical lifting.

Can jowls be completely removed without surgery?

Non-surgical treatments aim to support and soften laxity but cannot replicate surgical lifting.

Is facial laxity only caused by ageing?

Ageing is a primary factor, but genetics, weight changes and lifestyle also contribute.

Do jowls worsen over time?

They often become more noticeable gradually as collagen declines and tissue support reduces.

Can skincare alone tighten jowls?

Skincare supports skin health but does not significantly tighten established laxity.

Does everyone with jowls need treatment?

No. Many people choose observation once they understand the cause and progression.

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Kind words that made our day 🤍

We were so touched to receive this lovely feedback from a recent client following her PicoSure face treatment with Roma - this one’s for David, Roma, and Dr Joney.

“From the moment I arrived, David and Roma made me feel so welcome and completely at ease. Roma was caring, professional, and took the time to explain the treatment thoroughly, making sure I felt comfortable and reassured throughout. Even after just one session, my skin already feels smoother and looks much more refreshed.”

Moments like this are exactly why we do what we do. It’s not just about the results (although we’re so pleased with how her skin is already responding!), it’s about making every client feel genuinely cared for from the second they walk through the door.

Thank you to our amazing client for such kind words, and to David, Roma, and Dr Joney for the warmth and care you bring to every single appointment 🫶HydraFacial: the secret to that red-carpet glow ✨

Ever wondered what actually happens during a HydraFacial? Here’s a look inside the treatment, step by step, at Dr Joney De Souza.

It begins with a deep cleanse and exfoliation to clear away impurities and prepare the skin, followed by gentle extractions that refine congestion with complete comfort and precision. 

From there, targeted serums and boosters are infused into the skin, tailored entirely to your individual needs, before LED light therapy supports the skin’s long-term health and renewal. 

The treatment finishes with an antioxidant infusion, sealing in radiance for that lit-from-within finish.

This particular treatment was our Deluxe HydraFacial, though for those wanting to elevate the experience further, our Platinum HydraFacial also includes lymphatic drainage, perfect for extra de-puffing and detoxification alongside all the usual glow-boosting benefits.

The result is skin that looks cleansed, replenished, and effortlessly glowing, delivered with the precision and care that defines every treatment here.

📍 Marylebone, London | 020 7043 0748 📱Sculptra vs Juläine: which biostimulator is right for you? 💭

Both Sculptra and Juläine are poly-L-lactic acid (PLLA) biostimulators - meaning rather than simply adding volume, they work by encouraging your skin to produce its own natural collagen over time, for results that look and feel truly you.

Sculptra is the original PLLA injectable, with a long-established track record for stimulating collagen and improving skin structure and firmness gradually over several months, with results that can last up to two years.

Juläine is a newer generation PLLA treatment, using more uniform, highly purified microspheres engineered to mix more evenly, which can help reduce inflammation caused by treatment. Like Sculptra, results build gradually, with visible improvements from a few weeks in and full effects developing over a few months. 

Both are excellent options for restoring facial volume, improving skin quality, and softening lines. The right choice really depends on your skin, goals, and what your practitioner recommends for you.

Not sure which is best suited to your skin and goals? Get in touch with us today to book your consultation.

📍Marylebone, London | 020 7043 0748 📱Product Spotlight | Daily Power Defense ✨

ZO Skin Health’s Daily Power Defense is one of those products that quietly does a lot of the heavy lifting in a skincare routine, and it’s become a firm favourite of ours here at the clinic.

Formulated with Vitamins A and E, it helps protect the skin against environmental damage and free radicals, while supporting barrier restoration and long-lasting hydration.
Over time, this can mean fewer visible signs of premature ageing and a stronger, more resilient complexion.

It’s a lightweight daily step, but one that adds up - the kind of product that supports your skin quietly in the background, day after day.

If you’re curious whether it fits into your routine, drop us a DM, or ask at your next appointment 📅

How can you find us?

Our clinic is located in Marylebone, London, in the heart of one of Central London’s most prestigious and renowned medical districts. Perfectly positioned for convenience and discretion, we are easily accessible from across the capital and beyond.

We welcome patients from Mayfair, Harley Street, Marylebone, Knightsbridge, Belgravia, Chelsea, Kensington, Fitzrovia and St John’s Wood, as well as international patients visiting London for specialist treatment.

Our location benefits from excellent transport connections, with close proximity to major Underground stations, mainline rail links and direct access to Heathrow, Gatwick and London City airports. Several secure parking facilities and convenient chauffeur drop-off points are available nearby, ensuring a seamless and comfortable visit.

Whether you are travelling from elsewhere in London, across the UK or internationally, our clinic offers a calm, private and exclusive setting in one of the world’s leading medical destinations.

Opening hours
Monday
9 am to 6 pm
Tuesday
9 am to 6 pm
Wednesday
9 am to 6 pm
Thursday
9 am to 6 pm
Friday
9 am to 6 pm
Saturday
Closed
Sunday
Closed
Dr Joney De Souza
49 Blandford St, London W1U 7HH
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