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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

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.

 

 

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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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The treatment everyone keeps coming back to, and once you’ve had one, you’ll understand why 😍

HydraFacial is one of our most loved treatments at Dr Joney De Souza Skin & Laser.

Suitable for virtually every skin type and concern, it delivers immediate, visible results with absolutely no downtime — making it the perfect treatment whatever your lifestyle or schedule.

Using a unique vortex-fusion technology, HydraFacial simultaneously cleanses, exfoliates, extracts and infuses the skin with a tailored blend of serums including hyaluronic acid, antioxidants and peptides — delivering active ingredients deeper into the skin for maximum efficacy.

The result? Skin that looks and feels genuinely cleaner, brighter, smoother and more hydrated from the very first session. Whether you are dealing with congestion, dullness, fine lines, uneven texture or simply want to give your skin a thorough reset, HydraFacial addresses it all.

It also serves as an excellent foundation treatment alongside more advanced procedures, helping to optimise your skin’s condition and enhance the results of everything else in your treatment plan.

A treatment your skin will thank you for, every single time 🤍

📍Marylebone, London | 020 7043 0748 📱If you’ve been curious about anti-wrinkle injections but have questions, you’re not alone. Here are the three things we get asked most at Dr Joney De Souza 💬

“Will it look natural?”- This is always our priority. Anti-wrinkle injections are about softening lines and relaxing tension, while keeping your face expressive and authentically you. In the right hands, nobody should be able to tell, they’ll just think you look well-rested.

“Does it hurt?” - The needles used are ultra-fine, and most people are surprised by how quick and comfortable the experience is. 

“How long before I see results and how long do they last?” - Most clients start to notice the effects within 3–5 days, with full results visible at around 2 weeks. Results typically last 3–4 months, and with consistent treatment over time, many patients find they need less product to maintain their look.

Still have questions? Drop us a DM and we’ll be happy to answer them!

📍Marylebone, London | 020 7043 0748 📱

#AntiWrinkleInjections #DrJoneyDeSouza #Botox #AestheticFAQ #NaturalAestheticsThis made our team smile 😊 

“Dr. Mattia made me feel very comfortable and informed through the entire experience. He was accommodating and very patient with my busy schedule, and his treatment was very thorough. He cares about ensuring the best outcomes. I did not feel like I had to advocate for myself because he was already advocating for me. This is very nice / unique! I’m sure the results will be incredible, but my experience with him already made this 10/10.” — Kailin

Kailin came in for UltraClear laser and PRF under-eye treatment — and this review is a perfect example of what we believe great aesthetic medicine looks like. It’s not just about the treatment. It’s about feeling heard, cared for and in safe hands from start to finish.

Thank you so much for sharing this with us, Kailin — we can’t wait for you to see your results. 🤍

#DrJoneyDeSouza #PatientReview #UltraClear #PRF #UnderEyeTreatmentProduct Spotlight | ZO Skin Health Body Emulsion 🌟

We spend so much time caring for the skin on our faces — and rightly so. But the skin on our bodies deserves exactly the same attention.

The ZO Skin Health Body Emulsion is one of our favourite recommendations for anyone who wants to bring that same level of skincare science to the rest of their skin.

This isn’t your average body moisturiser. It’s a multi-action treatment formulated with medical-grade ingredients that work on multiple levels —

— Retinol to stimulate collagen production and support skin renewal
— Enzymatic exfoliation to remove dead skin cells and smooth rough texture
— A 12-hour time-release antioxidant complex with Vitamins A, C & E
— Deep hydration to restore and strengthen the skin’s protective barrier
— Diacetyl Boldine to even skin tone and reduce the appearance of dark spots

The result is skin that feels genuinely smoother, looks more even and stays hydrated throughout the day — without any greasy residue.

📍Marylebone, London | 020 7043 0748 📱

#ProductSpotlight #ZOSkinHealth #BodyEmulsion #DrJoneyDeSouza #MaryleboneLondonWant results with minimal downtime? 👀

Purasomes are advanced regenerative serums designed to support the skin’s natural healing process following treatments such as microneedling and laser resurfacing.

Using growth factors, peptides, and exosomes, they help reduce inflammation, support collagen production, and aid recovery after treatment.

At Dr Joney de Souza, we offer three targeted Purasomes formulations depending on individual skin and hair concerns:
• Hair & Scalp Complex
• Skin Glow Complex
• Nutri Complex

These can be incorporated into selected treatments to support healing and optimise overall skin quality.

Begin your journey to a more radiant, clearer complexion at Dr Joney De Souza.

📍Marylebone, London | 020 7043 0748 📱

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