Non-surgical jawline and jowls treatment in Marylebone, London. Ultherapy, Morpheus8 and Endolift, matched to your depth of laxity.
Dr Joney De Souza Clinic hears the same description in a dozen accents: the face is fine, but the line of the jaw has gone soft, and two small pouches have appeared at the corners of the mouth. That is the jowl story, and it is structural. With age, collagen and elastin decline, the deep supporting layer of the face relaxes, and the tissue of the mid face gradually descends until it gathers along the jaw, blurring the once crisp line between face and neck.
Sun exposure sets the pace, genetics deal the starting hand, and weight change can accelerate or unmask it. It is also worth knowing that some of what reads as sagging is actually volume loss higher up: when the cheeks deflate, the lower face looks heavier by comparison, and the honest plan starts higher than people expect.
Our approach works from depth: focused ultrasound for the deep foundation, radiofrequency microneedling for the skin and tissue, and laser assisted tightening under the chin where fullness and laxity meet. Non surgical lifting has honest limits, and we say where they are before anything is booked, because a jawline that ages gracefully is a longevity project rather than a single appointment.
Lower face laxity shows up in a few distinct patterns, and each responds to a different depth of treatment. Find the one that sounds like your reflection, then follow it through. Your practitioner confirms the read at consultation, including an honest word on where non surgical lifting reaches its limits.
Softer in side on photos
The line still exists but has lost its crispness, especially from the side. Focused ultrasound stimulates fresh collagen in the deep foundational layer, gradually redefining the edge, and where deflating cheeks are the real culprit, our loss of volume page covers that story.
The two small pouches
Once tissue has gathered into early jowls at the corners of the mouth, the skin and the layer beneath both want remodelling. Radiofrequency microneedling firms and tightens exactly there over a short course.
Laxity plus a soft pocket
Where the area under the chin carries both loose tissue and a soft pocket, Endolift works from within: a hair fine laser fibre tightens tissue and reduces fullness in one doctor performed session, with results that build over months.
Where honesty matters most
Significant weight change reshuffles skin, tissue and fullness at once, and established, heavy jowls improve rather than vanish without surgery. A consultation maps the honest picture, and where a surgical opinion is the truthful answer, we say so plainly.
Real results from our Marylebone clinic, photographed under consistent lighting. Collagen led lifting builds over two to six months, so treat these as an honest illustration of what is achievable rather than a promise of your own outcome.
Ultherapy
Endolift
Ultherapy
Morpheus8
| Compare | UltherapyDeep focused ultrasound lift | Morpheus8RF microneedling remodelling | EndoliftLaser tightening from within |
|---|---|---|---|
 |  |  | |
| Best for | Ultherapy Early softening of the jawline, prevention minded lifting | Morpheus8 Formed jowls, skin laxity and texture along the jaw | Endolift Under chin fullness combined with loose tissue |
| Typical course | Ultherapy A single session, repeated every year or two | Morpheus8 1 to 3 sessions | Endolift A single doctor performed session |
| Downtime | Ultherapy None, straight back to your day | Morpheus8 A few days of redness and mild swelling | Endolift A few days of swelling and tenderness |
| Results build over | Ultherapy 2 to 6 months as collagen rebuilds | Morpheus8 6 to 12 weeks | Endolift 3 to 6 months |
| Price from | Ultherapy £765 | Morpheus8 £550 | Endolift £1,275 |
| View Ultherapy | View Morpheus8 | View Endolift |
Short clips from the treatment room at our Marylebone clinic, from Ultherapy and Morpheus8 to Endolift.
Three routes to a firmer lower face, chosen by depth. Around them sit the supporting players: Profhilo for skin quality along the jaw, doctor performed dermal fillers where mid face support sharpens the line from above, and the 8 point non surgical facelift where the whole face wants rebalancing.
Focused ultrasound
Focused ultrasound reaches the deep foundational layer that surgery tightens, stimulating fresh collagen so the jawline gradually lifts and redefines. No needles, no downtime, results building over months.
Typically one session, repeated every year or two.
RF microneedling
Microneedling with radiofrequency delivered deep into the tissue remodels collagen and firms slack skin along the jaw and jowl line, tightening texture and contour together.
One to three sessions, a few days of redness.
Doctor performed laser lift
A hair fine laser fibre passed just under the skin tightens tissue and reduces fullness under the chin and along the jaw from within, in a single doctor performed session.
Results build over three to six months.
Every plan at Dr Joney De Souza Clinic starts with reading where the laxity actually sits. Your practitioner assesses the deep foundation, the skin quality, the tissue along the jaw and under the chin, and crucially the mid face above it, because deflated cheeks masquerade as jowls more often than people expect. Photographs from several angles under consistent light give the honest baseline.
You will hear clearly what non surgical lifting can achieve for your degree of laxity, and where its limits are, before any course is recommended.
“My ‘less is more’ approach has become the mainstay of my practice and clients appreciate that they will have natural looking results.”
Dr Joney De Souza, speaking to The Sybarite
Here is what happens before, during and after treatment at our Marylebone clinic.
Your consultation maps the depth of laxity and agrees the route, with baseline photographs taken under consistent lighting. For Morpheus8 and Endolift we plan numbing and aftercare in advance, and we ask you to arrive without makeup on the treatment area.
Ultherapy takes sixty to ninety minutes and feels like deep pulses of warmth. Morpheus8 is performed after topical numbing, a session of controlled passes along the jaw. Endolift is a doctor performed procedure under local anaesthetic, done in a single visit with meticulous planning.
Ultherapy needs no recovery at all. Morpheus8 brings a few days of redness and mild swelling, Endolift a few days of swelling and tenderness under the chin. The lift itself arrives gradually over two to six months as collagen rebuilds, which is when the review photographs tell the true story.
At the margins, honestly. Daily SPF slows the collagen loss that drives the whole process, a retinoid keeps the skin itself thicker and springier, and stable weight keeps the picture steady. Gua sha and massage move fluid and can freshen the area for a day, which is pleasant, and temporary.
What no cream, tool or exercise reaches is the deep supporting layer where the sag actually happens. Firming that layer needs energy delivered to depth, which is exactly what ultrasound, radiofrequency and laser based treatments are for.
What treatment will not do. We would rather say this plainly. Non surgical lifting firms and refines; it does not replicate a facelift, and established heavy jowls improve rather than disappear. Results build gradually over months, vary between people, and keep best with maintenance. Where surgery is the honest answer for your goals, we will say exactly that.
You may also want to read about related concerns we treat alongside the jawline, including loss of volume and fine lines and wrinkles.
The questions our Marylebone team hears most often about the lower face, from why jowls form to what treatment involves and costs. If yours is not here, message us on WhatsApp and a practitioner will answer properly.
Gravity working on weakening scaffolding. Collagen and elastin decline with age, the deep supporting layer relaxes, and mid face tissue gradually descends until it gathers along the jaw. Sun exposure sets the pace, genetics deal the hand, and volume loss in the cheeks makes the lower face look heavier still.
Focused ultrasound delivers energy to the deep foundational layer, the same plane a surgeon tightens, triggering fresh collagen that gradually lifts and firms the line. There are no needles and no downtime, and the result builds quietly over two to six months rather than overnight.
It remodels the skin and the tissue just beneath it. Fine needles deliver radiofrequency energy at depth along the jaw and jowl line, firming slack tissue and refining texture together over one to three sessions, with a few days of redness as the trade.
A doctor performed procedure in which a hair fine laser fibre is passed just under the skin, tightening tissue and reducing fullness from within, most powerfully under the chin. It is a single session under local anaesthetic, with results that build over three to six months.
Quite possibly, and it changes the plan. When cheeks deflate, the lower face looks heavier by comparison, and restoring mid face support often sharpens the jawline more than treating the jaw itself. That assessment is exactly what the consultation is for, and it is why we read the whole face first.
Collagen led lifting is gradual by nature: expect the change to build over two to six months after Ultherapy, six to twelve weeks after Morpheus8, and three to six months after Endolift. Baseline and review photographs under the same light tell the honest story.
Typically a year or two, because the new collagen is yours but ageing continues its slow work. Most people maintain with a repeat Ultherapy session every year or two, or a Morpheus8 top up, alongside daily SPF, which protects the collagen you have paid to rebuild.
Ultherapy has none: warm pulses, then straight back to your day. Morpheus8 brings a few days of redness and mild swelling, and Endolift a few days of swelling and tenderness under the chin. None of the three keeps you out of circulation for long.
Improved honestly and visibly, yes, especially when treatment starts before the jowls are heavy. What non surgical lifting does not do is replicate surgery, and established, heavy jowls improve rather than vanish. If your goals sit beyond what energy based treatment delivers, we will say so plainly.
Yes. Ultrasound and radiofrequency do not target pigment, so Ultherapy and Morpheus8 suit all skin tones, and Endolift works beneath the surface. As always, assessment is individual and settings are planned for your skin rather than a default.
At our clinic, Morpheus8 starts from £550, Ultherapy from £765 and Endolift from £1,275, with the exact plan priced at consultation. Our full price list has the detail.
Verified Google reviews from patients treated for lower face laxity at Dr Joney De Souza Clinic in Marylebone.
I know that Dr Joney is a man at the top of his game! I’ve just had Endolift on my jaw and am delighted with the results, plus minimal downtime.
Fantastic journey from start to recovery, Dr Mattia and his team are professional, caring and meticulous! The treatment was less painful than I imagined.
The clinic has played a huge role in my post-divorce glow-up, completely transforming both my face and body with incredible, natural-looking results. Dr. Joney De Souza is an artist, a perfectionist, and above all, a true professional.
From the journal
