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Sagging jawline

A sagging jawline is a common concern that develops gradually as skin support and facial structure change. Led by Medical Director Dr Joney De Souza, our medical team focuses on understanding these changes before considering treatment.

What is a sagging jawline and how can you treat it?

A sagging jawline refers to a loss of definition along the lower face, often accompanied by softening or downward movement of tissue. This can blur the transition between the jaw and neck and affect facial contours. These changes are usually part of a broader ageing process rather than an isolated concern.

Dermal fillers made of Hyaluronic Acid (HA fillers) can help restore and enhance jawline definition by providing structural support to areas where bone density and soft tissue volume naturally decline with age. As the jawline weakens, skin and fat can shift downward, contributing to a jagged or less defined jaw contour and the appearance of jowls. Carefully placed filler along the jawline and chin helps recreate a smoother, more continuous contour, improves symmetry, and supports the overlying skin. By reinforcing the jaw’s natural framework, fillers can reduce the look of jowling and create a sharper, more balanced lower face without surgery.

Learn more about Dermal Fillers

Why Does the Jawline Sag?

Jawline sagging develops due to a combination of structural and skin-related factors.

These may include:

  • Gradual loss of collagen and elastin in the skin

  • Changes in facial fat distribution and support

  • Bone remodelling with age

  • Reduced skin firmness and resilience

The degree and pattern of sagging vary between individuals. One effective treatment for treating a jagging jawline or jowl region is Ultherapy.  Ultherapy is an FDA approved, non-invasive treatment for skin tightening that uses micro-focused ultrasound energy with real-time visualisation to ensure that the treatment is accurately targeting the concerns. Talk to us if you’d like to learn more from our specialist team.

Learn more about Ultherapy
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How We Assess Jawline Sagging

Assessment considers the lower face in the context of the face as a whole. Our medical team evaluates skin laxity, volume distribution, structural support and overall facial proportions.

This allows us to explain which factors are contributing most to jawline changes and whether treatment may be appropriate.

Ask us about a sagging jawline
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Sagging Jawline Treatments at Dr Joney De Souza

A sagging jawline develops as collagen and elastin decline with age, softening the once-crisp line between the face and neck. At our Marylebone clinic we lift and tighten this area with energy-based and regenerative treatments, and a consultation matches you to the option best suited to your skin and goals.

Ultherapy
From £765
Focused ultrasound reaches deep foundational layers to stimulate fresh collagen, gradually lifting and redefining a soft, sagging jawline with no downtime.
Morpheus8
From £550
Microneedling combined with radiofrequency remodels the skin and firms slack tissue along the jaw, tightening laxity and sharpening a blurred contour.
Endolift
From £1,275
Laser fibres placed under the skin tighten and lift the lower face, defining the jawline and reducing early jowls without surgery.

Book a consultation at Dr Joney De Souza in Marylebone to find the right treatment for your jawline.

Frequently Asked Questions

What is one of the most commonly discussed treatments for a sagging jawline?

Dermal fillers are often discussed where additional structural support is needed to improve jawline definition. They are used conservatively to maintain natural proportions.

How can a sagging jawline be improved?

Improvement depends on the degree of sagging and the underlying cause. Options discussed at our clinic may include dermal fillers to support structure and contour, Endolift or Ultherapy to stimulate skin tightening, alongside UltraClear laser resurfacing and medical-grade skincare to support overall skin quality.

Is jawline sagging the same as loose skin?

Not exactly. Sagging involves changes in support and tissue position, while loose skin relates more to skin laxity. They often occur together but are assessed separately.

Can jawline sagging be prevented?

It cannot be fully prevented, but early assessment and skin health optimisation may help manage how changes appear over time.

Does jawline sagging worsen with age?

It often becomes more noticeable as skin and structural support reduce, although progression varies between individuals.

Will treating the jawline change my facial shape?

The aim is subtle support and improved balance rather than altering natural facial shape.

Does everyone with a sagging jawline need treatment?

No. Many people choose not to treat jawline changes 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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