Sagging Neck / Jowls
A soft jawline, early jowls, or a blunted neck angle come from changes in skin, fat pads, platysma muscle, ligaments and bone support. My approach is layer-specific and conservative—we treat the true driver with the least invasive option that can deliver a calm, natural result.
What you may want to improve
- Blurred jawline and early jowls
- Neck bands (platysma cords) and horizontal lines
- Submental fullness (“double chin”) despite healthy weight
- Crepey neck skin and reduced elasticity
- Chin–neck angle lacking definition
Non-surgical options (minimal downtime)
- Nefertiti Lift (Neck & Jawline) — precise neuromodulation of platysma to soften bands and pull-down vectors; subtly refines the jaw–neck frame.
- Slim Lower Face (Masseter) — reduces lower-face width and clenching tension where muscle bulk dominates.
- Dermal Fillers (structural) — conservative chin projection and jawline support to sharpen edges without bulk.
- Submental contouring (injections) — deoxycholic acid for selected under-chin fat pads; staged for predictability.
- Collagen Stimulators — improve skin firmness and jawline “snap” when laxity—not volume—is the issue.
- Skin quality enhancers — Skin Boosters, Polynucleotides, and Chemical Peels to improve texture and light reflection so contours read cleanly.
Safety first: reversible HA for contouring, vascular-safety protocols, and staged dosing.
Surgical options (when anatomy truly requires it)
- Platysmaplasty (anterior corset) — addresses central bands and subplatysmal fat in selected necks; often combined with a neck lift.
- Chin Surgery (Genioplasty) — precise bony support to restore projection and improve soft-tissue drape naturally.
- Deep-Plane Facelift & Neck Lift — releases and repositions deeper support, treats jowls, defines the cervico-mental angle, and smooths banding with a soft, unpulled look.
- Submental Micro-Liposuction — targeted reduction of a true fat pad to sharpen the angle under the chin; can pair with platysma work.
- Jawline Implant — selected cases needing additional angle/edge when soft tissue is adequate but bone support is limited.
Smart combinations & sequencing
- Diagnose the driver (fat vs muscle vs laxity vs support)
- Start reversible: Nefertiti ± masseter modulation; skin quality program
- Refine edges: conservative structural fillers or collagen stimulators
- Commit if needed: submental micro-lipo and/or deep-plane facelift & neck lift for durable definition
Typical timelines (indicative)
Nefertiti / Masseter:
onset 1–2 weeks,
peak 6–8 weeks;
review 8–12 weeks
Submental injections:
swelling 3–5 days;
contour refines over 6–8 weeks (often 2–3 sessions)
Fillers / Collagen Stimulators:
minor marks 24–48 h;
integration/build 2–12 weeks
Submental Micro-Lipo:
social downtime 3–7 days;
refinement 4–12 weeks
Deep-Plane Facelift & Neck Lift:
social downtime 10–14 days;
maturation 4–12 weeks
FAQs
Can injections replace a neck lift?
They refine when the driver is muscle or small fat pads. When laxity/support loss dominates, surgery is the honest solution.
Will slimming make my neck look hollow?
No—because we balance reduction with support (chin/jawline structure and skin quality). Over-thinning is avoided.
Are scars visible after a neck lift?
Incisions are placed around the ear and under the chin when needed; they’re designed to hide in natural creases.
Do I need a chin implant or bone surgery?
If projection is the limiting factor, osseous genioplasty provides precise, stable support; implants are reserved for specific indications.
