Facial volume loss means that the skin of the face is no longer properly supported and begins to sag. As the skin itself loses laxity and elasticity the skin tends to stretch and contribute to the jowls. Volume replacement is the mainstay of treatment but should be combined with treatments that restore skin and tissue elasticity. Treatment options include:

• Volume replacement will improve jowls: straightforward hyaluronic acid fillers for a fast fix but also collagen stimulating injections such as radiesse or lanluma for longer-lasting volume and tissue quality enhancement.
• Energy based devices such as Sofwave, Exilis RF Microneedling
• Medium depth chemical peeling
• Nutritional mesotherapy
• Fractional resurfacing
• Threading can also lift the face successfully. Silhouette threads lift the tissues thanks to their “cogs” and stimulate new collagen thanks to the unique composition of the cogs. Some volume replacement may be necessary to help lift the face before the threads are inserted.

Heavy jowls can have a fatty component. In this case we can reduce the fat and the fat of the chin with the Exilis RF device. The less fat around the jawline then the easier it is to lift the jowls.