Concerns We Treat
Jowls & Sagging
The fuller laxity that blurs the jawline, where lifting, not resurfacing, is what the skin asks for.
The fuller laxity that blurs the jawline, where lifting, not resurfacing, is what the skin asks for.
Jowls are the soft folds of skin that descend along the lower face as the structures beneath the jaw begin to give. The clean angle that once separated cheek from neck softens, and the line of the jaw blurs. The change is one of architecture rather than surface, and the surface alone tells very little of the story.
This concern is, more often than not, past the season when energy-based work would do most of its quiet repair. The collagen and elastin that supported the jaw across the decades have thinned, and the soft tissue has descended. Where laxity is still mild, our tools meet the question well. Where it has progressed into established jowls, the most honest answer is often a different one, and we will say so.
Treatment for jowling at Refined Aesthetics suits the patient whose jawline has begun to soften, whose cheek has begun to slide, and whose loss of definition is still in the season when filler and careful skin work can restore a measure of what time has taken. The work is conservative: small amounts placed precisely, refined across visits, with the face never asked to read sharper than it would have on its own.
It also suits those who want a thoughtful first step before considering surgery, and who would rather meet the change gradually than postpone it.
The principal causes are the long, intertwined forces of facial aging. The fat pads of the cheek thin and slide downward across the decades, removing the lift that once held the jawline taut. The bone of the jaw resorbs subtly, removing the foundation against which the soft tissue was draped. Skin loses elasticity and can no longer recover from gravity the way it once could. The result is a face that reads softer at the edges, and a jawline less defined than it was.
Hormonal shifts, particularly the changes that arrive with menopause, accelerate the loss. Significant weight loss can dramatize the appearance of jowls by removing the underlying fullness that helped keep them from forming. Genetics decides how readily a given face shows the change, and at what age.
You may notice:
Jowling tends to arrive in the late forties and to deepen across the fifties and sixties. The arc is gradual, and almost no one notices the change in any single year. Across a decade, however, the difference is often clearly visible to the patient herself, and clearly visible to the camera much earlier than to the mirror.
The arc steepens through the years immediately surrounding menopause, when estrogen-driven collagen production falls more sharply. It accelerates with significant weight loss, prolonged illness, and chronic sun exposure. Patients who have steadily maintained their skin's resilience tend to enter jowling later and more gently than those who have not.
LOVE this place!! Everyone is very friendly and down to earth and the services are out of this world! I see Amanda for all my services and she is absolutely amazing. Highly recommend!! Do yourself a favor and get quality over quantity! The prices are actually super fair though and they have a great membership plan that gives you discounts!
Sarah is so naturally kind and knows her profession very good. She keeps you so calm by asking how you are doing and having good conversation with you while doing procedures. I absolutely love her sweet personality. I had laser done on my legs from years of sun damage and it went so smooth. Thanks Sarah! The whole team is so professional and nice.
Sarah is the ultimate professional. She knows her craft and cares about everyone of her clients. I highly recommend her and wouldn’t go to anyone else.
