Jowls Treatment, London

Jowls are one of the most common concerns my patients bring up in clinic, and understandably so. As we age, the lower face begins to lose structure and support, leading to that softening along the jawline that can make the face look heavier and less defined. The good news is that we have more non-surgical tools than ever before to address jowls, but it’s not just about using the latest treatment, it’s about using it wisely.

Here are three of the most common mistakes I see when jowls are treated non-surgically, and what we do differently to achieve natural, elegant results that truly last.

Focusing only on the jawline

It’s easy to assume that the best way to treat jowls is to go straight to the source. If the heaviness is around the jaw, surely that’s where we should inject? Not always. One of the biggest mistakes is treating the jawline in isolation, without considering what’s happening higher up in the face.

In most cases, jowls are not caused by an issue with the jawline itself, but rather by a loss of support in the midface and deep fat compartments. When the cheek fat pads begin to descend and facial ligaments weaken, the skin and jowl fat pads start to gather in the lower face. If we simply add filler along the jawline without restoring volume above, we run the risk of creating an overly heavy, square, or masculinised appearance.

That’s why I always begin by assessing facial structure as a whole. Often, the most effective way to lift the jowls is by restoring volume in the midface, temples, or lateral cheek, areas that, when supported, can create a beautiful upward tension and reduce the need for excessive filler in the lower face.

Over-relying on filler for lifting

Filler is a fantastic tool in the right hands, but it has its limits, especially when it comes to lifting skin. One of the mistakes I see far too often is using filler alone to try and correct moderate to severe jowls. The truth is, dermal filler adds volume, but it doesn’t tighten or regenerate tissue. If used incorrectly or in excess, it can distort facial proportions, blur definition, and even accelerate the ageing process over time.

This is why I often pair small amounts of carefully placed filler with regenerative treatments that actually improve the quality and structure of the skin. Biostimulators like HArmonyCa help stimulate collagen, improve elasticity, and create lift without adding bulk. And when we really need to address laxity, energy-based devices like Sofwave or radiofrequency microneedling come into play to tighten the dermis and improve overall firmness.

A multi-layered approach always yields the most natural and balanced results, especially in the lower face, where subtlety matters.

Ignoring the importance of the skin itself

It’s not just volume loss and gravity that contribute to jowls, it’s also the condition of the skin. As we age, the dermis becomes thinner, collagen production slows, and the skin’s ability to “snap back” decreases. This laxity allows the tissue to sag, even if everything underneath is well-supported.

One of the biggest mistakes is overlooking skin quality in a jowl treatment plan. If we focus only on structural support without addressing the skin’s resilience, the results won’t be as long-lasting or as refined.

That’s why treatments like biostimulators, collagen-inducing microneedling, and skin-strengthening protocols are an integral part of what I do. They help create the scaffolding the skin needs to stay lifted and taut, delivering better results not just immediately, but over time.

Jowl treatment is about so much more than one area of the face. It’s about understanding facial anatomy, using the right tools in the right way, and creating lift and definition that still looks like you, just fresher, firmer and more harmonious.

If you’ve been thinking about treating jowls and want expert guidance on the best non-surgical approach for your face, I’d love to see you in clinic. Together, we can build a personalised plan that restores structure, respects your natural features, and helps you feel confident in your skin again. Click here to learn more or to book a consultation where we will explore to options, together.