For sagging jowls, effective dermal fillers include Hyaluronic Acid (HA) (like Juvéderm Volux, Restylane Lyft) for immediate volume and lifting, and Calcium Hydroxylapatite (CaHA) (like Radiesse) which stimulates natural collagen, while thicker HA fillers provide structure, and semi-permanent options like Bellafill (PMMA) offer longer-lasting results by promoting collagen, with cheek fillers also used to provide lift to the lower face.
Hyaluronic Acid Fillers
Juvéderm Voluma XC stands out as one of the most effective HA fillers for jowl lifting. Juvéderm Volux is specifically designed for jawline contouring and can be particularly effective for addressing jowls while simultaneously enhancing jaw definition.
Botox can help with sagging jowls by relaxing the muscles that contribute to the sagging, but it is generally more effective for smaller, targeted areas. For significant lifting, other treatments like fillers or surgery might be recommended.
Dr Janine explains, “Restoring volume loss to the mid-face will indirectly soften the jowls. This is achieved by injecting hyaluronic acid-based fillers into the cheeks, to add volume and create a more lifted appearance.
Identifying High-Risk Areas for Fillers
The areas around the eyes, particularly the tear troughs, and the temples are known for their intricate vascular networks. The nasolabial folds and perioral regions also pose risks due to their proximity to major blood vessels.
Side effects from filler treatments can range from mild to life-threatening, including edema, pain, tenderness, numbness, bleeding, bruising, hematoma, redness, erythema, pigmentation, allergic reactions, itching, pruritus, the Tyndall effect, asymmetry, irregularity, migration, skin and soft tissue infections, nodules ...
If gravity and lost facial volume have produced sagging jowls, then Juvederm Voluma or Restylane Lyft can help. Juvederm Voluma is an injectable filler made from hyaluronic acid, a naturally-occurring antigen-free tissue adhesive that keeps your skin looking and feeling soft.
Here are your best options:
Jowls are one of the most common age-related concerns that patients develop in their 40's and 50's. While a healthy lifestyle and sun avoidance can help prevent jowl formation to a certain degree, a cosmetic intervention will typically be needed to produce the desired changes.
By strategically injecting hyaluronic acid-based fillers into the cheeks, a skilled practitioner can add volume and create a lifted, more youthful contour. This added volume not only lifts the cheeks but also provides support to the lower face, reducing the appearance of jowls.
Next-Gen Hyaluronic Acid Fillers
In 2025, we predict more advanced HA fillers such as Restylane® and Juvéderm, which not only restore volume but also stimulate collagen production for natural, long-lasting results.
While the Kardashians haven't officially confirmed every treatment they've had, several credible reports and industry insiders have linked them to collagen-stimulating injectables like Sculptra.
If you want to reduce the appearance of sagging jowls without procedures or office-based treatments, you can try one or more of the following options.
Hyaluronic acid (HA) fillers remain the most popular option for natural-looking results because they integrate seamlessly with your tissues. These fillers use a substance naturally found in your skin, allowing for beautifully natural hydration and volumization.
PMMA fillers, such as Bellafill, are considered semi-permanent or even permanent in some cases. They contain tiny, biocompatible beads that provide long-lasting volume by stimulating collagen production. These fillers can last 5 years or longer, making them a great choice for those seeking long-term results.
Ultherapy is a leader in skin tightening technology for the face, as it is ideal for lifting sagging jowls and brows. Ultherapy is also suitable for people who want more dramatic results, especially around thinner areas of the skin.
How a Facelift Surgery Can Take 10 Years Off Your Face. If you are seeking a more youthful appearance for your face, a facelift surgery might be the procedure you're looking for. This surgery, called a rhytidectomy, will remove major wrinkles, smooth lines and reduce sagging skin on your face and neck.
While Botox is primarily used to relax muscles, it is not typically recommended for treating sagging jowls. Instead, dermal fillers offer an effective solution. By adding volume and support, fillers can lift and redefine the jawline, helping to smooth the appearance of jowls.
High-risk areas for dermal fillers, known as "danger zones," are locations with dense, interconnected blood vessels, primarily the glabella (between eyebrows), nose (especially the tip and dorsum), forehead, and temples, due to risks like vascular occlusion (blocked blood flow) leading to necrosis, scarring, or even blindness; other sensitive spots include tear troughs, lips, and the infraorbital (under-eye) region.
Voluma is FDA-approved for the cheeks and chin, while Volux is FDA-approved for the jawline and chin. So, if you want to sculpt and contour your jawline, Volux is the clear winner. Volux also has a denser molecular structure than Voluma, making it much firmer and giving it a stronger lift capacity.
Many people are sharing their journeys of moving away from fillers and embracing their natural look. They often cite reasons such as: Overfilled Look: Over time, the face can appear overly plumped and unnatural. Side Effects: Bruising, swelling, and lumps are common side effects that can be off-putting.
It adds volume and will change the contour of areas of the face and, yes, in the right hands you'll feel as if your jowls have been lifted (filler in the cheeks usually helps with this) even if they haven't technically elevated anywhere.
While jawline fillers are safe and effective for most, specific individuals may need to avoid the treatment: For those with severe skin laxity (a surgical facelift may be more appropriate). Pregnant or breastfeeding individuals. Anyone with severe allergies to filler ingredients.