03/25/2026
Jowling isn’t caused by just one thing—it’s the result of multiple structural changes that happen as we age. Understanding why it happens is the first step to treating it effectively.
Here are four key contributors:
✨ Midface support – Loss of volume in the cheeks means less structural support for the lower face. As the midface descends, it can push tissue downward and contribute to heaviness along the jawline.
✨ Pre-auricular support – Volume loss in front of the ears (the pre-auricular area) removes the natural “anchor” that helps keep the jawline tight and lifted. When this support weakens, skin can start to fold and sag forward.
✨ Chin support – The chin plays a major role in defining the jawline. Bone resorption and soft tissue loss here reduce forward projection and allow tissue to drape along the jaw.
✨ Platysmal muscles – Over time, the platysma muscle in the neck becomes more active and separates into bands, pulling downward on the lower face and worsening the appearance of jowls.
The key to natural results is addressing the underlying structure—not just the jowl itself. This requires a thorough facial assessment and customized plan.