Jowls, Nasolabial folds & Perioral lines

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Jowls, Nasolabial folds & Perioral lines:

Causes & Treatment Options

Jowls, Nasolabial folds, and Perioral lines (nasolabial folds) are common signs of facial aging. These changes occur gradually and are caused by a combination of Facial volume loss, Collagen breakdown, ligament weakening, and structural bone changes.

Because facial aging is multi-layered, effective treatment requires a comprehensive and individualized approach.

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What Causes Jowls and Facial Folds?

Facial aging affects multiple anatomical layers — from bone to deep fat, superficial fat, ligaments, and skin.

Facial volume loss (Deep & Superficial Fat pads)

As we age:

This Facial volume loss and descent contribute to:

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When deeper support diminishes, the overlying tissues collapse downward.

Collagen Loss & Skin Laxity

Collagen and elastin production decreases over time, resulting in:

Loss of collagen also weakens the retaining ligaments that help anchor facial tissues in place.

Bone Resorption

Facial bones gradually lose density and volume with age. This reduces foundational support for the overlying soft tissue, contributing to:

Weakening of Retaining Ligaments

Retaining ligaments help hold facial fat pads in position. As collagen decreases:

Treatment Requires a Multi-Approach Strategy

Because multiple layers are involved, correction often requires treating more than just the skin surface.

Volume Replacement (Dermal Fillers)

Strategic, conservative filler placement can:
Restore deep structural support
Lift descended Fat pads
Soften Nasolabial folds
Improve nasolabial folds
Improve jawline contour
Appropriate placement and conservative dosing are essential for natural results.

Skin Resurfacing & Collagen Stimulation

Improving skin quality enhances overall results.
Treatments may include:
Microneedling to stimulate collagen and elastin
Chemical peels to improve texture and tone
PRP (Platelet-Rich Plasma) to enhance tissue regeneration
Laser resurfacing to tighten and smooth skin
Treament with Biostimulator like Sculptra
Periodic resurfacing encourages ongoing remodeling and repair.

Tissue Repositioning

PDO Thread Lift
PDO threads can:
Provide subtle lifting
Stimulate collagen production
Improve mild to moderate Sagging skin
Support tissue repositioning
Threads are best suited for early to moderate sagging.

Deep Plane Facelift (For Severe Laxity)

In cases of advanced sagging:
A deep plane facelift may be required to:
Reposition deeper tissues:
Release retaining ligaments:
Restore youthful contour:
This procedure should be performed by a board-certified facial plastic surgeon experienced in deep plane techniques.

Maintaining Results Long-Term

Aging is continuous, so maintenance is essential.

Medical-Grade Skincare

Daily use of:
Retinoids (if appropriate)
Facial Serum
Moisturizer
Sunscreen (SPF 30 or higher, daily use). Sun exposure accelerates collagen breakdown, worsening sagging and folds.

Supplements & Nutritional Support

Supporting the body’s repair mechanisms may include:
High-quality collagen peptides
Vitamin C (collagen synthesis support)
Zinc
Omega-3 fatty acids
Balanced diet
Always consult a healthcare provider before starting supplements.

Lifestyle Factors

Healthy habits significantly impact facial aging:
Avoid excessive sun exposure
Maintain stable weight
Exercise regularly
Eat a nutrient-dense diet
Stay hydrated
Avoid smoking

A Personalized Approach Is Key

Jowls, Nasolabial folds, and Perioral lines develop due to structural changes beneath the skin. Treating only the surface will not fully correct the issue.

At Aesthetic Beauty by Serena, we perform comprehensive facial assessments to determine:

  • Degree of Facial volume loss
  • Level of skin Sagging skin
  • Structural support changes
  • Best non-surgical or surgical recommendations

Our goal is natural, balanced rejuvenation using conservative and effective techniques. If you’re ready to restore facial contour and achieve a refreshed, lifted appearance, visit aestheticbeautybyserena.com to schedule your personalized consultation today.

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