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.
Facial aging affects multiple anatomical layers — from bone to deep fat, superficial fat, ligaments, and skin.
As we age:
This Facial volume loss and descent contribute to:
When deeper support diminishes, the overlying tissues collapse downward.
Collagen and elastin production decreases over time, resulting in:
Loss of collagen also weakens the retaining ligaments that help anchor facial tissues in place.
Facial bones gradually lose density and volume with age. This reduces foundational support for the overlying soft tissue, contributing to:
Retaining ligaments help hold facial fat pads in position. As collagen decreases:
Because multiple layers are involved, correction often requires treating more than just the skin surface.
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.
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.
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.
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.
Aging is continuous, so maintenance is essential.
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.
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.
Healthy habits significantly impact facial aging:
Avoid excessive sun exposure
Maintain stable weight
Exercise regularly
Eat a nutrient-dense diet
Stay hydrated
Avoid smoking
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:
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.
Jowls, marionette lines, nasolabial folds, and perioral lines can appear together, but they do not always have the same cause. At Aesthetic Beauty by Serena PA-C in Royal Oak, MI, treatment begins with evaluating the underlying structural changes rather than simply filling the visible line.
Jowls may develop from loss of cheek and jawline support, tissue descent, skin laxity, or a combination of these changes. Marionette lines extend from the corners of the mouth toward the chin, while nasolabial folds run from the sides of the nose toward the corners of the mouth. Perioral lines are fine or deeper wrinkles around the lips.
Depending on your facial structure and degree of aging, treatment may include:
A facial assessment helps determine which areas should be treated and whether a combination approach will provide a more balanced result.
Results depend on the treatment selected, severity of the concern, facial anatomy, skin quality, and the amount of structural support that has been lost.
Dermal filler can provide visible improvements in contour soon after treatment, although temporary swelling may affect the initial appearance. Strategic filler placement may improve support around the cheeks, chin, jawline, or prejowl area rather than simply adding volume directly into a fold.
Collagen-stimulating treatments such as Sculptra, microneedling, and resurfacing procedures develop more gradually as collagen remodeling occurs over time.
The goal is not to erase every line or create excessive volume. Treatment should improve facial balance while maintaining natural movement and proportions.
Patients with more advanced jowling or skin laxity may still see improvement with non-surgical treatment, but the degree of correction may be limited compared with surgery.
Yes. Mild to moderate jowls and marionette lines can often be improved with non-surgical treatments, particularly when facial volume loss and early tissue descent are contributing factors.
Dermal filler may be used strategically to restore support in areas such as the cheeks, chin, jawline, or prejowl region. In selected patients, this can improve lower-face balance and soften the appearance of jowls and marionette lines.
Other treatment options may include:
Filler alone is not appropriate for every patient. Adding excessive volume to a lower face with significant laxity can create heaviness instead of improving contour.
When sagging is advanced, surgical treatment may provide a more predictable degree of lifting.
Longevity varies based on the treatment used, treatment area, product selected, individual metabolism, facial movement, skin condition, and the natural aging process.
Dermal filler results may last several months to more than a year depending on the product and placement. Collagen-stimulating treatments may develop more gradually and can provide longer-term improvement in skin structure.
Maintenance should be based on reassessment rather than automatically repeating the same amount of treatment at fixed intervals. Facial aging continues, and the areas requiring support can change over time.
Long-term maintenance may include:
The objective is to maintain facial balance rather than continuously adding volume.