Jowls & Sagging Skin

Within a range, yes. Treatments that reach the dermis can build new collagen and give visible firming for mild to moderate jowls and skin laxity. Past that range, surgery does more. At your consultation Catherine recommends a device and number of sessions, or surgery, before you book a series.

For early sagging jowls the usual start is Vivace RF microneedling to firm crepey skin, then carefully placed dermal filler or Sculptra for support through the midface or along the jawline when the structure needs it. Which comes first depends on whether skin quality or lost volume is driving the change, and that call is made in person.

Months, once a full series is complete, and the change arrives gradually along the way. Your skin carries on aging at its own pace, so periodic maintenance is advised for anyone who wants to keep jowls and laxity softer over the long run. Realistic timelines are given at your visit.

A series, almost always. Vivace RF microneedling builds firmness one layer at a time, so the number of visits is set by how your skin responds and confirmed with you in person. If filler or other work belongs in the plan, the whole sequence is mapped up front.

Some, yes. After Vivace RF microneedling expect redness and fine pinpoint marks, which fade over the following few days. If tightening is paired with injectables there can be mild swelling at the treated points. Recovery is reviewed with you before you book, so you can plan around work and anything social.

Tightening and injectables are planned as a sequence, with the order and spacing set at your consultation. Where crepey skin is the main problem, a Vivace series usually comes first, and filler or Sculptra follows once the firming can be measured. Where the structure underneath has gone, that support is placed first and tightening is reviewed at a follow-up visit.

When there is a lot of loose skin, or a neck that hangs, energy-based work has its limits and surgery may suit better. Catherine examines your neck and jowls at the consultation, so you start a series with a clear expectation of the result.

Non-surgical tightening works by prompting your own collagen to rebuild, so the firming appears gradually over weeks and months. The jawline looks more defined and the skin feels firmer, while your expression and the shape of your face stay your own.

Rarely. Vivace works within the skin, so a small area of active acne or infection means treating around it or waiting. Treatment is also held off if you are pregnant. Beyond that, the real limit is how much laxity there is, which is assessed before a series begins.

For mild to moderate laxity, RF microneedling warms the deeper layers of neck skin and prompts new collagen, which firms the area slowly over a series. Neck skin is thinner than facial skin, so the work is more conservative there. When the neck is very loose, you are told that tightening cannot reach it.

The area is numbed first and given time to take effect. You feel pressure as the needles set and warmth as the radiofrequency goes in. Afterward the skin is flushed and warm for a few hours, similar to a sunburn without the sting, and the fine marks fade over the next few days.