Jowling develops as the SMAS — the Superficial Muscular Aponeurotic System, the deep structural layer of the face — gradually loosens with age. This, combined with declining collagen and volume loss, causes the tissue of the mid-face and cheeks to descend, pooling along and below the jawline to create the characteristic jowl.

The degree of jowling determines the most appropriate treatment. Mild jowling — early softening of the jawline — responds well to CACI Synergy muscle toning and Lipofirm RF. Moderate to significant jowling, where the descent is clearly visible, is best addressed with HIFU, which uniquely reaches and stimulates the SMAS layer at 4.5mm depth — producing structural results that RF alone cannot achieve.

At your free consultation, your practitioner will assess your specific degree of jowling, skin thickness, and facial anatomy and recommend the most effective approach honestly.