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Jowls treatment options

What causes jowls?

The term jowls is often used to describe sagging skin below on the neck, just below the jawline and chin, and happens mainly because your skin becomes thinner and less elastic over time.


Almost everyone develops jowls as we age and our skin becomes less elastic because it looses some of the compounds that help keep its shape.


These primary compounds are collagen, a protein that makes up the connective tissue in your body; and elastin, another connective tissue protein that lets your skin return to its normal shape even after being stretched.


As these proteins are lost, the cheek skin surrounding your mouth loses its firmness and tightness.


The skin also tends to become drier and thinner, making it more difficult to maintain its form. As the skin becomes less resilient and full, it becomes more vulnerable to gravity and slowly begins to sag.


Other causes of jowls include:


  • Genetics. If either of your parents has jowls, you’re more likely to develop them.


  • Environmental and lifestyle factors, including certain repetitive facial expressions that overuse the cheek, mouth, and jaw muscles, such as frowning and chewing gum, a significant weight loss; and overexposure to the sunlight.


  • Smoking: Smoking can also cause your blood vessels to become narrow, limiting your blood circulation and preventing your skin from getting enough nutrients like vitamin A to keep it healthy. Also, nicotine and other chemicals in cigarettes can damage collagen and elastin.


  • Excessive use of computers or phones: Using a computer or looking down at a smartphone for long periods of time can make the skin around your neck lose its elasticity over time. These jowls have been called “tech neck.”


Risks factors include


  • Excessive or chronic alcohol use

  • Chronic or severe dehydration

  • Chronic or severe stress

  • Diets low in antioxidants, healthful fats, and other essential nutrients

  • Skin allergens, ranging from air pollution to cosmetics

  • Poor skin hygiene

  • Lack of exercise

  • Physical trauma or injury to the facial and jaw muscles and skin


Unfortunately, face jowls rarely come alone – nasolabial folds (smile lines) and marionette lines typically come with them.


Like all facial concerns, jowls require careful evaluation with an experienced surgeon.


Every patient’s anatomy is different – it’s important to assess the nature of the patient’s jowls and the specific treatment for that individual.

What are the treatment options for jowls?

Ready to tackle jowls? Here are treatment options and health providers in the Dominican Republic. 


Dermal fillers

Lower facelift


Thread lift

Find a Doctor in the DR

Aesthetic and Anti-Aging MD

Plastic Surgeon

Plastic Surgeon


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