Facial aging and sagging

i want to look less saggy

Sagging of the skin and tissues of the face is an inevitable consequence of aging. No matter what your sex, ethnicity or health status is, we will all experience a gradual sagging of the face as time goes on.

what makes our faces sag?

As the face ages, all four of the main facial layers change:

- the skin looses its elasticity

- the elevator (smiling) muscles get weaker

- the cheek fat pads lose volume whereas the jowl fat pad get heavier

- the bony platform of the face shrinks, leading to less support


The cardinal sign of aging is a general but continual worsening of sagging of the tissues, leading to a less desirable aesthetic overall. The upper face gets less plump whereas the lower face gets heavier leading to jowling and a less defined jawline.

We can treat the face holistically with deliberate and targeted fillers to counteract the signs of hollowing, sagging and deflation.  By reversing the sagging effect, we can create a brighter and more lifted look.

It's important to say that as the degree of sagging worsens, the less useful fillers and non-surgical treatments are. There will come a point where the degree of sagging and loose skin is too advanced. In this scenario you'll be advised that fillers can't be used and if you wish, you can be referred to a local plastic surgeon for consideration for facelift techniques instead.


what areas need to be treated for sagging?

By understanding the typical patterns of facial aging, we can predict and devise treatment plans to counter them. It's important to understand that to treat the symptoms of sagging like the jowls, we need to treat the entire face to maximise the lifting of the tissues and soften the signs of heaviness. This is why sagging treatments need larger volumes of filler as the whole face is typically treated in combination.

Areas that we might target for sagging treatments include:

1) the lateral & anterior aspects of the cheek - the cheek bone & the 'apple' of the cheek

2) the lateral aspect of the face - the area under the cheek bones & in front of the ears

3) the nasolabial lines - the deep grooves running from the corner of nose to the corner of the mouth

4) the marionette lines - the extension of the nasolabial lines, from the corner of the mouth down to the jawline

5) the chin & jawline combined - aging of these two keys areas contirbutes to jowls and a loss of contour

6) fat dissolving of the double chin or jowls - the saggy look is often worsened by heaviness of these two areas

7) the skin - treatments like radiofrequency can help tighten the skin and are done by our dermal therapists

As you can now appreciate, using small volumes of filler to 'go slowly and see how things look' is a completely flawed logic. You'll be disappointed as you won't see any impact if these aren't treated together to generate lift, re-volumisation and restore harmony to your facial proportions.


With the right injector, it would be hard to look 'overdone' with fillers when treat feature of sagging - mainly because the significant contributor to the look is the volume loss and fillers can combat this.