Facial aging and sagging

i want to look less saggy

Sagging of the skin and the 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 loses it's elasticity

- the smiling muscles get weaker

- the cheek and midface fat pads lose volume leading to reduced support in the upper face

- the lower face (jowl) fat pads get heavier leading to increased heaviness of the lower face

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


The cardinal sign of aging is a general but continual worsening of sagging of the tissues, leading to a less desirable aesthetic. The upper face loses volume leading to a reduced shape of the cheeks and the appearance of under eye hollows. At the same time, the lower face gets heavier leading to jowling, a less defined jawline and the neck shape also changes.

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, more contoured, more youthful 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 trusted plastic surgeon for consideration of surgical techniques including facelifts and neck lifts.

what areas need to be treated for sagging?

By understanding the typical patterns of facial aging, we can predict and devise treatment plans to counteract them. It's important to understand that to treat the later 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.

how are 'look less saggy' treatments performed?

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 or ultrasound can help tighten the skin

(Both of these treatments are done by skin therapists in Dr Jake's clinics)

The loss of volume in sagging faces can be substantial and so the 'go slowly and see how things look' approach will almost certainly not work. But if all of the sympoms of sagging are treated together, we can generate better support for the face,  re-volumise areas and restore harmony to the facial proportions.


With a skilled injector, it's hard to look 'overdone' with fillers when treating feature of sagging. The significant contributor to the sagging is the degree of volume loss and so in reality, the limiting step to achieving good results is usually too little filler being used.

Every face is different and so there's no such thing as a set price for any fillers.  Instead, your face will be examined during your consultation to diagnose how best to improve your signs of sagging and the minimum amount of filler to make a difference. For treatments like this can need anything from 6-15ml of fillers and so it's recommended to break up the treatment into two or sometimes more sessions.