Facial Ageing / Jowls / Loose Facial & Neck Skin / Cheek Volume Loss

From your late twenties to early thirties onwards, you may start to notice a number of age-related changes in your face and neck.

Jowls are what we call the loose sagging skin that hang below the jawline. It can be a significant cosmetic concern to many. Another noticeable change can be a loss of volume to the face, particularly in the cheeks, giving a more gaunt, sunken appearance. Loose neck skin is another sign of ageing that is unwelcome and gives rise to what is sometimes unflatteringly called a ‘turkey neck’.

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HR Plastic Surgery - Facial ageing Causes

Common Causes

All of these changes come with age. We stop producing as much collagen as we get older, making skin lose its firmness and elasticity which is what causes the sagging and jowls to form.

The fat pads that provide structure to the face shrink over time contributing to loss of facial volume. In addition, thinning bones, which are another part of ageing, can contribute to a less supportive bone structure for the face, causing sagging skin and a loss of fullness.

Neck muscles also get weaker which contributes to the sagging and increased fullness, leading to loss of the definition of the jawline.

Lifestyle factors like excessive sun exposure and smoking can accelerate the breakdown of collagen and elastin, contributing to premature facial ageing and facial volume loss.

HR Plastic Surgery - Facial ageing Treating

Treating this Condition

If these signs of ageing cause you concern, Facelift surgery, also known as rhytidectomy, is a cosmetic procedure that aims to reverse these signs of ageing. It involves the removal of excess skin, tightening and lifting of facial muscles and tissues, and the repositioning of the remaining skin to create a more youthful and rejuvenated appearance.

If loose neck skin and fullness is your issue, then neck rejuvenation procedures, known as neck lifts or cervicoplasty and platysmaplasty, can help you regain your neck’s youthful charm.

HR Plastic Surgery - BAAPS GMP facial assessment from

I’ve already been assessed for my Facial ageing / Jowls / Loose facial and neck skin / Cheek volume loss

If you’ve already discussed your Facial ageing / Jowls / Loose facial and neck skin / Cheek volume loss with a cosmetic surgery consultant, you may have filled in an assessment form from the British Association of Aesthetic Plastic Surgeons. See Example.

If you have previously completed an assessment form for your condition, please do bring a copy to your initial consultation.

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