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Face & Jawline

Jowls & Sagging Skin Treatment in Burnaby

Understand which layer has changed, then match the treatment.

Jowls form when facial fat pads descend, skin and the deeper support layer loosen, and bone volume along the jaw declines, so the right option depends on which layer changed most. At Skin Art MD in Burnaby, BC, options include Ultherapy or Thermage, EMFACE, threads, filler and Sculptra. Results are gradual and vary.

60–90 min
Typical Ultherapy session, face and neck; varies by plan
Same day
Most people resume normal activities after energy treatments
2–6 months
Typical window for tightening to build; results vary
Self-Check

Is This Happening to You?

Facial sagging doesn't happen overnight. You might notice these subtle shifts:

If you recognise two or more of these signs, an assessment can show which layers are involved and which options are worth considering.

The Science

What Causes Jowls and Sagging?

It is not just loose skin. Facial aging is a multi-layer process involving bone, fat, muscle and connective tissue.

1

Collagen Depletion

Collagen production declines gradually with age, weakening the internal scaffolding of the skin.

2

SMAS Laxity

The SMAS is the deep fibromuscular layer. Like a stretched rubber band, it loses elasticity over time.

3

Fat Pad Descent

Facial fat pads don't just shrink; they slide downward, creating hollowness under eyes and heaviness in the jowls.

4

Bone Resorption

We lose bone mass in the jaw and cheeks, reducing the structural support for the overlying skin.

Our Solutions

How Are Jowls and Sagging Treated at Skin Art MD?

There is no one-size-fits-all patch. A physician designs a plan around the layers that have changed, using non-surgical options Skin Art MD offers.

A layered approach: bone and volume support, deeper lifting, then skin tightening. Advanced sagging may be better suited to surgery, which we will say plainly.

1Energy-Based Tightening & Lifting

Ultherapy Prime

Micro-focused Ultrasound Lift

Deeper lifting

Uses micro-focused ultrasound with imaging to deliver energy to the deeper support layer, stimulating collagen to lift and tighten the jawline and under-chin.

For:Mild to moderate jowls and under-chin laxity.
Learn More

Thermage FLX

Radiofrequency Skin Tightening

Skin tightening

Radiofrequency energy heats the dermis to tighten existing collagen and stimulate new collagen.

For:Mild laxity and crêpey skin along the jawline.
Learn More

E-Lift

EMFACE + EXION Protocol

Combination

A protocol that pairs EMFACE muscle toning with EXION radiofrequency and ultrasound skin tightening, aimed at the jawline and lower face.

For:Mild lower-face laxity involving both skin and muscle tone.
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EMFACE

Muscle + Skin

Needle-free

Combines radiofrequency heating with HIFES muscle stimulation to tighten skin and tone facial muscles. Needle-free, with modest, gradual changes.

For:Mild laxity and muscle tone along the lower face.
Learn More

2Structural Support & Volume

Silhouette InstaLift®

Absorbable sutures with bidirectional cones to physically lift tissue and stimulate collagen.

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Aptos® Thread Lift

Absorbable threads with barbs that reposition tissue and prompt a collagen response. Duration varies from person to person.

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Dermal Fillers

Restores lost volume in cheeks and chin to re-drape the skin naturally.

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Sculptra® Aesthetic

A collagen biostimulator used to rebuild volume and support gradually over several sessions.

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Radiesse®

Calcium-based biostimulator that adds volume right away and stimulates collagen over time. Duration varies.

Learn More
Why Us

How We Approach Sagging

MD
Physician-led
3
Languages: EN · 中文 · 粤语
Metrotown
Burnaby clinic
1

Physician Assessment

A physician considers skin thickness, tissue density and facial structure when choosing treatment depth and energy settings.

2

Several Options

Ultherapy, Thermage, EMFACE, threads, fillers and biostimulators are available, so the plan is not built around one device.

3

Settings Set by Anatomy

Energy and depth are chosen for your anatomy and the manufacturer's guidelines, rather than a fixed setting for everyone.

4

Physician-Led Planning

Injectable treatments are performed by a physician, and energy-based treatments are planned after a physician assessment.

FAQ

Common Questions

Jowls come from several changes together: fat pads moving downward, loosening of the skin and the deeper support layer, volume loss, and bone shrinking along the jaw. Genetics, sun exposure and weight change also play a part.
It depends on which layer has changed. Ultherapy aims at deeper lifting, Thermage at skin tightening, EMFACE at muscle tone, threads at repositioning, and filler or Sculptra at lost volume; many people combine two or more. Non-surgical treatment can soften mild to moderate jowls but rarely removes them completely, and advanced sagging may be better addressed surgically.
Ultherapy is generally used for lifting where tissue has dropped, and Thermage for tightening loose or crêpey skin. Some people use both. An assessment decides which fits.
Comfort varies. Ultherapy is often described as brief heat or deep tingling, and numbing cream or comfort measures can be used. Most energy treatments involve little downtime, though temporary redness or swelling is possible; threads and fillers can cause bruising for several days.
Energy treatments build gradually over about 2–6 months. Ultherapy is usually planned as a single session, EMFACE as a short series, and fillers show immediately. Lifting and tightening results commonly last around one to two years, and many people review maintenance after about a year because ageing continues. Results vary from person to person.
Skincare helps texture and hydration but cannot reach the deeper support layer or restore lost volume. Energy treatments, threads and injectables are used for structural change. Daily sunscreen, not smoking and keeping your weight stable may help slow the changes that lead to jowls.
Threads reposition tissue that has dropped, while filler restores volume that has been lost, often along the cheek or jaw so the jowl looks less heavy. Many lower faces need some of each, sometimes with Ultherapy or Thermage for the skin itself. A physician decides after examining which layers have changed, and explains the trade-offs of each option.
Treatment is usually postponed during pregnancy, with an active skin infection in the area, or while your weight is still changing significantly. Tell the team about blood thinners, implants and past procedures such as threads, filler or surgery, since these affect which option is suitable and when it can be done.
When skin and deeper tissue hang well below the jawline, non-surgical treatments are unlikely to give the change you want. A physician will say so plainly and can suggest a surgical opinion. Some people still choose non-surgical treatment for a milder change, and that is fine as long as the expected result is clear before starting.

Plan Your Jawline Treatment

Schedule a facial assessment with a physician to discuss your jowls and which options might suit you.

Book Consultation+1 (604) 639-2581

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