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Jowls and Double Chin: Surgical Treatment of Mandibular Contour

Complete guide on jowls (sagging cheeks) and double chin. Causes of mandibular aging and surgical treatment options.

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Dr. Roberio Brandao

Creator of Modern Face

Updated December 1, 2024

What are Jowls?

Jowls are the “packets” of tissue that sag below the jawline, creating an interruption in facial contour. They represent the combination of lower third fat ptosis and SMAS laxity. The double chin is the accumulation of fat and loose skin in the submental region.

Why are Jowls Difficult to Treat?

Mandibular ligament: Keeps tissue “fixed” on jawbone while rest descends

  • Multiple layers: Skin, fat and SMAS all contribute
  • Limited fillers: Don’t correct, only camouflage
  • Insufficient liposuction: Fat is not the only problem

Surgical Treatment

Effective jowl correction requires deep plane approach (SMAS or sub-SMAS) combined with mandibular ligament release and vertical tissue repositioning. Deep Neck complements by treating the cervical region.

Jowls Require Deep Technique

[View Programs

Deep Neck Guide

Learn how neck treatment is essential for a sharp jawline.

Retaining Ligaments

The role of the mandibular ligament in jowl formation.

Nasolabial Fold

How midface elevation affects the lower third contour.

For surgeons: Master mandibular contour techniques in our mentorship programs.

Learn Modern Face Techniques

Mentorship programs with the technique creator.