Jowls and chin sagging after weight loss - any non surgical options? (Photos)

Question

Hi I recently lost 30kg I have some loose skin on my arms and the rest of my body but not too severe however I don’t like it the most on my face .. the jowels and a bit of loose skin underneath Is there anything non surgical that can improve or is surgery required thank you

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. Congratulations on your significant weight loss—that’s an incredible achievement. It’s common after major weight loss to notice some degree of skin laxity, and while it might not be severe, the face (particularly the jowls and under the chin) can be especially sensitive since even subtle changes are more visible. For mild to moderate skin laxity in these areas, there are non-surgical options that can offer improvement, though they won’t match the dramatic tightening possible with surgery. Treatments like radiofrequency RF-microneedling (Morpheus8) can stimulate collagen production and help firm the skin over time. These treatments are best for people with good skin quality and mild sagging, and results tend to be gradual—often requiring a few sessions and maintenance. For volume-related sagging, injectables like dermal fillers can provide subtle lift or contouring in the jawline and cheeks, though they won’t remove loose skin. If the laxity in your lower face bothers you consistently and non-invasive treatments don’t yield satisfying results, then a lower facelift or neck lift might eventually be the most definitive option. But starting with non-surgical treatments can be a smart, lower-commitment way to gauge how much improvement is possible without surgery. I hope this helps and best of luck!

Hung William Song, MD · Answer

Loose skin after weight loss is now one of the most common reasons patients are coming to our office. Fortunately, we have some excellent non-surgical options. The simplest solution is to target some of the creases that form around the mouth with some hyperdilute dermal fillers. If we combine it with PRP (AutoCorre HD) we can get results that last over a year. We can also use a technique called Y_Lift to use fillers ot extend the jawline and cheekbones back to create a non-surgical lift. PDO threads are dissolvable threads that can create an instant lift and the results will last between 6 months and 1 year. This technique requires multiple syringes (5-10) to achieve the best results but because the fillers are placed in a pocket over the bone, they don't migrate and can last for many years. Energy devices to tighten the skin like the SylfirmX uses microneedling to deliver radiofrequency energy into the skin creating a "shrinkwrap" effect. The ultimate solution short of a face lift surgery is to replace the lost volume with a fat transfer. The fat is taken from another area on your body and transferred to the areas of your face where you have lost volume. When performed properly, this will give you a very natural result that can last a lifetime. Consulting a doctor who is skilled in performing all the different procedures will help you avoid getting a "one size fits all" procedure that might not be the best option for your specific needs.

Shahnoos Mahdavi, MD · Answer

The best current solution will be a serries of Sculptra injections (over 6 months period)with combination of Skin tightening in different layers of skin (Usually RF Microneedling for Dermis and Non fractional Laser resurfacing for Epidermis tone and texture treatment).Need to be patient for the result but will be beautiful and natural look.

Lexie Wang, MD · Answer

Yep! That's literally what filler is used for - non-surgical option to add volume back to the face. This is almost certainly due to the weight loss you've experienced.

David Hansen, MD · Answer

Skin tightening with morpheus/Quantum is such a great new tool to help you look so much better and is easy to undergo under local. You will be pink and a little swollen for 5 days but it is so worth it.

Nelson Lee Novick, MD · Answer

You can relax. There are robust HA fillers that can straighten and define a jowly jawline; others that can increase chin projection and smooth chin dimples and divets. What's more, in the hands of an experienced, board certified cosmetic dermatologist filler injection expert, all of the aforementioned can be done, if so desired, in one treatment session of about 30minutes, typically with on-the-spot results and usually with little to no significant post-treatment downtime. Hope this helps and best of luck.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photos and providing context regarding your recent weight loss—congratulations on such a significant accomplishment. It’s very common to notice skin laxity and jowling, especially in the lower face, after substantial fat loss. Fortunately, there are several non-surgical options that can offer visible improvement, especially if the skin still has decent elasticity.

1. Skin Tightening Devices (Energy-Based Treatments)
These stimulate collagen and elastin production for gradual firming:

Radiofrequency (RF):
Devices like Thermage or Forma use heat to tighten the dermis and improve mild to moderate laxity.

Ultrasound (HIFU):
Ultherapy can target deeper layers (like the SMAS) to lift jowls and tighten beneath the chin.

Microneedling with RF (e.g., Morpheus8):
This combines skin resurfacing with deep collagen remodeling—particularly helpful for the jowl area and jawline definition.

2. Injectable Options
Dermal Fillers:
Can be used to lift the midface and support the jawline by restoring volume in strategic areas (cheeks, chin, prejowl sulcus).

Biostimulatory Fillers (e.g., Sculptra, Radiesse):
These stimulate collagen over time, improving firmness and skin density—especially helpful after weight loss.

Botox for Platysmal Bands or Nefertiti Lift:
Relaxing certain neck and jawline muscles can reduce downward pull and subtly lift the lower face.

3. Skin Quality Boosters
Polynucleotides (PNs), exosomes, or PRP:
These regenerative injectables can improve skin tone, texture, and elasticity, supporting the structure of lax skin.

Topical support:
Use retinoids, peptides, and firming serums regularly to enhance collagen maintenance.

4. Lifestyle and Maintenance
Consistent sun protection and a collagen-supportive skincare routine help preserve and extend results.

Maintain hydration and nutritional support to keep skin plump and responsive to treatments.

Summary
Surgery is not the only solution. Given your visible improvement from weight loss and relatively mild to moderate laxity shown in the photos, a customized combination of energy-based tightening, injectables, and collagen support can significantly improve jowls and chin sagging without downtime.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  There are a few nonsurgical options to address skin laxity on the face and neck.  One to consider is FaceTite.  This minimally invasive treatment uses RF technology both on top of and just below the skin surface to tighten skin. No general anesthesia is required.  Another option which can be used alone or in conjunction with FaceTite is Morpheus8.  I've included a video on this treatment that I hope you find helpful.

Jowls and chin sagging after weight loss - any non surgical options? (Photos)

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