Dear BeeAlexandra, Thank you for your question. To anwer this, lets first understand why do we have saggy skin. It is due to 2 main reasons. 1. Biological ageing – Gradual loss of collagen, elastin, hyaluronic acid in skin, bone loss and soft tissue loss 2. Photo-ageing – Sun exposure leads to free radical damage of skin collagen, elastin, Hyaluronic acid Your jowls form as a result of skin and soft tissue ligamentous laxity, causing prolapse of your lower cheek fat pads. Here are your non surgical options. Microbotox + FillersLifting with ThreadliftMaintainence with energy based devices – RF, HIFU Micro-toxin is a special technique that helps to tighten and firm the upper layers of your skin. Fillers help to revolumise, hence firming your skin layers. This would be aimed at restoring volume in your cheeks and jawline. Threadlifts serve to lift, reposition and anchor your jowls. HIFU and RF stimulate fibroblasts to induce neo-collagenesis. All the above treatments promote collagen growth, hence further enhancing the skin firming and tightening result. This improves skin quality and dynamism. For optimum results in patients with a fair degree of sagginess, I advocate combining all 3 steps. step 1 and 2 to fill and lift your face. This is followed by maintainence with step 3, 3 months later. Presently, there isnt any laser that is as effective as Ulthera for skin tightening. I hope this helps you.