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Procedures to Treat Droopy Jowls


Jowls are a descending collection of skin, fat and soft tissue that overly the jaw line disrupting the smooth and youthful jaw line appearance that is usually desirable. 

Our patients have a variety of options, both surgical and non-surgical, that can be used to treat the appearance of droopy jowls and the squared out, “hound dog” appearance they lend to the jaw line region.

Registered nurse or doctor
Length of Procedure
1 to 2 hours
SpaMedica clinic in Toronto, ON
General or local anesthetic, as required

Are You a Candidate?


As our face ages, we lose facial fat volume, supportive elastic tissues and loss of skin tone and elasticity.  Droopy jowl patients dislike the appearance of jowls as it creates heaviness to the lower area of the face and a “hound dog” appearance.  

Procedure Details

Droopy jowls can be treated with a variety of treatments including: micro liposuction or SmartLipo laser assisted liposuction, NeckTite, Radio frequency assisted liposuction, Vaser liposuction or ultrasonic assisted liposuction of the jowl to reduce the fat and subsequent skin tightening techniques such as: fractional lasers, Fractional CO2 resurfacing, fractional radio frequency and radio frequency tightening.

Mini Jowl and Necklift

By far the most successful treatment for droopy jowl patients would be a mini lift of the jowl and upper neck. The mini lift of the jowl and upper neck is performed under local anesthesia with a short operation where incisions are hidden inside and behind the ear. The droopiness of the lower face and jaw line is re-elevated and positioned in a natural, attractive and youthful way.


Laser-assisted energy is used to heat and liquefy fat, allowing for effective extraction while also achieving skin tightening and increased production of collagen and elastin.


Ultrasound-assisted energy is used to gently loosen up and separate fat cells, providing significant fat reduction while preserving its integrity for potential use in a fat graft.  The best candidates for Vaser Lipo™ are those individuals who have unwanted depositions of fat that detract from ideal shape and contour and have tried their best at diet and exercise to modify their shape and figure.

Botox Injectables

Botox Injectables along the jawline and in the muscles that pull down the cheek can alleviate the appearance of a jowl.

Soft Tissue and Dermal Fillers

Soft tissue dermal fillers may also be used to fill in the pre jowl sulcus in front of the jowls to camouflage an early jowl and give a smoother look to the jaw line.

Fractional Lasers and CO2 Resurfacing

The use of fractional lasers and fractional CO2 resurfacing can be implemented for an additional skin tightening effect to provide significant lift and improve the appearance of droopy jowls.  

Additional Procedures

Once you’ve undergone a cosmetic jowl lift or a lower facial lift with improvement of the jowls, jawline and neck, the face is then again subject to the facial aging forces that resulted in the droopy jowls in the first place. Dr. Stephen Mulholland and SpaMedica will offer droopy jowl patients a number of easy ways to perform intermittent maintenance treatments that deploy Botox Injectables, soft tissue dermal fillers and fractionated lasers or radio frequency devices to maintain the jowl lift effect and a firm, youthful, natural, tighter appearance to the lower face.

Next Steps

If you are interested in seeking a consultation with Dr. Mulholland simply fill out our online consultation request form or call SpaMedica now to schedule a consultation in Toronto, ON.

About Us

SpaMedica Toronto Cosmetic Plastic Surgery Centre and Dr. Stephen Mulholland have been serving droopy jowl patients since 1997. Dr. Mulholland and his SpaMedica clinic are considered to be some of Canada’s most recognized cosmetic plastic surgery centres and provide a wealth of experience on various techniques to treat droopiness of the jowls and face.