Sagging Skin and Jowls Treatment Singapore – HIFU, Fillers, and Botulinum Toxin for Non-Surgical Face Lifting

What Causes Sagging Skin and Jowls?

Sagging skin and the appearance of jowls are common signs of aging that many individuals in Singapore seek to address. These changes occur due to a combination of factors, including:

Loss of Skin Elasticity

As we age, the production of collagen and elastin—proteins responsible for firm and youthful skin—naturally declines. This leads to skin that appears looser and less resilient.

Fat Redistribution

Over time, fat pads in the face begin to shift downward due to gravity, contributing to a loss of volume in the cheeks and the formation of jowls along the jawline.

Weakened Facial Muscles

The muscles that support facial structure may weaken with age, further accentuating sagging skin and the appearance of jowls.

External Factors

Environmental factors such as prolonged sun exposure, smoking, and pollution can accelerate skin aging by damaging collagen and promoting skin laxity.

Lifestyle and Genetics

Lifestyle habits like poor diet, lack of hydration, and inadequate sleep, combined with genetic predisposition, can influence the extent and timing of sagging skin.

Understanding these underlying causes is the first step in selecting the most suitable treatment for sagging skin and jowls. Modern aesthetic treatments available in Singapore are designed to target these concerns effectively, helping to restore a lifted and more youthful appearance.

Ultraformer MPT HIFU for Sagging Skin and Jowls in Singapore

Ultraformer MPT HIFU (High-Intensity Focused Ultrasound) is a non-invasive treatment designed to lift and tighten sagging skin, particularly around the jawline and lower face. This advanced technology effectively reduces the appearance of jowls by stimulating collagen production and improving skin elasticity. For individuals in Singapore looking for a non-surgical solution to combat facial aging, Ultraformer MPT HIFU is an excellent option.

How Does Ultraformer MPT HIFU Work?

Ultraformer MPT HIFU delivers highly focused ultrasound energy into multiple layers of the skin, including the Superficial Muscular Aponeurotic System (SMAS)—the same layer targeted during surgical facelifts. The ultrasound energy creates controlled thermal zones at precise depths, triggering a natural wound-healing response that stimulates collagen production and skin tightening over time.

Unlike older HIFU technologies, Ultraformer MPT features faster shot speeds, enhanced precision, and reduced discomfort, making it one of the newest HIFU treatments available in Singapore. The treatment helps to lift sagging skin, refines the jawline, and reduces the visibility of jowls without the need for surgery.

Benefits of Ultraformer MPT HIFU for Sagging Skin and Jowls

Ultraformer MPT HIFU offers several advantages for individuals seeking facial tightening and jowl reduction:

• Non-Surgical and Non-Invasive: No incisions, injections, or downtime are required.
• Targets Multiple Skin Layers: The treatment penetrates the dermis, subcutaneous layer, and SMAS, effectively lifting and tightening sagging skin.
• Long-Lasting Collagen Boost: The treatment continues to stimulate collagen production for up to 6 months, with results lasting 12 to 18 months.
• Precise and Customizable Treatment: Different cartridge depths allow for targeted treatment of mild to moderate skin laxity and jowl formation.
• Minimal Discomfort and Quick Recovery: The procedure is well-tolerated, with most patients experiencing only mild redness that resolves within hours.

What to Expect During Ultraformer MPT HIFU Treatment

The Ultraformer MPT HIFU treatment process is straightforward and typically lasts 30 to 60 minutes depending on the treatment area.

1. Consultation and Skin Assessment: A thorough evaluation is conducted to determine the best treatment plan for your skin concerns.
2. Application of Numbing Cream: To enhance comfort, a numbing cream is applied before the procedure.
3. Delivery of Ultrasound Energy: The Ultraformer MPT device is used to deliver precise ultrasound waves into the skin at varying depths. Patients may feel a warm sensation or slight tingling as the energy penetrates the deeper layers.
4. Post-Treatment Recovery: There may be slight redness for a few days, and patients can return to daily activities immediately. Some may experience slight muscle aching or swelling, which subsides within a week.

Is Ultraformer MPT HIFU Right for You?

Ultraformer MPT HIFU is suitable for individuals experiencing:

• Mild to moderate sagging skin around the jawline, cheeks, and lower face.
• Early signs of jowls due to collagen loss and gravity.
• A desire for a more defined jawline without invasive procedures.
• Fine lines and wrinkles caused by skin laxity.

This treatment is ideal for those looking for a natural-looking lift without surgery. However, individuals with severe skin laxity or excessive jowl formation may require surgical treatments for optimal results.

Fillers for Facelift in Singapore – Liquid Facelift for Sagging Skin and Jowls

A liquid facelift, also known as a filler facelift, is a non-surgical option in Singapore for addressing sagging skin and jowls. By injecting dermal fillers into areas of volume loss, this treatment helps restore facial contours, lift sagging skin, and define the jawline. Unlike surgical facelifts, a liquid facelift provides results with minimal downtime, making it a suitable choice for individuals looking to improve facial sagging without invasive procedures.

How Do Fillers Help with Sagging Skin and Jowls?

As the skin ages, the gradual loss of collagen, elastin, and fat leads to skin laxity, volume depletion, and the formation of jowls. The effects of gravity and weakening of structural support cause the lower face to lose its definition. A liquid facelift with dermal fillers helps to counteract these changes by:

• Restoring lost volume in key areas such as the cheeks, temples, and jawline to provide lift and structure
• Strengthening facial retaining ligaments, which support the skin and deeper fat compartments, preventing further sagging
• Lifting sagging skin by restoring deep support to the midface, reducing the downward pull that contributes to jowls
• Smoothing deep lines and folds, such as nasolabial folds and marionette lines, which become more prominent due to volume loss
• Improving facial proportions by enhancing the balance between the upper, mid, and lower face, creating a more symmetrical appearance

The Role of Retaining Ligaments and Deep Structural Support

Facial retaining ligaments act as natural suspension structures that hold fat pads and skin in place. Over time, these ligaments weaken, allowing facial fat to shift downward, causing sagging. Fillers injected near key ligamentous anchor points—such as the zygomatic (cheek), masseteric (jawline), and mandibular (chin) ligaments—help reinforce these structures. This improves skin support, preventing excessive drooping and contributing to a more lifted, defined look.

How Fillers Create a Lifting Effect Beyond Volume Restoration

Strategic Placement for Vertical Lifting

Instead of simply filling wrinkles or restoring volume, modern filler techniques focus on placement at higher points of the face, such as the lateral cheek and temples. This creates a vertical lifting effect, reducing the appearance of jowls by indirectly pulling the lower face upward.

Repositioning Facial Fat Pads

Fillers placed in deeper compartments help restore fat pad position, reducing the downward pull that contributes to sagging. This approach ensures that volume is replaced in a way that mimics natural youthful contours rather than adding excessive bulk.

Enhancing Jawline Definition

Injecting fillers along the jawline and chin strengthens the lower face structure, reducing the appearance of jowls and creating a more sculpted profile.

Collagen Stimulation for Long-Term Firming

Certain types of fillers, such as collagen-stimulating fillers (e.g., calcium hydroxylapatite or poly-L-lactic acid), trigger neocollagenesis, meaning they gradually improve skin elasticity and firmness over time. This provides long-term structural support, helping to prevent future sagging.

By targeting multiple aspects of facial aging—volume loss, ligament weakening, and fat pad descent—a liquid facelift with fillers offers a multi-dimensional lifting effect rather than just adding volume. However, achieving a natural and balanced result requires an experienced injector who understands facial anatomy and the appropriate placement techniques.

Benefits of a Liquid Facelift for Sagging Skin and Jowls

A liquid facelift offers multiple benefits for individuals experiencing sagging skin and jowls, including:

• Immediate results without downtime
• Restoration of deep structural support for a lifting effect
• A non-surgical approach to improving jawline definition and facial contouring
• Customizable treatment for targeted areas such as the cheeks, jawline, and nasolabial folds
• Results that typically last between 12 to 18 months, with the option to adjust or dissolve hyaluronic acid fillers if needed

What to Expect During a Liquid Facelift

The procedure is usually completed within 30 to 45 minutes. The steps include:

1. Consultation and assessment to determine the most suitable approach (needle vs cannula)
2. Application of numbing cream for comfort
3. Precise injection of fillers into areas needing volume and lift
4. Mild swelling or redness may occur but typically subsides within a day

There is little to no downtime, and normal activities can be resumed immediately after treatment.

Is a Liquid Facelift with Dermal Fillers Suitable for You?

A liquid facelift can be an effective treatment for individuals with mild to moderate facial sagging, especially those looking to enhance jawline definition and restore facial support. However, it is not suitable for everyone.

Overuse of fillers can lead to overfilled syndrome, where excessive filler volume distorts natural facial proportions. This can result in a puffy or unnatural appearance. To avoid this, a consultation with an experienced doctor is essential. An expert assessment ensures that fillers are used in the right amount and placement to achieve a natural, well-balanced lift without overcorrection.

For those with significant skin laxity or severe jowls, a combination of treatments such as Ultraformer MPT HIFU or Botox for the lower face may be recommended for a more comprehensive approach.

Botulinum Toxin for Sagging Skin and Jowls in Singapore

Botulinum Toxin is an injectable treatment that can help improve the appearance of sagging skin and jowls by targeting specific muscles in the lower face. While commonly known for reducing wrinkles, Botulinum Toxin can also be strategically injected into muscles that contribute to facial sagging. This treatment is particularly effective for patients in Singapore looking for a subtle lift and improved jawline definition without adding volume.

How Botulinum Toxin in the Lower Face Works for Sagging Skin and Jowls

Botulinum Toxin is commonly associated with reducing wrinkles, but it also plays a role in reshaping the lower face by targeting specific muscles that contribute to sagging. As facial muscles become overactive over time, they exert a downward pull on the skin, leading to a loss of jawline definition and the formation of jowls. Botulinum Toxin works by temporarily relaxing these muscles, reducing their downward pull and allowing the skin and underlying tissues to reposition naturally, resulting in a more lifted and contoured appearance.

Unlike fillers, which restore lost volume to lift the skin, Botulinum Toxin helps refine the jawline and reduce sagging by addressing muscle overactivity. It is particularly beneficial for individuals with early signs of jowls or lower face heaviness caused by muscle-related factors rather than volume loss.

Key Areas Targeted with Botulinum Toxin for Sagging Skin and Jowls

• Depressor Anguli Oris (DAO) muscles – The DAO muscles pull the corners of the mouth downward, contributing to a sad or grumpy expression. Over time, this can accentuate lower face sagging and marionette lines. Injecting Botulinum Toxin into the DAO helps weaken this downward pull, subtly lifting the corners of the mouth and improving facial symmetry.
  
• Platysma muscles – The platysma is a thin sheet of muscle extending from the jawline down to the collarbone. With age, this muscle becomes overactive and pulls the skin downward, leading to jawline blurring and increased jowl formation. Targeted Botulinum Toxin injections into the platysma help relax these muscles, reducing their downward traction and enhancing jawline definition. This technique is sometimes referred to as the "Nefertiti Lift" for its ability to refine the lower face and neck.
  

By selectively relaxing these muscles, Botulinum Toxin enhances the jawline contour, reduces jowl prominence, and creates a smoother transition between the lower face and neck. It is often used in combination with HIFU or dermal fillers to further improve facial lifting and structure, offering a non-surgical solution for sagging skin and jowls.

Benefits of Botulinum Toxin for Jawline Definition and Jowl Reduction

Botulinum Toxin offers several advantages for individuals experiencing mild to moderate sagging skin and jowls:

• Non-surgical and minimally invasive with no downtime
• Helps redefine the jawline by reducing muscle tension that contributes to sagging
• Provides a subtle lifting effect without adding volume
• Can be combined with other treatments such as fillers or HIFU for enhanced results
• Results last approximately 3 to 6 months, depending on individual metabolism and muscle activity

What to Expect During Botulinum Toxin Treatment for the Lower Face

The procedure is quick, typically taking 10 to 15 minutes, with minimal discomfort.

1. Consultation and Assessment – The doctor will evaluate facial muscle activity and determine the best injection sites.
   
2. Botox Injections – Small amounts of Botox are injected into the targeted muscles using fine needles.
   
3. Post-Treatment Care – Patients may experience mild redness or swelling, which usually subsides within a few hours. Normal activities can be resumed immediately after the procedure.

Is Botulinum Toxin for Sagging Skin and Jowls Right for You?

Botulinum Toxin is ideal for individuals who have:

• Mild to moderate sagging skin along the jawline
• Downturned mouth corners contributing to an aged appearance
• Early signs of jowls due to muscle overactivity
• A preference for a non-surgical solution with natural-looking results

For more significant skin laxity or volume loss, Botulinum Toxin is often combined with Ultraformer MPT HIFU or fillers for a liquid facelift to achieve a more comprehensive facial rejuvenation.

Improving Skin Quality for Firmer, Healthier Skin

Sagging skin and jowls are caused not only by volume loss and muscle laxity but also by declining skin quality due to reduced collagen, elastin, and hydration. Strengthening the skin’s foundation can help improve elasticity, firmness, and resilience, making it more resistant to sagging. Treatments such as collagen-stimulating injections, including Juvelook and Rejuran Healer, and skin boosters like Profhilo, Restylane Skinboosters, and NCTF 135, help rejuvenate the skin by promoting hydration and collagen production, enhancing skin firmness and overall quality.

Collagen-stimulating injections for skin firmness

Collagen is essential for maintaining skin structure, elasticity, and strength. As collagen production declines with age, the skin becomes thinner, weaker, and more prone to sagging. Collagen-stimulating injectables work by encouraging natural collagen regeneration, improving skin support and resilience over time.

• Juvelook contains poly-L-lactic acid (PLLA), which stimulates long-term collagen production to gradually improve skin thickness, elasticity, and firmness. This treatment helps prevent early sagging and enhances skin laxity over time.
  
• Rejuran Healer uses polynucleotides (PN) derived from salmon DNA to promote skin repair, collagen synthesis, and hydration. It enhances skin elasticity and strengthens the skin barrier, helping to maintain skin firmness.
  

While collagen-stimulating injectables do not directly lift sagging skin, they enhance skin quality, making it more resilient and firm, which can complement lifting treatments such as HIFU, thread lifts, and fillers.

Skin boosters for hydration and elasticity

Skin hydration plays a crucial role in maintaining firmness, plumpness, and elasticity. Dehydrated skin appears thinner and looser, contributing to fine lines and early-stage sagging. Skin boosters deliver hyaluronic acid and essential nutrients into the skin to improve moisture retention, suppleness, and texture.

• Profhilo is a hybrid hyaluronic acid injectable that spreads evenly under the skin, enhancing hydration while stimulating elastin and collagen production for improved firmness and elasticity.
  
• Restylane Skinboosters use stabilized hyaluronic acid to deeply hydrate the skin, making it smoother, firmer, and more resilient.
  
• NCTF 135 provides hydration along with antioxidants and nutrients that help with skin renewal and long-term firmness.

How collagen-stimulating treatments and skin boosters complement lifting treatments

While these treatments do not replace procedures that physically lift the skin, they strengthen and improve skin texture, enhancing the results of other lifting procedures such as:

• HIFU, such as Ultraformer MPT HIFU, which tightens deeper skin layers, while collagen-stimulating injections improve surface firmness and elasticity.
  
• Fillers and Botox, which restore volume and improve facial contours, while collagen-stimulating treatments enhance skin quality and longevity of results.

By combining collagen-stimulating injectables and skin boosters with lifting treatments, individuals can achieve stronger, firmer, and healthier-looking skin while preventing future skin laxity.