Jowls.

What is behind it: cheek fat descends over the years and collects beside the chin, below the jawline. At the same time cheekbone and chin lose support, the retaining ligaments stretch, the skin becomes slacker. The result: a jawline that is no longer straight but interrupted by the 'jowl'.

What injections can do: for mild to moderate jowls a combination helps – volume at the cheekbone lifts indirectly; hyaluronic acid along the jawline in front of and behind the jowl visually 'straightens' the line; injection lipolysis reduces a small fat deposit in the jowl itself; botulinum toxin into the platysma removes the downward pull. Correctly combined, that gives a clearly visible, natural improvement.

What they cannot do: with marked skin excess and deeply hanging jowls every injection only adds more – the face becomes heavier, not younger. Here a surgical lift is the honest and ultimately cheaper answer. This limit is named clearly in the consultation.

Timeline: lipolysis first (several sessions), then after swelling subsides hyaluronic acid at cheekbone and jawline, plus platysma. Result assessable after three to four months.