Signs Patients Commonly Notice
- Jowling along the jawline
- Loss of a defined cervicomental angle (neck-chin transition)
- Deepening nasolabial folds and marionette lines
- Midface descent and flattening of the cheek
- Platysmal banding in the neck
Non-Surgical Signs First
Early volume loss, fine lines, and skin quality changes are typically addressed with non-surgical care (injectables, energy devices, medical skincare) before surgery is considered.
When Surgery Enters the Conversation
When laxity and descent — not just volume or texture — dominate the concern, a surgical consultation becomes relevant. See Am I a Candidate? for the clinical framework surgeons use.
This page is educational only. A qualified surgeon must evaluate you in person.
Medical Review
Reviewed by: Juan Cuellar, MD — Plastic & Reconstructive Surgery
- Content reviewed
- Facial aging self-evaluation framework.
- Last reviewed
- June 2026
Selected sources