Facial Sagging Skin & Jowls Treatment Richmond, BC
Understand which layer has changed, then match the treatment.
Facial sagging is the downward shift of skin and the tissue beneath it on the face and jawline, seen as jowls, a softer jaw edge, deeper folds beside the mouth and a heavier lower face. Jowls form when facial fat pads descend, skin and the deeper support layer loosen, and bone volume along the jaw declines, so the right option depends on which layer has changed most. At RAAC in Richmond, BC, options include Ultherapy or Thermage for tightening and lifting, EMFACE for muscle tone, threads for repositioning, and filler or Sculptra for lost volume. Results are gradual and vary.
- 60–90 min
- Typical Ultherapy session, face and neck; varies by plan
- Same day
- Most people resume normal activities after energy treatments
- 2–6 months
- Typical window for tightening to build; results vary
- 60–90 min
- Typical Ultherapy session, face and neck; varies by plan
- Same day
- Most people resume normal activities after energy treatments
- 2–6 months
- Typical window for tightening to build; results vary
Is This Happening to You?
Facial sagging doesn't happen overnight. You might notice these subtle shifts:
If you recognise two or more of these signs, an assessment can show which layers are involved and which options are worth considering.
What Causes Jowls and Sagging?
It is not just loose skin. Facial aging is a multi-layer process involving bone, fat, muscle and connective tissue.
Collagen Depletion
Collagen production declines gradually with age, weakening the internal scaffolding of the skin.
SMAS Laxity
The SMAS is the deep fibromuscular layer. Like a stretched rubber band, it loses elasticity over time.
Fat Pad Descent
Facial fat pads don't just shrink; they slide downward, creating hollowness under eyes and heaviness in the jowls.
Bone Resorption
We lose bone mass in the jaw and cheeks, reducing the structural support for the overlying skin.
How Are Jowls and Sagging Treated at RAAC?
There is no one-size-fits-all patch. Dr. Jiang designs a plan around the layers that have changed, using non-surgical options RAAC offers.
A layered approach: bone and volume support, deeper lifting, then skin tightening. Advanced sagging may be better suited to surgery, which we will say plainly.
1Energy-Based Tightening & Lifting
Ultherapy Prime
Micro-focused Ultrasound Lift
Uses micro-focused ultrasound with imaging to deliver energy to the deeper support layer, stimulating collagen to lift and tighten the jawline and under-chin.
Thermage FLX
Radiofrequency Skin Tightening
Radiofrequency energy heats the dermis to tighten existing collagen and stimulate new collagen.
RAAC E-Lift
Combination Protocol
A plan that combines Ultherapy, Thermage and injection techniques, tailored to the jawline and lower face.
EMFACE
Muscle + Skin
Combines radiofrequency heating with HIFES muscle stimulation to tighten skin and tone facial muscles. Needle-free, with modest, gradual changes.
2Structural Support & Volume
Silhouette InstaLift®
Absorbable sutures with bidirectional cones to physically lift tissue and stimulate collagen.
Aptos® Thread Lift
Absorbable threads with barbs that reposition tissue and prompt a collagen response. Duration varies from person to person.
Dermal Fillers
Restores lost volume in cheeks and chin to re-drape the skin naturally.
Sculptra® Aesthetic
A collagen biostimulator used to rebuild volume and support gradually over several sessions.
Radiesse®
Calcium-based biostimulator that adds volume right away and stimulates collagen over time. Duration varies.
How We Approach Sagging
Physician Assessment
Dr. Jiang considers skin thickness, tissue density and facial structure when choosing treatment depth and energy settings.
Several Options
Ultherapy, Thermage, EMFACE, threads, fillers and biostimulators are available, so the plan is not built around one device.
Settings Set by Anatomy
Energy and depth are chosen for your anatomy and the manufacturer's guidelines, rather than a fixed setting for everyone.
Doctor-Led Procedure
Critical energy treatments and injectables are performed or directly supervised by Dr. Jiang, not just technicians.
Common Questions
Plan Your Jawline Treatment
Schedule a facial assessment with Dr. Jiang to discuss your jowls and which options might suit you.
Related articles
- Ultherapy Swelling and Recovery: A Day-by-Day Timeline
Redness, mild swelling and tenderness are common after Ultherapy, and most people resume normal activities the same day. Here is what each stage of recovery usually looks like.
- What Is Ultherapy? How Focused Ultrasound Lifts, the Evidence and Recovery
A physician-authored deep-dive into how Ultherapy's micro-focused ultrasound triggers neocollagenesis, what the clinical trials show, and who is a strong candidate.
- Thermage FLX: What to Expect From the Session, Recovery and Results
Everything you need to know about Thermage FLX skin tightening in Richmond BC — from how it works, what the treatment feels like, expected results, pricing, and aftercare tips from Dr. Charles Jiang.
- Does EMFace Work? HIFES Muscle Stimulation and RF Explained
Does EMFace work? This breakdown covers the science: how HIFES contractions tone the facial lifting muscles and how synchronized radiofrequency warms the dermis to prompt new collagen and elastin.
