A 60-year-old Caucasian female presented to my clinic with concerns about jowl development and laxity under her chin and in the neck. She was seeking a treatment which would confer skin tightening across the jawline, chin and the neck, without the need for surgery. The patient had never had any cosmetic treatments to these particular areas in the past. On examination, there was marked laxity in the submental area, anterior neck with static wrinkles and formation of jowls disrupting the contour of the jawline. The main issue here was loss of tensile strength and elasticity due to chronological ageing.
During the consultation, it was apparent that a key factor for this patient was to obtain an age-appropriate yet natural result. She had no relevant past medical history of note. We discussed the different treatment options available to her, which included high-intensity focused ultrasound…