The Garden Dermatology Clinic

PROBLEM

Jowls,
why do they form?

Cheek sagging is not simply loose skin.
Mid-face fat pads drift downward and supporting ligaments loosen,
causing volume to accumulate beside the mouth and nasolabial folds to deepen.

Mid-face Volume Shift

Fat beneath the cheekbone diminishes and migrates downward, adding fullness beside the mouth and weighing the face down.
Deepened Nasolabial Folds

Cheek fat that has shifted downward accumulates beside the nose, deepening the folds. This is among the most prominent signs of facial aging.
Ligament Laxity

The ligaments that support the cheeks loosen, accelerating gravity-driven descent.

Lifting alone, or filler alone, is not enough.

Lifting without volume can leave the face looking hollow,
and filler alone can feel heavy and unnatural.
Jowls require lifting and filler designed together.

Lifting alone

Even when descended tissue is repositioned, lost volume that goes unfilled can leave the face looking hollow and reduce the visible benefit.
Filler alone

Adding volume to already sagging tissue can pull the face further downward, sometimes emphasizing jowls rather than softening them.
Treatment without a plan

Treating without a clear plan for where to lift and where to add volume tends to produce unnatural results.

THE GARDEN SOLUTION

Lift, restore, and tighten.
Lifting and filler designed together.

After a careful assessment of the degree of sagging and where volume has been lost,
we design the most suitable combination of lifting and filler.

01

Lifting — Repositioning Descended Tissue

Ultrasound and radiofrequency energy contract the SMAS and dermis. They reposition cheek fat that has migrated downward and tighten loosened skin to refine the contour.
02

Filler — Restoring Lost Volume

After lifting has repositioned the tissue, filler is placed precisely to restore volume in hollowed mid-face areas. The dermatologist plans where and how much to fill to create a natural cheek line.
03

Finishing — Refining Skin Texture

Skin Botox and skin boosters smooth the surface texture, finishing the results of lifting and filler in a natural way.

The combination of lifting devices and fillers varies with the degree of sagging. The optimal protocol is designed after consultation with the dermatologist.