Find a photograph of yourself from ten years ago and look along the jaw. A thin dark line runs from your chin towards your ear. It is the shadow your jaw used to throw onto your neck, and the eye reads it as definition. In recent photographs that line has blurred, and a soft fullness sits where it used to be. Endolift jowls treatment at MediZen in Sutton Coldfield is designed to bring that shadow back.

Performed byAppointmentDowntimeResultsPrice from
Dr Mattia ParducciAround 45 to 60 minutes for the jawline, under local anaestheticBack to normal within hours, recovery 3 to 5 daysTightening on the day, a second wave at 4 to 8 weeks, peak at 9 to 12 months, lasting 2 to 3 years£1,950 for the lower face, jawline and jowls

Endolift is a laser lift that works from underneath the skin, and Dr Mattia Parducci performs every treatment at MediZen himself. A hair-thin fibre slips in through one tiny entry point. Inside, it warms the layer where the jowl has gathered. There is no cut, no stitch and no general anaesthetic, and most people pick up their day that same afternoon.

The clever part is the wavelength. At 1470 nm the laser is absorbed by water and by fat at once, so one pass does three jobs. The collagen already in your skin contracts. A small pocket of fat along the jaw begins to break down, and the cells that build new collagen wake up. The jaw firms a little on the day and carries on improving for months.

The Shadow Under the Jaw, and Why It Fades

A defined jawline is really a piece of lighting. When the skin sits close over the bone, the edge of the jaw catches the light and the neck falls into shade. That contrast is what people mean when they call a face sharp. It also explains why a jawline looks crisp in one photograph and soft in the next.

Three things blur it over time. Collagen and elastin thin a little every year from our late twenties, so the skin begins to drape rather than hug. The connective tissue beneath it loosens its grip, and the fat it once held in place drifts forward and down. Along the jaw that drift gathers into the gentle pouch we call a jowl, usually on either side of the chin.

None of this means you have done anything wrong. Sun, a big change in weight and the face your parents handed down all play their part. That is why two friends of the same age can have such different profiles. What matters for treatment is that a jowl lives below the surface, in a layer no cream or facial can reach. Our guide to jowls sets out every route we offer. Endolift is the one that works in all three layers at once.

The encouraging news is that skin at this stage still knows how to make collagen. It simply needs a prompt, and controlled warmth placed exactly where the laxity sits is that prompt. A 2024 review in Aesthetic Plastic Surgery gathered twenty-three studies of the 1470 nm fibre. It found a favourable record for lifting the face and neck.

How Endolift Draws the Line Back In

Once the jaw is numb, Dr Mattia eases the fibre into the layer between the skin and the muscle. He moves it in slow, fan-shaped passes along the lines he drew on your face at the start. The warmth lands where the jowl has gathered, not across the surface. You feel pressure and a gentle heat, and the skin above is left intact.

That is why the jawline changes in two stages. The first is the contraction of the collagen you already have, which gives a firmer edge before you leave the room. The second belongs to your own skin. Between week four and week eight, fresh collagen and elastin start to form and the broken-down fat cells are cleared away. The shadow under the jaw begins to return.

A small study published in Lasers in Medical Science in 2022 followed people with soft, pinchable fullness along the jaw. Skin over the jowl measured thicker, denser and more elastic after treatment. Dermatologists who did not know which photographs were which rated most results as good or very good. It is a modest piece of research, and it describes exactly the change we look for.

A Jawline Plan Set by a Doctor

Endolift is at its best on a jaw that has softened rather than fallen. The skin still has a good amount of spring and the jowl is early or moderate, often with a small pocket of fat. Where the skin has stretched into heavier folds, Dr Mattia will point you towards a surgical opinion at the consultation. No laser is designed to remove excess skin.

Nothing has been added to the face, so the jawline that comes back is your own.

Many faces need more than one thing, and this is where a doctor-led plan earns its place. Where flatter cheeks are letting the lower face drift, Profhilo Structura restores support higher up. Thin, crepey skin responds beautifully to polynucleotides, and Secret PRO refines surface texture while Endolift works deeper down. Dr Mattia decides the order and the spacing, so each treatment has room to do its own work.

What people tend to love is how quietly the result arrives. Nothing has been added to the face, so the jawline that comes back is your own. Friends say you look rested without being able to say why, and the side profile stops being the angle you avoid in photographs.

The Months After, Week by Week

The first day is the busiest. The jaw feels firmer once the anaesthetic wears off, with some pinkness and swelling that usually settles within a day or two. Light bruising, if it appears, covers easily with make-up. Work, the school run and dinner with friends carry on as normal. Only saunas, steam rooms and hard workouts wait for three to five days while the tissue settles.

The more rewarding change comes later. Around the second month the new collagen begins to show, and the edge of the jaw catches the light again. The contour keeps refining until it reaches its peak at nine to twelve months, and it typically holds for two to three years. Dr Mattia will tell you whether a later top-up would add anything for your jaw.

Where Your Jawline Plan Starts

Your first visit is a consultation with Dr Mattia Parducci (GMC 7635663), who plans and performs every Endolift at MediZen. He looks at your jaw from the front and in profile and checks how much elasticity your skin still holds. He also works out how much of the fullness is fat. You talk through what bothers you most, and you leave knowing the result you can expect, the recovery and an itemised price.

Treatment for the lower face, jawline and jowls starts from £1,950, and under the chin on its own from £1,350. Each area is listed on our Endolift page, and the fee covers the consultation, the treatment and your aftercare. One session is the usual plan, and your consultation turns that average into a plan for your own face.

We are on Lichfield Road in Mere Green, a short drive from Four Oaks, Streetly, Walmley and Lichfield. If the line of your jaw has gone soft in photographs, come and see Dr Mattia. He will show you where the shadow used to fall and how the Endolift treatment can bring it back.

Good to know

Your Questions About Endolift for Jowls

These are the questions people ask most often when a softening jawline first sends them looking for answers. Dr Mattia is happy to go through anything else at your consultation in Mere Green.

Yes, on early to moderate jowls it works very well. The laser warms the layer beneath the skin. The collagen you already have contracts on the day, and new collagen builds over the following months. Where a small pocket of fat sits in the jowl, the same energy breaks it down. Dr Mattia Parducci confirms at your consultation whether your skin has the elasticity to respond.

Most people need one session for the jawline and jowls. The result keeps building on its own, reaching its peak at nine to twelve months and typically lasting two to three years. Where laxity is more pronounced, Dr Mattia sometimes suggests a second session and explains why before anything is booked.

Where the jowl carries a small, pinchable pocket of fat, yes. The 1470 nm wavelength is absorbed by fat, so the warmth breaks those cells down and your lymphatic system clears them over several weeks. The skin above tightens at the same time, which is why the jaw looks slimmer and firmer rather than simply smaller.

Some firming shows on the day, as the collagen already in your skin contracts. A second and more noticeable change arrives between week four and week eight, once new collagen has formed. The jaw keeps refining until it peaks at nine to twelve months, so the change feels gradual and natural to the people around you.

At MediZen in Sutton Coldfield, treatment for the lower face, jawline and jowls starts from £1,950. A full face with the neck starts from £2,750. Each fee covers your consultation, the treatment and aftercare. You receive an itemised figure once you and Dr Mattia have agreed the areas.

They will notice that you look fresher, and very rarely why. Nothing is added to the face, so the jaw simply looks firmer and the profile cleaner while you still look entirely like yourself. Any pinkness or swelling generally settles within a day or two, and the single entry point is tiny.

For mild to moderate jowls it is. Endolift is minimally invasive and non-surgical, carried out under local anaesthetic through one tiny entry point with no stitches. Where the skin has stretched into heavier folds, surgery removes the excess skin that no laser can. Dr Mattia will tell you which route suits your face.

It depends on what is causing the jowl. Filler restores structure where volume has gone, often higher in the cheek. Endolift tightens loose skin and slims a small fat pocket along the jaw. Many faces benefit from both over time, and Dr Mattia works out which layer is leading before he suggests a plan.

Bring Back the Line of Your Jaw

If your jawline looks softer in photographs than it feels, come and see Dr Mattia Parducci in Mere Green. Call MediZen on 0121 308 4373 or message us on WhatsApp to book your consultation.