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With Dr Alex, an international HIFU educator who has presented on the technology at IMCAS World Congress in Paris.
What you might be noticing
Your jawline is losing its edge
Often it's a gradual change that becomes obvious when you compare a recent photo with an older one.
At a glance
The practical details
HIFU is most useful when the amount and cause of sagging suit a gradual tightening treatment.
The change to look for
Less sagging along the jawline
As the tissue firms, early jowls can look less obvious and the lower edge of the face can become more defined. The change comes from treating your own tissue rather than building up the area with filler.
Dr Alex looks at the lower face as a whole. Sometimes treating the jawline is enough; sometimes the surrounding lower face or neck should be part of the plan. The improvement builds over several months as the treated tissue becomes firmer.
✓
Is it right for you?
When tightening can make a worthwhile difference
HIFU can suit early sagging, but the cause of the change matters as much as how it looks in a photo.
When surgery may offer more
HIFU does not replace a facelift
A substantial fold of loose skin or a much heavier, more dropped lower face usually needs more than collagen stimulation. Dr Alex will explain when a surgical opinion is more likely to match the amount of lifting you're hoping for.
How it works
Encouraging support beneath the skin
HIFU uses focused ultrasound to create small heat points at chosen depths. This stimulates collagen renewal and gradual tightening.
Some of the energy can be directed towards the SMAS, a supporting layer beneath the skin that surgeons work with during many facelifts. HIFU stimulates tissue; it doesn't surgically reposition it. Dr Alex chooses depths and settings for the area, including where useful facial fat should be preserved.
At SONÜ, the HIFU devices Dr Alex uses include Focus Dual, Microson Pen and Ultline. He'll discuss which is appropriate for your treatment when planning the areas to address.
Your appointment
A plan for the sagging you can see
Bring your concerns about the lower face, including any previous filler, threads or energy-based treatment.

Why Dr Alex
Why choose Dr Alex for jowl HIFU?
Dr Alex is a Key Opinion Leader for Eunsung, the manufacturer behind Focus Dual. His work includes teaching medical professionals about HIFU internationally and presenting at IMCAS World Congress in Paris. He has also presented in the UK on his experience with Focus Dual.
For jowls, he considers what has moved, what has lost support and where fat is helping the shape of your face. That guides whether HIFU should tighten the tissue, whether selected fat reduction has a role, or whether another treatment would do more.
GMC-registered doctor · 7072776
Full Member of BCAM
International toxin trainer
Aesthetics Awards winner 2021
Safety and aftercare
Usually little interruption to your day
Mild redness, tenderness or swelling can follow HIFU. Occasionally Dr Alex sees small raised red or scratch-like marks, which generally settle in a day or two.
Possible side effects
Possible complications include burns, altered sensation, nerve injury and unwanted fat loss or contour changes. Dr Alex plans the depth and settings for each area, including where fat needs to be preserved.
When to get urgent help
Contact the clinic promptly for severe or worsening pain, blisters, skin damage, persistent numbness or new weakness affecting your smile. If the clinic is unavailable, seek urgent advice through NHS 111. Rapid swelling with difficulty breathing or swallowing needs emergency help; call 999.
When treatment may not be suitable
Tell Dr Alex about pregnancy or breastfeeding, implanted electronic devices, metal implants in the area, altered sensation, active skin problems and previous facial surgery, filler or threads. These can affect whether and where treatment is appropriate. Don't stop prescribed medicines yourself.
You'll receive aftercare advice and a way to contact the clinic if you are concerned.
Treatment costs
HIFU jawline and lower-face prices
HIFU to the jawline is £550 per session. Lower face and jawline together is £750; lower face and neck is £900.
Your questions
More about HIFU for jowls
Questions about lifting, keeping facial volume and choosing the right treatment.
Your next step
Find out whether HIFU could help your jowls
Book a £75 consultation with Dr Alex at SONÜ in Hale, Altrincham. He'll look at the sagging and support around your jawline, discuss the improvement you're hoping for and explain whether HIFU is a worthwhile option for you.

SONÜ Medical Aesthetics
34 Hale Road, Hale, Altrincham, WA14 2EX

Doctor-led treatment in a relaxed, private clinic
Close to Hale station and easy to reach from Altrincham, Manchester and Cheshire