10/23/2026
When you notice jowls, deep folds, or loss of jawline definition, the first instinct is often to add more traditional dermal filler.
However, filler added to heavy, sagging tissue adds weight without lifting it, which can lead to an over-filled or unnatural look.
Here is how we evaluate your options at Belcara Health:
- Traditional HA Fillers (Volume Replacement)
Suited to replacing lost volume in targeted areas like the cheeks or temples, but they cannot lift lax skin or deeper muscle layers.
- Sculptra® (Collagen Biostimulator)
Unlike gel fillers, Sculptra works by stimulating your body's own natural collagen production over time. It gradually improves skin structure and restores lost volume, making it a suitable option for subtle firming and overall facial volume loss. It does not replace surgical lifting for advanced sagging.
- Deep Plane Facelift (Structural Release & Lift)
When the concern is true skin laxity, jowling, or sagging SMAS tissue, surgery is the option that addresses it directly. A Deep Plane Facelift repositions the underlying muscle and tissue back to its youthful position without pulling the skin.
If you're unsure whether collagen stimulation, volume, or structural lifting can help you, tap the link in our bio to book a consultation with Dr. Sarah Dermody.