Best treatment for sagging jowls is a deep plane facelift, either a lower facelift & necklift or a deep plane scar facelift. Non- surgical fillers do not improve jowls and may actually make it worse as they can migrate into the area of the jowls and can make face appear bottom-heavy & masculine/square. Mild jowling at a young age might be amenable to non-surgical ulthera or thermage treatments.