While it's not possible to fully reverse sagging jowls without cosmetic intervention, various treatments can effectively tighten and improve their appearance. Non-invasive procedures such as dermal fillers, ultrasound therapy (e.g., Ultherapy), and thread lifts can help lift and firm sagging skin, providing noticeable improvements without the need for surgery. For more severe cases, surgical options like facelifts or neck lifts may be recommended to remove excess skin and reposition underlying tissues for a more youthful contour.