When we are young, the elevator muscles are more active but as we get older the depressor muscles / platysma muscles become more active which pulls the jawline down. If we keep these muscles relaxed with regular Botulinum injections, then the jowling effect of the jawline can be prevented over time.
For older women, injections along the jawline counteract the downward pull of the platysma neck bands and there is a noticeable lift at the jaw line. Once the treatment has kicked in, the patient can return for a skin tightening procedure such as Titan which permanently shrinks the skin along the jawline and neck and stimulates more collagen in the treated area.