Skin sagging does not happen suddenly, but is the result of a gradual decline in the skin’s structural integrity over time. In particular, collagen and elastin-key components responsible for maintaining firmness and elasticity-begin to decrease as we age. As collagen production slows down, the skin loses its firmness and starts to collapse into deeper layers, reaching the SMAS (Superficial Musculoaponeurotic System), a crucial structure that supports the facial framework. This leads to visible sagging and a loss of facial definition.
Let’s explore which signs indicate that it may be time to consider face lifting and firming, and which lifting methods are most suitable for your skin condition.
5 Signs That Indicate You Should Consider Facial Lifting and Firming
Many people may not notice that their skin is gradually changing over time. Take a look at these 5 important signs. If you begin to experience them, it may indicate that your skin is entering a stage of collagen loss and should be properly cared for.
1. Nasolabial folds become deeper and more visible even without smiling
Deeper nasolabial folds are caused by a reduction in collagen and facial fat pads, which makes the skin less able to support itself. As the deeper structural layers begin to collapse, the folds become more permanently visible, especially in photos or under side lighting. This is often one of the earliest signs of facial aging and skin laxity. Over time, the loss of skin elasticity also causes the surrounding mid-face area to appear flatter, making the folds look even more pronounced and giving the face a more tired or aged expression.
2. Loss of jawline definition (blurred jawline)
As we age, the SMAS layer and skin gradually lose firmness, reducing the structural support of the face. Fat in the cheeks also starts to shift downward, causing the jawline to become less defined. As a result, the face may appear wider and less contoured, losing its natural V-shape even without weight gain. In more advanced cases, mild jowling may develop along the lower face, further blurring the transition between the chin and neck area, making the overall facial profile less sharp.
3. Drooping eyebrows and outer eye corners, creating a tired appearance
The skin around the eyes is one of the thinnest and loses collagen more quickly than other areas. When structural support weakens, combined with gravity, the outer corners of the eyes and eyebrows begin to droop slightly. This makes the eyes appear smaller and the face look tired, even when well-rested, and may also lead to early eyelid sagging. Additionally, reduced skin elasticity in this area can create fine lines and shadowing, which further enhances the appearance of fatigue and aging.
4. Sagging under the chin (double chin formation)
A double chin is not caused by fat alone, but also by skin laxity and weakening of the underlying muscles. As collagen levels decrease, the skin under the chin loses elasticity, allowing fat and tissue to accumulate more easily. This can occur even in individuals with a normal body weight, resulting in a less defined jawline and overall facial sagging. Over time, the area may become more resistant to improvement through lifestyle changes alone, as structural support continues to weaken.
5. Enlarged pores in a vertical direction
When the skin loses collagen strength, the facial structure begins to loosen and sag under gravity. This causes pores to not only widen but also elongate vertically. As a result, the skin appears less smooth and refined. This is also a sign of overall facial laxity, not just an isolated pore issue. In addition, decreased skin turnover and reduced hydration levels can make the texture appear rougher, duller, and less youthful, especially in areas with higher facial movement such as the cheeks.
Facial Lifting and Firming with Ultraformer III
One of the most popular face lifting and firming technologies in aesthetic clinics worldwide is Ultraformer III, an innovation that uses High Intensity Focused Ultrasound (HIFU) energy to deliver focused ultrasound deep into the SMAS layer without surgery.
The High Intensity Focused Ultrasound energy is delivered into the deeper layers of the skin, creating precise micro thermal points that stimulate tissue contraction within the SMAS layer while also promoting new collagen production. As a result, the skin gradually becomes firmer and more lifted in a natural way over approximately 1-3 months after treatment.
A key advantage of Ultraformer III is its precision in delivering Micro & Macro Focused Ultrasound, which allows for adjustable penetration depths across multiple skin layers. This makes it effective for targeted lifting in areas such as the jawline, cheeks, outer eyes, and under the chin, while also supporting overall skin regeneration and continuous collagen stimulation even after the procedure.
5 signs you may need face lifting and firming (ยกกระชับหน้า) include deeper nasolabial folds, loss of jawline definition, drooping brows and eye corners, sagging under the chin, and enlarged or vertically stretched pores. These are mainly caused by reduced collagen and elastin, along with weakening of the SMAS layer that supports facial structure, leading to skin laxity over time. One of the most popular non-surgical options is Ultraformer III, which uses High Intensity Focused Ultrasound (HIFU) to target the SMAS layer without surgery. When these signs appear, non-surgical treatments can help improve firmness, contour the face, and stimulate collagen for a more lifted appearance.
Selecting the most effective lifting method requires a precise analysis of individual skin anatomy and expert medical guidance. Better Me Clinic is among the leading providers of aesthetic medicine and facial contouring in Thailand, prioritizing comprehensive pre-treatment assessments. By utilizing advanced medical technology and developing tailored solutions on a case-by-case basis, the clinic addresses skin laxity with a focus on clinical precision. This measured approach ensures that safety standards are met while helping individuals achieve balanced, natural-looking results for long-term skin health.