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2026.10.30
Where on the Face Can Endolift Be Used? An Explanation of Its Effects on the Under-Chin, Cheeks, and Under-Eyes
"How can I get rid of sagging skin on my face?"
"Endolift®" is a treatment designed to address these concerns by taking a dual-pronged approach that combines skin tightening with localized fat reduction.
What kind of results can be expected for a double chin, the jawline, and the area under the eyes?
Actually, even on the same face, the causes of sagging vary depending on the area.
In this article, BIANCA CLINIC explains the changes you can expect for each area of the face, as well as points to keep in mind when considering treatment.
On which parts of the face can Endolift be used?
The Endolift is primarily used on the lower cheeks, jawline, and under the chin.
On the face, the desired results differ depending on whether you’re concerned about excess fat or sagging skin. Let’s take a look at the characteristics of each.
Under the Chin and Double Chin | Fat Reduction and Skin Tightening
A sagging jawline is caused by multiple factors, including not only the accumulation of subcutaneous fat but also skin laxity.
End Lift aims to promote localized fat breakdown through the thermal effects of the laser, while also tightening the skin from the inside out.
This is one of the procedures to consider when you're concerned about both excess fat and sagging skin.
However, fat isn’t always the cause of a double chin. The appropriate treatment approach varies depending on factors such as the structure of the jawbone and the shape of the transition between the jaw and the neck.
Lower Cheeks and Jawline | Targeting Sagging Skin Around the Mouth
Endolift may also be used to address plump bulges around the mouth or a lack of definition in the jawline.
This sagging is caused by factors such as the fat in the lower cheeks—known as jowl fat—as well as loosening of the skin and soft tissues.
Endolift is a procedure designed to reshape facial contours through the application of heat to localized fat deposits and skin tightening.
In fact, a study involving nine participants with fat deposits around the jawline reported improvements in indicators such as skin thickness and elasticity following the procedure [1]. It is important to note, however, that this was a small-scale study, and similar changes in facial contours may not occur in all individuals.
In addition, for people with little fat in their cheeks, it is important to consider that reducing volume may actually make the hollows in their cheeks more noticeable.
Under the Eyes | Addressing Sagging Skin and Mild Puffiness
An endolift is sometimes used to treat sagging skin under the eyes or mild puffiness caused by fat.
In 2025, a study involving 10 participants who underwent three Endolift procedures around the eyes reported an increase in the thickness of the dermis in that area, as measured by ultrasound [2]. In other words, the study suggested that the skin around the eyes itself became thicker, which may lead to improved skin firmness.
This study evaluated skin thickness and does not indicate that all under-eye puffiness or dark circles will improve.
The skin around the eyes is thin, and the appearance of this area can vary significantly depending on the fat, muscles, and condition of the skin. In particular, the causes of under-eye hollows and dark circles caused by pigmentation differ.
Because the eye area is such a delicate part of the body, it is necessary to carefully assess whether a procedure is appropriate.
What's the difference between a facial endolift and HIFU?
Both Endolift and medical HIFU are treatments designed to address facial sagging and loose skin, but they differ in the type of thermal energy used and how it is delivered.
The Endolift procedure involves inserting a thin optical fiber under the skin to deliver laser energy from the inside. It is designed to tighten the skin and reduce localized fat.
On the other hand, medical HIFU is a treatment that uses ultrasound waves emitted from the skin’s surface to deliver heat to the deeper layers of the skin. The “UltraCell Zi"In addition to treatments aimed at lifting the skin, you can also choose LipohIF, which targets fat."
While both are expected to tighten the skin and affect fat, their treatment methods differ, so the physical strain and risks involved are not the same.
In addition, the depth that can be targeted and the intended results of medical HIFU vary depending on the equipment used and the treatment settings.
Therefore, rather than simply asking which option is better, it’s important to consider your facial features and the changes you’d like to achieve.
What You Should Know When Considering a Facial Endolift
Although an endolift can address facial sagging and loose skin, it is not suitable for every condition.
For example, in cases of severe skin laxity, laser tightening alone may not produce sufficient results, and another treatment may be more appropriate.
Another thing you should know is what to expect after the procedure.
Although the procedure does not involve a large incision, swelling, bruising, and pain may occur, and there are also risks such as laser burns and nerve damage. If you have work or an important event coming up, it’s best to schedule the procedure well in advance.
Be sure to discuss not only your desired results but also downtime and risks during your consultation.
Frequently Asked Questions About the End Lift for the Face
Here are the answers to questions from those wondering, “Can an endolift improve the jawline or a double chin?”
Q. Can Endolift be used on the entire face?
A. It is used on the lower cheeks, jawline, under the chin, and under the eyes. We assess the condition of the skin and fat in each area to determine the treatment area.
Q. Is the End Lift effective for nasolabial folds?
A. If skin laxity is a factor, indirect improvements may be expected.
However, since nasolabial folds are caused by multiple factors—such as bone structure, the position of fat, and skin folds—it is not always possible to improve them with an Endolift alone.
Q. Can an endolift also improve dark circles under the eyes?
A. It depends on the cause of the dark circles. While this may be an option if the dark circles are caused by loose skin or mild puffiness, a different approach is needed if they are caused by pigmentation, visible blood vessels, or hollows.
Q. Can people with little facial fat undergo an Endolift procedure?
A. This may be considered as a way to tighten the skin. However, in areas with little fat, care must be taken to avoid sunken cheeks or unevenness caused by a loss of volume.
Q. Can a double chin be corrected with an endolift alone?
A. Whether an Endolift alone can achieve the desired results depends on the severity of the double chin. If there is relatively little fat under the chin and only mild skin laxity, an Endolift alone may produce noticeable results. On the other hand, if there is a significant amount of fat or severe skin laxity, other procedures, such as liposuction, may be options.
The EndoLift facial treatment targets both skin tightening and fat reduction depending on the area.
An endo-lift is a procedure that delivers laser energy from inside the skin to areas such as the lower cheeks, jawline, under the chin, and under the eyes.
Even within the same face, the areas of focus vary depending on the specific region—such as excess fat under the chin, sagging contours in the lower cheeks, and loose skin under the eyes.
At BIANCA CLINIC, we offer a variety of treatments for facial sagging and fat, including medical HIFU and liposuction.
If you're unsure which treatment to choose, please start by sharing your concerns with us during a consultation. Our doctors will work with you to determine the most suitable approach, taking into account the overall balance of your face and the condition of your skin.
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