The lower face refers to the area below the nasal columella and above the jawline. Its aging will commonly cause circumoral fat protrusion and laxity, mouth corner wrinkles (marionette wrinkles), and jawline sagging or loss. The jawline is located at the lowest margin of the cheek, which is most sensitive to the influence of skin aging or sagging. In the early stage of cheek laxity, the jawline is the first part to become round, which makes patients feel that they have a rounder or chubby face. Some patients also find out that their jawline is gradually disappearing or that even a double chin is showing up. The management of jawline laxity should be determined depending on individual skin thickness and laxity degree. If patients have fatty and sagging cheeks, a temporal midface temporal lift or MACS facelift may be considered first to get the instant and effective results. If patients have relatively thin and firm skin, the jawline fascia lift targeting the jawline may be considered to garner obvious results. However, if the overall lower face has an obvious laxity or more severe aging and sagging, the Endotine Ribbon lift should be seriously considered. Direct lift of the jawline, marionette wrinkles, and lower cheek via minimal incision in a simple procedure can generally produce a remarkable improvement.