The cheek bones becomes flatter, so the cheek area is not as well supported and this results in sagging and jowls.
The deep tissues loose collagen which means that the tissues become loose and hence, the cheek area is less well supported and this also results in sagging and jowls.
There is loss of volume in the face. This is due to loss of fat in the face especially in the cheek area. This also means that there is sagging and jowls.
The skin also becomes thinner and looses elasticity. This is due to loss of collagen and elastin, the proteins responsible for keeping the skin plump, firm and elastic. Hence, the skin is lax and begins to sag and contributes to the formation of jowls.
You can achieve a real difference in your face without downtime and the expense of invasive surgical procedures.