Jawlines (or the contour of the lower edge of a person’s jaw) can be injected for 2 purposes with dermal filler
1. To look younger
2. To look more beautiful.
Beauty is in the eye of the beholder and patients can choose the jawline that they prefer, be it angular or slim or extra masculine
AGING OF THE JAWLINE, The bone and soft tissue dissolves around the jawline, and in women, the skull rotates with the chin moving backwards. These features contribute to loss of structural support in the area of the jawline. This loss of structural support in the jaw also contributes to aging of the neck. If a patient’s purpose is to look as naturally young as possible then the structure of the jawline must be maintained by replacing the lost structure with dermal filler for support
A MORE BEAUTIFUL JAWLINE: Some people were born with a great jawline, and others were born with a jawline whose appearance could be improved. For those who weren’t born with the perfect jawline, it is so simple to just inject it to improve the appearance.
Dermal filler can improve:
Size of the jaw: some patients need dermal filler to enhance their jawline anywhere from their chins around to their ears
The shape of the jawline Some patients need more volume in the front of their jaw at the chin and some patients need more volume at the side of their jawline under the ear , and some just need to straighten their jawline due to jowls by injecting in the prejowl sulcus: The patient will be assessed and the doctor will have a discussion with the patient about their anatomy, and how it can be improved.
Jawline after a facelift: Often the jawline near the ears is deformed after a facelift. Dermal filler to rebuild this area can create a more natural appearance
Aging jawline: as we age, we lose structural support in the jawline. This can be replaced with dermal filler
Symmetry of the jawline: asymmetry of the jawline can be improved with dermal filler treatment
TREATMENT OF THE JAWLINE WITH DERMAL FILLERS
#LINKPrior to treatment with dermal filler, the patient should be assessed and treated with muscle relaxing injections in the platysmal bands if required. ALso if there is fat in the neck under the chin with a poor angle of the neck on profile then neck liposuction should be considered
Choosing the dose of dermal fillers
The dose required for jawline filling is very variable. It depends on the anatomy and the desired result. Some patients will be satisfied with 1ml, others will need 6 mls to get the results that they want.
The doctor will assess the face and decide on the best dose after taking a history and examining the patient. If a patient has a history of complications with dermal fillers, or if their budget is small or if they want a more subtle result, then a smaller dose might be chosen to start with.
With dermal fillers, a typical way to plan jawline improvement is to inject 2mls at a time, injecting every month until the the patient and doctor are satisfied with the appearance
Typically, I will inject 2mls at a first treatment then review the patient at a month. If they said ” I liked the swelling after the last treatment and was disappointed when it went away” then I would recommend them to have a further 2 mls, and repeat this until they don’t like the swelling afterwards.
Pain relief during treatment
A numbing cream (eg EMLA or LMX ) may be applied to the area prior to the treatment (45 minutes prior is ideal) Glad wrap may be used over the numbing cream to increase its effect.
If a cannula is used, local anaesthetic is used prior to the cannula being introduced into the skin
There is local anaesthetic in the dermal filler
Ice is always used to decrease pain and to reduce the risk of bruising.
Very rarely patients will use Penthrox for dermal filler in jawline
Nitrous oxide (happy gas) is available for patients to use
What happens during the injectables treatment itself?
The face will be cleaned with alcohol.
Ice will be applied to the area briefly before treatment The doctor will inject using a very fine needle. Then pressure with gauze will be applied.
If a cannula is used, a small injection of local anaesthetic is injected into the skin and then a fine needle makes a small hole in the skin where the cannula is inserted.
How will I look after dermal filler in the jawline?
There may be redness and swelling. Patients often like the swelling in the first couple of days
Side effects /risks with dermal fillers
Bruising occurs in a significant number of cases.
Swelling in the injection area will occur. This will laser for 48 hours
Asymmetry: Sometimes one side is better treated than the other, this is usually because the patient is asymmetrical to start with.
Infection is a very rare complication, but always a possibility when the needle goes into the skin.
Necrosis (blood vessel being blocked, interfering with blood supply to the skin) is very rare. This could lead to scarring
Need for further treatment: Often with lips, it will take several syringes of product to get to where the patient wants to be.
Instructions for care afterward
No makeup for 4 hours
No heavy exercise that day
No acid face products for 24 hours
No spas no saunas, no hot yoga for 1 week post treatment
What to expect after a dermal filler treatment?
The effect of the dermal filler will be obvious immediately
Most of the swelling from the dermal filler will have resolved by 2-3 days after the procedure. There may be a small amount of swelling for even 2-4 weeks after the procedure.
What if I get asymmetry at some time before the 2 week point? Do I call the doctor?
No. No need to call the doctor. Sometimes asymmetry will occur because one side is more swollen or bruised. Usually it will right itself by the time of the review appointment. If it doesn’t, then it can be examined at the review appointment. There is no point in coming in early for treatment of asymmetry as there is often swelling associated and so the final result cannot be seen until at least 2 weeks. Treating asymmetry too early could lead to further asymmetry
How long will the treatment last?
The answer to this is very individual and depends on the patient’s anatomy, metabolism, the dose, the placement, the product etc. Typically with our most commonly used reversible dermal filler, the protocol is: If the patient is happy with the results at 1 month (ie there has been adequate fill) they should be treated at 6 months, then at 6 months and then once yearly. If the patient is not satisfied with the results at 1 month (ie more dermal filler is required to obtain the results that they desire), then further dermal filler should be injected every 1-3 months until the desired appearance has been reached, and then the patient should have treatment at 6 months, then 6 months, then once yearly
Cost of dermal filler in jawline:
Cost is per syringe. Typically 2mls at least are required =$1400. Some patients will need several times this amount.
Before and after injections to increase the angularity of the jaw. This patient finds a more square and prominent jaw more attractive
Before and after 1 treatment of dermal filler for jawline, sagging, jowls and lower face ageing
Before and after liquid facelift. Multiple syringes of dermal filler to multiple areas
Before and after 4mls dermal filler and muscle relaxing injections in lower face for jowls and sag
Before and after dermal filler and muscle relaxing injections in lower face for sagging jowls and downturned mouth
Before and after 4mls dermal filler and anti wrinkle injections in lower face for jawline improvement
Before and After dermal filler to marionettes, jawline, chin, cheeks and nasolabial folds
Before and after dermal filler and anti wrinkle injections lower face 4mls for jawline
Before and after dermal filler and anti wrinkle injections in lower face 4mls for jowls and marionettes and jawline
Before and after dermal filler to jawline to reduce the appearance of jowls