Nonsurgical jawline rejuvenation using injectable fillers

Abstract

Background A well‐defined jawline is a critical component in the perception of facial attractiveness in both men and women. Dermal fillers offer a nonsurgical, temporary method of correcting mild‐to‐moderate mandibular bone resorption. Aims The authors discuss pertinent aspects of anatomy, pathophysiology of aging, patient evaluation, gender considerations, injection technique, and complications in jawline augmentation using injectable fillers. Methods A brief review of the literature surrounding jawline augmentation using injectable fillers in both men and women, as well as the authors’ experience in this area, is provided. Results Nonsurgical jawline augmentation using injectable fillers can be performed effectively and safely with adequate background knowledge of the regional anatomy and appropriate patient selection. The authors discuss both injection techniques in the published literature and their own approach. Potential complications are also reviewed. Conclusion Jawline rejuvenation is a key component to global facial aesthetic rejuvenation. Therefore, it is important for physicians to understand how to safely and effectively perform nonsurgical jawline rejuvenation using injectable fillers.

Reshaping the Lower Face Using Injectable Fillers

“…Injectable fillers can reshape the jawline, lift soft tissues, and improve facial contours and proportions. 5,6,14 To deliver aesthetic effective and safe results, it is critical to perform a good facial assessment and possess knowledge of facial anatomy to propose the priorities of treatment, using the proper techniques, in order to achieve the optimal outcomes.…”

“…Photographs should be taken in the frontal, lateral and oblique positions. 5,7 The careful examination includes palpation and evaluation of the teeth to identify any orthognathic and odontological problems that might interfere with the results and should therefore be addressed.…”

“…Attention should be given to the chin projection, length and width, labiomental sulcus, mandible angle, prejowl sulcus, jowls and cervicomental angle. 2,[5][6][7] When planning the aesthetic treatment, it is crucial to understand the patient's complaints and set realistic expectations.…”

“…In the case the patient is not eligible or refuses surgery, the limitations of the modality should be discussed, along with the combination of other methods of treatment such as laser devices, microfocused ultrasound and radiofrequency, to optimize the results. 5 Prior to the injection, it is paramount to assess the patient's clinical history, allergies, prior injectable treatments, and use of medication. In the case of any dental problems or procedures in the previous 15 days, the injection should be postponed.…”

“…[1][2][3][4] The lower third is very important for the pleasant appearance of the face. [5][6][7] A well-contoured jawline, a defined line from the mandible angle to the chin, is desirable in men and women, 6 giving us a perception of beauty and youth. It is also key to sexual dimorphism, and defining masculine and feminine characteristics.…”