Thank you for your question. An in person assessment is required to assess which product is best for you. Voluma can be used in deep dermal areas. Ensure you are working with an experienced expert injector.
Voluma is an excellent product to enhance and shape the angles of the jawline and compares favorably with products such as Radiesse that have been used in the past (an FDA "off label" use). Voluma is the most "sculptural" product that we have and it is very powerful when injected at the deep levels of the bone to augment shape. While we have only had Voluma in our hands in the US for just more than a year, our colleagues in Europe and Canada have extensive experience and tell us that longevity of 2 or more years can be expected.Make sure you consult an experienced board certified plastic surgeon, facial plastic surgeon or dermatologist for your injections. If being injected by a certified nurse injector make sure they have direct on-site supervision. It is important to receive your injections from a qualified injector so any possible complications (albeit rare) can be recognized and treated appropriately. Best wishes.
Yes, Voluma can be used effectively (Off Label) to augment the jawline (back third or mandibular angles). It should compare favorably and probably longer than Radiesse which is often used in my practice for this area prior to Voluma being made available.
Voluma is a great filler for shaping the cheeks, jawline and temples, although it is an off-label (but legally allowed) use outside the cheek area. Make sure to find an experienced dermatologist or facial plastic surgeon who has used fillers in this area for a long time.
Please see a plastic surgeon with experience in this area.
I have found HA fillers to be useful to augment the mandibular. However, this in an "off-label" use of the product and, as such, a complete understanding of risks, benefits, and "off-label" use must be understood by the patient.
I have found Voluma to be a wonderful filler for the jaw angles, where a lot of lift is needed to achieve a good result. This is an area that is 'off-label,' as much of what we do in medicine is.
Augmenting the jawline is best suited to the stiffest of fillers - Voluma, Perlane, and Radiesse. These tend to be the best choices in the cheeks and temples as well.
Juvederm Voluma is an excellent choice for augmenting the jawline for several reasons. It has has a greater tendency to resist deformation than Juvederm Ultra and Juvederm Ultra Plus, and it is more highly cohesive. What this means is that it will hold its shape better than many other fillers.
The second distinct advantage of Juvederm Voluma (and the other hyaluronic acids) is that they can immediately be dissolved if there is dissatisfaction regarding the appearance.
The reason that you are only coming across articles about using Voluma in the cheeks is because this is where it is approved to use. Now, we all know that fillers are used in "off-label" locations, so there will be more coming out over time about using Voluma in other locations, like the jaw, or NLF (for people with very deep lines), or whatnot, but at this time, since the product has only been out since November, most physicians are still only comfortable using it in the approved areas. Personally, I haven't used it in the jawline. But I can see its purpose there and that it could be a great filler for people who need a significant amount of volume change and a larger particle size. If you are looking for more of a chiseling affect, I think Radiesse could work better there.
"This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."