Hi, I am 39 years old, male and had a chin augmentation 5 years ago (which I liked) and Filler a few times. I want to improve my jaw line, the middle and upper part of my face look very good. According to your experience, what advice can you give me? (not surgey please)
New Year Resolution, In Your Opinion How Can I Improve my Jaw Line? (photo)
Doctor Answers 10
Your chin implant appears slightly mis-aligned. This can be replaced with an extended implant. You also have a slight jowl which can be micro-liposuctioned, and this would help. Between the chin and the jowl is the prejowl depression. This is best treated with an injectable, such as Juvederm UP, Sculptra or Artefill, which will last several years. Behind the jowl can also be injected. These injections will give you a straighter jaw line.
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Improving Jaw line without Surgery
From your photographs, I think your concerns regarding your jaw line can be improved non-surgically. For many patients a combination of Ultherapy (focused ultrasound treatment) with Radiesse will provide an excellent improvement in the jaw line and upper neck contour. We refer to this as the "facial ultralift procedure." This is an in-office treatment that takes about an hour and offers no downtime. The Radiesse will give you the volume you need and help define the jaw line while the Ultherapy will help sculpt and tighten the upper neck. Though there are some good surgical options, this might be a good non-surgical approach. Seek out a board certified plastic surgeon with extensive experience in both injectables and the new Ultherapy technology. Good luck to you.
Improvement of Chin and Jawline
I would suggest replacement of your chin implant with an extended anatomic implant as well as minor liposuction to your neck and jowl areas.
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Some of the issue is the chin implant.
The chin implant looks a bit out of position. However I am wondering you might benefit from a more anatomic style chin implant. A facial plastic surgeon or a general plastic surgeon in your area can help you with this.
How to improve your jawline
In addition laser-assisted liposuction can be done on the neck to remove excess fat and hopefully provide some tightening of the skin. Of course a surgical neck lift will give you a much tighter and better result and will improve your jowling as well.
Liposuction in the jowl area below the corner of the mouth is dangerous because important nerves to the corners of your mouth can be damaged.
Treatment of the jowls
- We offer a non-surgical jowl lift which removes the fat under local anesthetic in the office
- This would help straighten the jawline
- Any residual jowling can be covered up with filler injections
Minimally Invasive Ways to Improve Jaw Line
Jowls and Pre-Jowl Concerns can be addressed without fillers by minimally invasive surgical techniques. Your provided photos indicate that the following recommendations might apply to you. For example if jowls are a problem and it is mostly a fat issue (rather than skin redundancy) then liposuction using a very tiny cannula is helpful. Likewise fat transfer (for example from the Jowls, below the chin or from the tummy) can be used to fill in the slight hollowing in the pre-jowl area (the depression between the chin and the jowl). If loose skin is an issue then a mini-facelift such as a Lite Lift, MACS, etc is helpful.