Which filler (Sculptra, Radiesse, Voluma, etc.) for jawline?

In my practice, I use a combination approach on the jawline that includes chemical peels for skin texture, Ulthera for jawline and jowl tightness, Ematrix for skin tightening, and Sculptra or Radiesse for volume definition. Best, Dr. Karamanoukian Los Angeles

In the adult aging face, due to several factors, we lose definition of the jawline. The jowls descend, the skin relaxes, bone shrinks, muscles thin and other discouraging changes occur.  Use of injectable fillers has been very successful in helping improve the lower face structure.  By placing small volumes of filler under the skin, along the jawline, the illusion of more boney structure is achieved, similar to sculpting.    So the injecting physician is the 'artist' relying on his/her aesthetic perspective as well as technical skills.  This is the most important factor.            The type of filler used is secondary.  In other words, Radiesse, Restylane, Juvederm, etc can all be used for an immediate effect, and Sculptra can be used for a more gradual yet possibly longer lasting effect.   It is the injector rather than the material which is most important.      It is best to discuss the pros and cons of these choices  (including costs) with your physician, who hopefully is artistically gifted!  

I am not a fan of Sculptra, and in fact stopped using it several years back, since it is relatively expensive, takes about three treatment sessions, and requires several months of waiting before any results are seen. By contrast, Radiesse combined with Voluma (my volumizers of choice for this purpose in my Upper East Side Manhattan practice) are less expensive, provide immediate and relatively long-lasting results--between 1.5 to 2 years--typically after just one treatment session. Fortunately, there is no problem in adding these products at this point after prior Sculptra treatment. (In my Israel satellite facility, where a far greater number of regulatory agency fillers and volumizers are available, I generally opt for Teosyal Deep and Emervel Volume for this indication.)

I suggest you go to a facial contouring expert who specializes in fillers and fat transfer for male facial defining.  I tend to avoid HA fillers like Voluma in this area because they dont typically last or give the best structure for males.  Cannula injections limit side effects and give meticulous contouring. I have patients travel from all over the world for this. Do not compromise your care for cost or distance. Best, Dr. Emer.

Sculptra, Radiesse and Voluma could all potentially help to improve the jawline, but I would say that Radiesse is the firmest of these so could provide a bit more projection along the jaw.  You would not need to wait for the effect of the Sculptra to dissipate before having Radiesse.  

Thank you for your question.In our practice, we use Radiesse to enhance the jawline as it works quite well, and much better than HA fillers.Best,Dr. Karamanoukian

To create a more angled, defined jawline I would use a product like Perlane and/or Radiesse.  Often, I like to layer Perlane over Radiesse to create the look you describe.  However, with the Sculptra effect already achieved, you could likely create the definition with more superficially placed Perlane alone.  Your post brings up a good point which is that more than one product is often necessary for optimal results.  For example, Radiesse and Sculptra are great for building up the underlying scaffolding deep to the skin that is either lacking or is lost as fat pads deflate and bony volume is lost.  The other hyaluronic acid products can then be used to finish off the more superficial "detail" work.

Dear Hippocrates:The use of Sculptra as a trial is a good idea particularly if injected under the dermis and along the bone as it will stimulate firming of the skin and growth of the bone.During the next few months as the effects of Sculptra continue to stimulate and improve, Radiesse may provide the sharper, more angled contour you are looking for.Any one of these fillers can be used BUT as notice, they will not provide the same effect.For this reason, it is best to be evaluated by a well experienced and Board Certified Plastic Surgeon or ENT facial surgeon to examine and review your concerns. Considerations along the jawline include:skin, soft tissue and fatty laxity creating an uneven jawline with jowling and / or weak angle.lack of teeth causing the bony jaw to resorb providing less projectionangle of the jaw and balance of the jaw, maxilla-zygoma and temple regionslevel of placement, action and projection from each fillerduration of each filler before your investment dissolvesand other considerationsEach injectors skill levels and understanding of anatomy is different. Consider different opinions. All the best!

Sculptra is more for adding volume. Consider Radiesse for the jawline,it is less expensive compared to Voluma. See link below for injection examples.