How should Radiesse be injected to create more chiseled, masculine features in a male patient's face? (Photo)

Question

When injecting Radiesse into the face of a male patient who wishes to achieve a more masculine, chiseled look (like the actor in the photos), what sort of technique should the injector use, and where should the majority of the Radiesse be injected? Also, how should the injector go about molding it on the cheekbones and chin? Is there a step-by-step process that can be followed for this procedure? Thank you...

Cameron Chesnut, MD, FAAD, FACMS · Answer

The technique should be left to your injector. It’s no secret in the cosmetic industry that men are one of the fastest growing demographics. This comes on the heels of a menaissance, or a bit of a reverse sexual revolution where it is more acceptable for men to maintain their strength, power and youth. 
With what had been a rather small demographic growing rapidly, problems began to arise when old habits and knowledge of female aesthetics were applied to men, especially with less experienced practitioners. There’s a very specific sexual dimorphism that exists between male and female faces that keep a man looking masculine and powerful and woman looking feminine and beautiful. The process of aging is also different and man, with a more linear aging timeline that follows a steady testosterone decline. 
Male skin is thicker than female skin with less subcutaneous fat. The slope of the forehead, hairline and browline are much more important factors in men, and the nose tends to follow a similar slope to the forehead with little to no upturn at the tip, as opposed to a female faces. The characteristic flat, strong browline of a man square up with full temples to create the full facial shape of the upper face that is often described as squared.
The jawline and chin are often the most focused on areas for men, as they are traditionally the source of power and masculinity, but this needs to be balanced with the entire lower face, midface and temples to create that squared and balanced look.
One of the most common areas that I have to fix on man is the midface and eyelid-cheek junction, where men tend to have their volume more towards the middle of their face as opposed to the outside, which is a feminizing characteristic, but often during cheek augmentation volume is placed in a more feminine manner. In these cases I am able to adjust the volume to create a more masculine lid-cheek junction and balance with the rest of the face.
Some of my most common procedures performed on men include simple wrinkle relaxing injections with a neuromodulator, using volume to masculinize the face, improving the skin with laser resurfacing, hair restoration with platelet rich plasma, and eyelid surgery, which is a very stealth but very high yield surgical procedure to perform.
Some of the most progressive areas with respect to Maile cosmetics include improving post procedural results/recovery and hair restoration utilizing regenerative medicine such as platelet rich plasma and stem cells - check out my other articles for more information on those.
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these “core four” cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself100 Physician

David Shafer, MD, FACS · Answer

Filler can be injected in a fan-like pattern which gives a nice smooth contour.  Fillers can also be injected in a depot fashion with pin point boluses injected along the bone.  In this method, a nice sculpted look can be achieved.  Of course it depends on the patient as results can vary.  It is best to schedule a consultation to see which filler(s) are right for you.Good Luck.

Evan Ransom, MD, FACS · Answer

Thank you for your question. Radiesse is my preferred filler for deep, bone-structure type augmentation. This is used in the cheeks, chin, and along the jawline to provide definition and angularity. I inject a lot of men in my practice and have had great results with Radiesse. Careful planning and a gradual approach are key to achieving the look you want. As a side note, the pictures you provide show a very prominent cheekbone with thinner cheeks. This specific look sometimes requires surgical removal of some of the buccal fat. This procedure is quick and straightforward, and uses incisions inside the mouth to avoid any external scars.

Stephen M. Davis, MD, FACS · Answer

I agree with my colleagues answers, please find an injector who is very, very experienced with this material. Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic Surgery

Stephen Mandy, MD · Answer

The question you ask is answered with an understanding of sexual dimorphism - that is, the different characteristics that separate male versus female appearance.  Women have a soft oval face, widest in the mid cheek and pointed towards the chin, smooth and shadow free in youth.  Men have a heavier brow and stronger more angular jaw with a square and prominent chin.  These characteristic, within the limits of not over correcting can be achieved with Radiesse for facial shaping.

Stephen Weber MD, FACS · Answer

Deciding where to place filler requires a detailed evaluation of a person's underlying facial structure and any existing asymmetries. For creating a more chiseled look, filler can be placed along the jawline, chin and conservative amounts placed in the cheek bone area. Heavy handed placement of filler in the cheeks can be feminizing so you will need to seek an injector with a solid understanding of male facial aesthetics. I prefer to use a cannula for all of these injections with the exception of the chin where the filler would be placed under the soft tissue on the jaw bone. Cannulas create less discomfort and have a much lower risk of significant bruising and swelling. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Arian Mowlavi, MD, FACS (license on probation) · Answer

Radiesse should be injected in the deep subcutaneous tissues and directly over the bone. Larger volumes should be placed over the bone with feathering in the subcutaneous tissues.

Francis R. Palmer, III, MD (retired) · Answer

Injecting Radiesse to give a more chiseled look comes from experience.  Radiesse works beautifully for a chiseled look and will last up to a year.  I have been using this product for many years to provide men with a more chiseled, angular look.

How should Radiesse be injected to create more chiseled, masculine features in a male patient's face? (Photo)

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