Would chin fillers (Radiesse) on cheekbones/jawline be enough, or is jaw surgery needed? No bite issues. (Photo)

Question

How to fix the recessed maxilla and recessed jaw look?

Nelson Lee Novick, MD · Answer

At least from the one profile photo provided, the use of a robust HA volumizing filler would serve to easily address the volume deficit in the cheeks and a robust HA lifting filler would provide the needed projection for the chin to create greater harmony between the projections of the nose, lips and chin in profile. 
I gave up using Radiesse several years. It's original advantage over the fillers that were available at the time was that its benefits were durable up to two years following treatment.. The downside was that it is a semipermanent filler for which there was no enzyme available to dissolve it should there be any adverse reactions to treatment. I stopped using it, however, when robust HA fillers came on the scene that were quite durable up to two years in some cases, that could be easily be dissolved with an available enzyme should the need ever arise. 
You would be wise to make sure to consult with an expert, experienced, board certified cosmetic dermatologist filler injector. Hope this helps and best of luck.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photo and question — I can see why you’re considering options for your jawline and midface.

From what I observe in the photo:

You have some recession of the maxilla (upper jaw) and the mandible (lower jaw), giving a slightly retruded midface and jawline profile.

There doesn’t appear to be any functional bite issue, which is an important consideration.

Non-Surgical Options (Fillers like Radiesse)

Dermal fillers can add volume and projection to the cheekbones, chin, and jawline.

They can improve facial balance and give the appearance of a more forward chin and stronger jawline without surgery.

Results are temporary (Radiesse typically lasts 12–18 months), and subtle adjustments may be needed over time.

Fillers can also help camouflage mild midface recession but cannot truly reposition the bone.

Surgical Options (Orthognathic / Jaw Surgery)

Surgery can actually move the bones to correct recessed maxilla or mandible.

It provides a permanent and dramatic change in facial structure.

Usually considered if the recession is moderate to severe or if functional concerns develop in the future.

Bottom Line

For someone with no bite issues and moderate recession, starting with Radiesse or other filler enhancements is reasonable and can provide significant aesthetic improvement.

Surgery is generally reserved for more severe cases or functional concerns, or if you want a permanent structural change.

A combination approach can also be considered: fillers for temporary enhancement or surgical planning.

Facial proportions and soft tissue response are unique, so a consultation with an experienced facial aesthetic provider can help create a plan tailored to your goals and natural anatomy.

Bardot Beauty Boutique · Answer

Chin filler looks to be a good option for more projection. Although radiesse could be an option, it’s risk of complications in that area may want you to look at alternatives like HA fillers (Juvaderm) or surgery.

Would chin fillers (Radiesse) on cheekbones/jawline be enough, or is jaw surgery needed? No bite issues. (Photo)

Answers (3)

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