Antegonial notch treatment? (Photo)

Question

I am a 30-year-old female with antegonial notch and jowling. I think the notch accentuates the jowling. Do you think notch fillers here would improve things? I know there is an artery there, but maybe it would be safe if an ultrasound was used? Would you recommend something else to help the jowls? I think prejowl sulcus filler can make the chin look too wide and masculine, so I don't think I'd do that...

Anna Chacon, MD, FAAD · Answer

Hi, Thank you for your inquiry. It's great to see you taking an active interest in your aesthetics. Addressing the antegonial notch may indeed help reduce the appearance of jowling. However, this is a delicate area due to the presence of the facial artery. The use of ultrasound guidance during the procedure can help to mitigate the risks, but it doesn't completely eliminate them. There are several strategies to address jowling, including the use of dermal fillers, thread lifts, or even surgical interventions like a mini face lift or neck lift. However, it's important to tailor the treatment to the individual's unique facial anatomy and desired outcome. You're correct that adding filler to the prejowl sulcus can sometimes create a more masculine, square jawline. However, when done subtly and by an experienced injector, it can also help to smooth out the jowl area without significantly widening the chin. Ultimately, a face-to-face consultation would be necessary to assess your facial structure and discuss your aesthetic goals in detail. It would be advisable to consult with a board-certified dermatologist or plastic surgeon who can provide you with a comprehensive treatment plan. I hope this information is helpful.

Leonard Grossman, MD · Answer

Any self-respecting Plastic Surgeon would not use a needle in this area, but instead use it very thin cannula. This produces an extra degree of protection where vessels are involved. I would consider using Radiesse or RHA-4. This should definitely produce a nice result and not be obvious to others. I hope this helps and good luck from New York City Plastic Surgery.

Kenneth R. Francis, MD, FACS · Answer

Dear Enthusiastic,
From the single limited photo that you have posted, it appears that you would do better with a procedure to reduce your jowl fat, such as liposuction, or a non invasive fat reduction treatment.  This will better define your jawline and avoid the "squaring" that can occur with pre jowl fillers.  Seek consultation with an American Board of Plastic Surgery board certified plastic surgeon for a consultation and discussion of your options.  Good luck!

Antegonial notch treatment? (Photo)

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Antegonial notch treatment? (Photo)

Answers (3)

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Our mission is to create a world where every investment in modern beauty is Worth It.