Which filler would you recommend to use for wider, square jaw?

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

Radiesse and Voluma work very well for lifting, but Radiesse is much better at giving a more structured and defined contour.  I suggest going to an injector with experience in treating men, even if that means traveling far for the treatment.  This is the type of treatment I do quite frequently and suggest seeking only the most qualified.  Fat injections also work very well in this area and last quite a long time when injected properly.  Best, Dr. Emer.

In my Upper East Side Manhattan practice, for creating a squarer, more masculine jawline, I prefer to combine both Radiesse and Voluma XC for this purpose. In my Israel satellite office where a far greater number of regulatory agency approved injectable products are available, I typically opt for Radiesse combined with Stylage XXL or Restylane SQ. What is most important is seeking consultation and treatment by a board certified core aesthetic physician with experience and expertise in treating male patients. 

Thank you for your question. I prefer using Radiesse for this area and eventually Artefill as I feel patients benefit from a long-lasting injectable in this region.

Hi Curious_Inquirer,Great question! So many patients ask me how fillers and non-surgical chin/jaw augmentation compare to traditional surgery with implants. Here’s what I usually tell them:Due to the recent advancements in dermal filler technology, non-surgical chin augmentation is an excellent alternative to surgery. In fact, you can get the same type of results with filler injections as with surgical treatments. Just keep the following in mind:In 2016, the best fillers for augmenting the chin is a combination of Radiesse and Juvederm Voluma.Radiesse (calcium hydroxyapatite) is made up of a material found in our bones and teeth, and has the consistency of paste or peanut butter. This filler lasts approximately 15 months and isn’t reversible.Juvederm Voluma (hyaluronic acid) has a spongy consistency that mimics the feel of the small pad of fat on our chin. This dermal filler lasts up to 2 years, has minimal swelling with application, and is easily reversible.From my experience, the two fillers work together quite well to augment the chin. For example, I like to place Radiesse deep under the muscle, just next to the mandible. Then I layer Juvederm Voluma more superficially, right under the skin. The result is a strong, projected chin that enhances the overall look of the face.If surgical chin augmentation is more effective in your case, no worries. Implant surgery is also a very safe and minimally invasive procedure. You may want to work with a practicioner who knows how to do both surgical and non-surgical just to get all of your available options.That said, Mandibular angle implants can we somewhat troublesome. They have a history of causing more swelling than chin implants do. They’re also a lot harder to customize than fillers, so you have less control over your results.In summary, Radiesse and Juvederm Voluma give great results with a lot less swelling and recovery time than mandible angle implants.Discover more about non-surgical chin augmentation in our photo galleries and videos. I hope this helps you find a solution.Stay Beautiful,Dr. Mabrie

I like Voluma, especially if there is good underlying bone support for the filler.  Sculptra is very good to add general volume.  Radiesse is also good, but personally I prefer Voluma.  A good consultation with an experience doctor who does volumizing with all of the filler would give you a chance to here the pros and cons of each filler choice.  Good luck!

I also prefer Radiesse for this as it is a bit thicker and lasts a fairly long time compared to most of others. Voluma might be another good choice but I have not tried it for this yet.

I prefer the hyaluronic acid filles which can be dissolved if the patient does not like it. I like Perlane or Juvederm Ultra Plus.  Voluma is probably ok as well.

Both Radiesse and Voluma would work but Voluma would probably last longer.  Sculptra also would work and after three treatments last similar to Voluma.  Each provider will have a preference based on their experience with the filler.  As to which sites exactly should be injected, that varies depending on your jaw shape, so a photo would be helpful.  I agree with the fanning technique.  I prefer trying fillers before surgery because of higher risk of complications and permanence of surgery.

Dear Curious_Inquirer,

The use of soft tissue fillers to
improve and enhance the shape of a jaw is an excellent aesthetic procedural
choice. To masculinize the jaw along the
back angle, ascending ramus of the jaw and posterior border is extremely
important and provides a very masculine look to the jawline, accentuating the
light-shadow reflexes of this region.

I have been performing soft tissue
sculpting and volume lifting procedures for almost 20 years. The injection of a man’s jaw is an important
part of restructuring the face and maintaining a youthful, strong male
appearance.

The use of fillers generally is
decided upon between the patient and the physician; however, I much prefer
long-lasting soft tissue sugar gels, as they are reversible if you do not like
the shape. If there is an intravascular
injection accidentally, cataclysmic postoperative complications such as
necrotic skin can be avoided with products such as Voluma™, which can be digested with a soft tissue enzyme. I also perform fat grafting quite commonly to
the jaw line and this can be a good option if you have extra areas of donor
fat.

In general, jawline shaping is an
excellent way to rejuvenate the face and Juvéderm® Voluma™, fat grafting or Radiesse® would be good options.

I trust this information is of some
assistance and best of luck.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto