Your questions - our answers

    What is a beautiful Jawline?

    Jawline is the English term for the chin-jaw contour. The jawline refers to the transition from the face to the neck. The beauty features of the chin-jawline contour are very different for men and women. Each feature is best viewed from a particular angle, usually from the side or front. The following features characterize the shape of the Jawline:

    Fullness and the position of subcutaneous fat, as well as the quality of the skin, are other features examined during a consultation at CenterPlast.

    Angular lines enhance masculine features. A clearly contoured jawline gives a more youthful appearance in both men and women. Striking contours emphasize an attractive face. A receding chin, double chin and sagging cheeks can be corrected minimally invasively and effectively, showing off a beautiful jawline.

    • The mandibular angle (angulus mandibulae) is a defining feature of the chin-jaw contour that can best be assessed from a side view. The mandibular angle results from the angle of intersection between the mandibular body and the mandibular branch, which lies directly in front of the ear. The mandibular branch is relatively vertical in males and has a gentle angle in females. The angle of the mandible is slightly greater in women than in men, averaging 120 degrees.
    • The width of the lower jaw in relation to the width of the cheeks is perceived when viewed from the front and intuitively influences the perception of beauty. A width ratio of the mandible to the cheek of 75 percent is perceived as particularly attractive in women (Wu TY, et al., 2020, J Chin Med Assoc).
    • The cervico-mandibular angle is the intersection angle of the mandibular plane and the cervical plane. The angle is evaluated in the lateral view of the face. An angle of 90 to 105 degrees is considered juvenile (Naini FB et al, 2016, J Maxillofac Oral Surg).
    • The characteristics of the chin, such as the height, width, and the board or recess of the chin or mandibular body, respectively, have a significant effect on the jawline. The chin protrudes about as far as the lower lip in men, while the lower lip protrudes 1 to 2 millimeters beyond the chin in women (Vanaman Wilson MJ, et al, 2018, Dermatol Surg).

    Why do many opt for a Jawline and chin augmentation?

    The desire to improve physical appearance is not a new phenomenon of digitalization or the mediatization of society. People have always tried to improve their appearance, whether with clothing, jewelry, makeup, perfume or piercings. The striving for beauty is possibly in the genes of man, like the courtship dance of birds of paradise. The desire to beautify one’s appearance and diminish the signs of aging can be an expression of self-esteem. The use of makeup and skin and hair care products can enhance subjective well-being. Studies show that hyaluronic acid treatment positively affects appearance in many aspects, such as symmetry, impression of likeability, youthfulness, confidence, attractiveness, and self-confidence (Othman S, et al. Aesthetic Plast Surg. 2020). Weight fluctuations, a hereditary predisposition, or age-related changes can alter the signs of youthfulness and beauty of a chin-jaw contour. The motives for correcting the jawline of our patients are very individual:

    • I want to look as good as possible
    • I want to look more attractive
    • I like to be aesthetically attractive

    Train Jawline

    The internet is a great source of information when used with a healthy distrust. Posts on Instagram represent the opinions of individuals. Influencers usually receive benefits for the recommendations they make. People without medical training praise tools for training facial muscles and improving jawline on social networks. What to make of this?

    Unlike the biceps muscle, the facial muscles do not serve to transmit force. Therefore, frequent blinking or frequent kissing will not lead to muscle gain. Facial muscles are also called mimic muscles because they are responsible for facial expressions. Facial muscles contain entirely different muscle fibers than skeletal muscles (Stal P, et al., 1987, Arch Oral Biol). The masseter muscle, as its name implies, is not responsible for facial expression but for food intake. It transmits considerable force to the teeth. The masseter muscle can become larger in people who chew gum a lot or grind their teeth at night. In these cases, the lower jaw appears wider and the facial shape disproportionate and angular.

    The jawline is essentially determined by the fat pads of the face, the elasticity of the skin or by an inherited shape of the jawbone. Hyaluronic acid injections can define a prominent and attractive jawline in certain cases. The efficacy and safety of filler treatment, as well as patient satisfaction, have been proven in several scientific studies (Bertossi D, et al, 2020, Aesthet Surg J; Beer K, et al, 2020, Dermatol Surg; Ogilvie P, et al, 2020, Aesthet Surg J).

    Which filler for jaw augmentation

    Relatively firm hyaluronic acid gels (high modulus of elasticity) with high viscosity (high modulus of viscosity) are suitable for jawline contouring. For the contouring of the chin-jaw line we use, among others, the following products:

    • Juvéderm® Volux TM from the Allergan company.
    • Juvéderm® Voluma TM from the company Allergan
    • Restylane® Lyft from the company Galderma
    • Belotero® Volume from the company Merz
    • Teosyal RHA®4 from the company Teoxane

    How is the Jawline injected?

    Many patients request injections of the chin-jawline immediately following an examination and consultation. After a treatment plan is created, an anesthetic cream is applied. After a contact time of about 30 minutes, the skin is carefully disinfected several times. One to two milliliters of hyaluronic acid are injected into four to five areas per side. You will only notice a slight feeling of pressure from the injection at the previously marked points. After the injection, a gentle massage and cooling is beneficial to prevent minimal redness and swelling. You will be given a filler passport that notes the product used and the lot number. Each hyaluronic acid product differs slightly in its ability to bind water. Therefore, the volume can still increase very discreetly in the first few days. It is therefore advisable to make a follow-up appointment one to two weeks after the treatment to check the treatment result. On this occasion, a follow-up injection can be performed if necessary. Dr. Santos Stahl will also explain to you what to look out for after the injection. In urgent cases, we are of course available for you at any time after treatment.

    Jawline correction with hyaluronic acid for women

    There are several aspects to consider when performing hyaluronic acid injections on women. In women, a V-shaped contour of the facial features looks particularly attractive (“V-shape” face shape). The softer contours of the lower jaw and the more delicate skin require less volume and a smooth gel. Depending on the individual findings, a shapely Jawline is achieved in women by injecting at four points. This highlights the expressive female contours of the jaw. For a well-proportioned, harmonious and youthful result, it is often useful to include the cheekbones in the treatment plan. Injecting the cheeks accentuates the cheekbones and achieves a slight lifting effect. When the chin area is built up, a narrow the chin is sharpened and a V-shape of the face is emphasized.

    Jawline correction with hyaluronic acid in men

    A clear jawline is a masculine feature and is considered a sign of physical fitness and athleticism (Williams KM, et al. 2010, Pers Individ Dif). Men with an angular and symmetrical jawline and a clear contour of the mandible and chin are considered very attractive (Windhager S., et al., 2011, Am J Hum Biol.). Treatment of the jawline in men emphasizes clear lines and prominent contours of the jawline. Firmer gels are injected near the jawline for long-lasting results. Treatment with about two milliliters of hyaluronic acid per side gives the face masculine strong contours. Jawline correction with hyaluronic acid is fast, effective, and safe (Ogilvie P, et al., 2019, Dermatol Surg.).

    Autologous fat for Jawline correction

    With autologous fat grafting, a permanent rejuvenated and natural appearance is achieved. Autologous fat is the closest thing to an ideal tissue filler, as allergy or rejection is impossible with autologous cells. In addition, autologous fat treatment visibly optimizes the appearance and quality of the skin. Autologous fat injections have been shown to improve skin spots, wrinkles, skin texture, redness and refine skin pores. Because autologous cells are grafted, it must be expected that a certain percentage will be degraded and metabolized. Approximately 56 and 78 percent of the injected volume is retained in the long term (Yin Y, et al., 2020, J Plast Reconstr Aesthet Surg.). If you wish, a second autologous fat injection can be performed after four to six months. Fat cell grafting consists of several steps, and at CenterPlast, each step has been perfected with the goal of increasing the rate of fat cells accumulating. Beautiful harvesting, preparation, and injecting ensure that the cells heal promptly in the desired area of the body. The fat cells are usually taken from the abdomen without visible scars. On the chin, we inject an average of 5 milliliters of autologous fat (2 to 15 milliliters). For a permanent result, an average of 10 milliliters of autologous fat per side is injected on the lower jaw (5 to 25 milliliters). More than 90 percent of patients are satisfied with the results, even after 2 years (Krastev TK, et al, 2018, JAMA Facial Plast Surg). Learn more about fat cell transplantation here.

    Thread lifting for the Jawline

    As we age, facial contours change predictably. The skin tends to thin and lose elasticity. Connective tissue slackens and fat pads of the cheeks, which are not visible in youth, sag. This can lead to the formation of sagging cheeks that obscure the contours of the lower jaw. A thread lift can be a useful complement to hyaluronic acid treatment. To a certain extent, the skin above and below the jawline can be tightened and the cheek fat pads can be lifted. However, the effect cannot be compared to a facelift. Therefore, if your expectations cannot be met with the goals of a thread lift, CenterPlast experts will advise you against this treatment. Non-degradable threads, like the original Aptoslift, can become visible and palpable over the months and years. At CenterPlast, therefore, only self-dissolving (absorbable) threads are used for a thread lift (Happy lift™ and Silhouette™).

    Jawline correction with implants

    Implants can bring about a significant change at specific points and are therefore usually used to correct congenital malformations or changes in shape following illness or injury. To correct the chin-jaw contour, implants can be placed on the chin and on the jaw angle. Facial implants are most commonly made of porous polyethylene (Medpor®) or silicone. On the chin, silicone implants are most commonly inserted through a small incision under the chin. In up to 55 percent of cases, slight bone loss (0.5 to 2 millimeters) is observed in the area of the silicone implant on the chin after a few years. At the jaw angle, polyethylene implants are usually inserted through the oral mucosa. The average complication rate of implants on the mandible is approximately 4.7 percent, with inflammation/wound healing problems and protrusion/slippage of the implant being the most common complications (Rojas YA, et al., 2018, Plast Reconstr Surg.). The side effects of hyaluronic acid for jawline correction are much lower compared to implants. In the rare case that a patient is not satisfied with the effect of hyaluronic acid, the effect can be reversed with hyaluronidase injections. For chin augmentation of two to three millimeters, hyaluronic acid injections are the treatment of choice. Fillers are a safe, effective and permanent alternative to implants for contouring in the chin and jaw area.

    Jawline and chin structure for round face

    The shape of the face can be seen at a great distance, for example across the street. It can determine whether a curious second glance is taken. An oval face shape is considered particularly attractive (Goodman G.J., 2015, Dermatol Surg.). Other commonly used terms such as heart shape or diamond shape actually describe the same features: high cheeks, a gentle jawline, and a narrow chin. An attractive female face shape is characterized by a narrower lower jaw and prominent cheekbones. Chubby cheeks, a pronounced chewline or a double chin make the female facial contours fade and give the impression of a round face. Contouring a round face shape requires an individualized holistic approach. Surgical removal of the cheek fat pad, also called “bichectomy” or “buccal fat pad resection” is used to narrow chubby cheeks. Injecting the masseter muscle with a muscle relaxant narrows the lower jaw. A fat way injection is used to correct a double chin. Injection of fillers is an effective and safe therapy to emphasize feminine attractive facial features, such as high cheekbones, shapely chin and full lips.

    De Maio Filler Technique

    Brazilian plastic surgeon Dr. Maurício de Maio has described a concept of injecting hyaluronic acid into the face. De Maio has become known through numerous worldwide lectures on hyaluronic acid injections in cooperation with the Allergan company. Maurício De Maio developed a holistic treatment approach instead of performing injections only on isolated areas of the face. The treatment recommendations described by de Maio are called MD-CodesTM. In each, a subcutaneous injection technique, an injection depth, a hyaluronic acid product, a filler quantity are assigned to the treated facial regions and the treatment sequence is described (de Maio M., 2019, Aesth Plast Surg). Dr. Santos Stahl, like Dr. de Maio, trained as a plastic surgeon in Brazil and has encountered Maurício de Maio at numerous congresses. Dr. Santos Stahl also follows a holistic treatment approach. The treatment goals and plan are explained in detail during the consultation. For optimal and harmonious overall results, not only individual wrinkles are injected, but also interacting areas are rejuvenated and beautiful facial features are emphasized. The success of the treatment and satisfaction can also be significantly increased by the use of other techniques (muscle relaxants, autologous blood treatment and microneedling as well as aesthetic procedures). For this reason, you are in the best hands with the specialist in plastic and aesthetic surgery and specialist in facial surgery Dr. Santos Stahl.

    How long does the Jawline correction last?

    On average, results can be expected to last at least 18 to 24 months (Bertossi D., et al, 2020, Aesthet Surg J.). Depending on the hyaluronic acid and volume injected, only a small amount of re-injection is required after two years. Weight fluctuations, cigarette smoking or frequent sunbathing may accelerate facial contour sagging. Depending on the individual findings, a repetition or extension of the treatment with hyaluronic acid is also possible earlier.

    What are the risks of Jawline injections?

    97 percent of patients are very satisfied with the results of chin-jaw injections (Bertossi D, et al., 2020, Aesthet Surg J.). Depending on skin type, there may be mild redness and swelling at the injection site, which usually subsides after two hours. Rarely, there may be a bruise that resolves on its own after two to three days. The risk of developing palpable nodules is about one percent (Ogilvie P., et al, 2020, Aesthet Surg J. 2020 Aug). Massage usually causes the irregularities to regress. Hyaluronidase can be injected in exceptional cases for rapid and effective resolution. The risk of inflammation is less than one percent. In principle, the injury of a vessel and the misplacement of a bloodstream can never be excluded. In the hands of an experienced facial surgeon, such incidents are extremely unlikely and treatable.

    What are the costs for Jawline correction?

    Before the Jawline treatment, the consultation and the preparation of a treatment plan are essential. You can find more information about the consultation here. The costs are calculated individually. However, for a price frame, you can take a look at our cost page in advance..

    Before and after pictures of Jawline injections

    Before patients decide to undergo Jawline treatment, they often want to see before-and-after pictures of treatments that the practice has performed. Centerplast also offers the possibility to see treatment results. You can find more information about this on our corresponding page for  before-and-after pictures.

    Author’s statement

    Author: Stéphane Stahl, MD, PhD. There are no financial relationships with the pharmaceutical or medical device industries that could have influenced the above text. Any reproduction, even partial, is permitted for personal use only. All texts used on this website are protected by copyright.

    Google Rating
    Based on 47 reviews

      Do you have anymore questions? - Use our quick contact form

      Your Centerplast team around PD Dr. Stéphane Stahl and dr. Adelana Santos Stahl is happy to advise you.