How Can Filler Define a Woman's Jawline Without Looking Masculine?

Hi, and we're going to do a jawline augmentation. It's also called facial contouring. Restylane, Juvederm Ultra Plus and Voluma, in really thin-skinned people, are good options. I don't like Radiesse. There's a variety of different ways I can do it, depending on which area we're trying to contour. When you say facial contouring, the midface, obviously the cheeks, come to mind, but sometimes it's really the jaw. This beautiful patient wants a little bit more definition along the jawline and the angle of the mandible.

You'll see my technique: little tiny droplets. It's a sensitive area. Because of all the little tiny pokes, you get almost a dotted appearance, a little lumpy-bumpy, but that just lasts about a day, if that. Good. You start to see that we get a little contour. You're going to start to see this little shadow that's forming here. Whatever I do, I like micro droplets. I don't like big clumps of filler sitting anywhere. There's no bruises.

I also don't want to do too much with a woman. I don't want to give her such contour that all of a sudden she looks like Schwarzenegger. That's not the point. The point is she should still have a nice feminine jawline, with a little bit more contour. And you can see you're already starting to get a shadow right there, which is achieving that. We don't want to create too full of a masseter, but the little augmentation is important.

If there's a little bleeder, you just hold a little pressure. It doesn't bruise much. It's rare for this area to bruise. A little bit of pressure. It's typically one syringe on either side for most people. Sometimes you need a little bit more.

We've seen some techniques with a long needle that goes back and forth. The problem with using a long needle in that area is you're depositing almost a worm-like or snake-like strip of filler, and I prefer to have this more natural contour. Looks really good.

These injections are not all the way down to the bone. I want to avoid the parotid gland. I don't want to hit the parotid. It depends on how thick somebody's tissue is. Some people have thinner tissue, some people have thicker tissue, but I'm staying superficial back there. So that's one side. We're going to hold a little pressure. There should be very little bruising. If there is some bruising, it's very easy to cover with makeup.

You can see on this side you just don't have the definition right there, whereas this side definitely does get that chiseled look down there. Looks really good.

So we're doing the contralateral side, the same thing: the angle of the mandible, little tiny pokes, little micro droplets. I'm aware that the jawline should be where it needs to be.

You may have seen some people in videos they create for Instagram or YouTube where they take these large protractors they buy from Home Depot or Staples, and they're measuring all sorts of things, and they take pens and mark up the face. That's a lot of showmanship. There's nothing they're really measuring there, but it makes it look like they're actually taking measurements of angles and things like that, and they're not. It's an art. You have to look at somebody's face. The two sides are different. You've got to see what fits their face. There's no measurement you take from here to here. It's just like a magician that uses a lot of props. At the end of the day, this is simply art, and you're slowly transforming, little by little by little. You can see there's no bruises. It's obviously not the most comfortable thing in the world, but she's tolerating it very well.

The two sides are always different. Typically, the left side of the face is people's favorite side.

That was two syringes. It's the exact contour that we like, with a nice, subtle definition right there. I don't want to make it look like a masculine face, just a nice defined face. So that's it. A little bit of pressure, and then in six months we can add a little bit more, just to maintain it.