Over the last decade, our collective desire for increased facial definition was firmly on the up. Playing out on social media, and seen on the most followed famous faces, it all started with prominent cheek bones, then voluptuous lips, and now the defined chin and jawline.
“The jawline was one of the most requested ‘tweakments’ at my clinic of 2019 and I believe this is set to continue for 2020,” says aesthetic surgeon Dr Jonquille Chantrey. She injects patients with Juvéderm Volux (from Allergan, the makers of Botox), which has swiftly become the jawline filler du jour, winning New Treatment of the Year in the Global MyFaceMyBody Awards last November.
Below, Dr Sophie Shotter discusses the pros and cons of jaw filler, plus the differences between Volux and other cosmetic treatments – such as CoolSculpting and Kybella – that promise to deliver jawline definition.
Why do you think jaw filler has become an increasingly popular treatment?
“The way we use dermal fillers has changed dramatically over the last 10 years. We’ve progressed from filling a line to restoring the foundations of the face.
“This started with cheek enhancement, but with Volux we now have the ability to really achieve incredible results in the lower face too. As injectors, our understanding of facial balancing and harmony has changed and our patients have an increased awareness of what we can do – we can bring out the best version of them, boosting confidence without making people look like caricatures.
“My motto is that good work should be invisible, and the general public are realising this is more and more achievable, meaning more of them are seeking this out.”
What are the specific benefits of Juvederm Volux?
“Volux is a hyaluronic acid dermal filler which has been specifically designed for use in the chin and jawline. We can use it to improve facial harmony by strengthening the jawline and chin, to soften jowls, improve ‘double chins’, or to give a stronger more defined jawline.”
How does it differ to Kybella or Coolsculpting, if a ‘double chin’ is your concern?
“CoolSculpting and Kybella are products designed to decrease the fat pad that sits underneath our chin. CoolSculpting does this through freezing and permanently killing the fat cells. Kybella is an injection which dissolves the fat cells.
“In some people these options alone will be a good solution for treating ‘double chins’, but in others they will also need Volux to strengthen the bony support of the jaw to achieve best results. The key is to be in expert hands who can assess you and recommend the best treatment plan for you.”
Why do we lose volume in the jaw and chin area, and what does this look like?
“Genetically, some people have a small or weak jawbone or chin, whereas others lose volume through the ageing process.
“As we age, we lose bone in our skull – our cheeks deflate which mean that facial fat drops downwards with gravity. The bone loss that happens in our jaw means that the lower face no longer has a strong framework, and our skin and fat can hang loosely with no tension in them. This can mean the face looks saggy and ‘jowly’, that the chin can look more square, and that the neck looks looser and like we have developed a ‘double chin’.”
Do you mostly perform jaw filler on more mature clients?
“I perform this treatment on people of all ages. Chin and jawline enhancement is a popular treatment in younger patients who have a genetically weaker jaw or chin, in whom major orthognathic surgery to advance the jawbone would be the only other option. It’s also popular in more mature patients who have lost the strength of their jawline through ageing. In the more mature set of patients, we often need to address the cheeks before we address the jawline, to ensure we give the soft tissues of the face enough support.”
Do clients commonly reference celebrities with ideal jawlines?
“Occasionally, yes – the one who comes up most is Angelina Jolie. A strong defined jawline has definitely become ‘fashionable’, but celebrities such as Jolie have been sporting razor sharp jawlines for a few years now, and it has become a defining feature of attractiveness.
“I would say it’s the minority of my patients who reference this though – most people just want to restore what they have lost.”
How long do the results last?
“Wit Volux results can last up to two years. Having said that, the result will change over time as the filler is very gradually broken down by the body. I recommend that my patients see me every six months for ‘tweaks’; we do smaller amounts more frequently to keep them looking more steady.”
Does Volux pose any specific risks or side effects?
“A small amount of bruising and swelling are the most common side effects with Volux, and I would say Volux can feel slightly more tender than other injectables within the Juvéderm family. This is minor and short-lived though, and patients can take paracetamol if needed.
“There are serious potential risks with all dermal fillers which are not specific to Volux – you should always make sure you are in experienced medical hands (such as a doctor, dentist or prescribing nurse), and that the practitioner treating you is also able to deal with any problems that may arise.”
Can Volux be dissolved if you are not happy with the results?
“As Volux is a hyaluronic acid dermal filler it can be dissolved. However, dissolving filler does carry its own risks, and as such I would always advise against it unless it is absolutely needed.
“Do your research before having a procedure done: ensure the practitioner treating you has done several of these procedures, can show you before and after photos, and you feel comfortable that they’ve listened to you and understand what you are hoping to achieve. This will minimise the risk of you being unhappy in the first place.”
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