Which filler (Sculptra, Radiesse, Voluma, etc.) for jawline?

Dr. Dean Kane Q & A.

Q. I decided to get Sculptra treatments to create a more angled, masculine jawline as sort of very, preliminary 'try out' before thinking of jaw augmentation down the line. While the volume and width are very good after seven months and three treatments, is there any other filler (short of augmentation) that may more of a sharp, angled contour to the haw as opposed to a slight of amount of a bloat from Scupltra? Would I have to wait until the current Sculptra effect dissipates?

A. ​The use of Sculptra as a trial is a good idea particularly if injected under the dermis and along the bone as it will stimulate firming of the skin and growth of the bone.​

​During the next few months as the effects of Sculptra continue to stimulate and improve, Radiesse may provide the sharper, more angled contour you are looking for.
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​Any one of these fillers can be used BUT as notice, they will not provide the same effect.
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​For this reason, it is best to be evaluated by a well experienced and Board Certified Plastic Surgeon or ENT facial surgeon to examine and review your concerns.
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​Considerations along the jawline include:

1. ​Skin,soft tissue and fatty laxity creating an uneven jawline with jowling and / or weak angle.
2. ​Lack of teeth causing the bony jaw to resorb providing less projection
3. ​Angle of the jaw and balance of the jaw, maxilla-zygoma and temple regions
4. Level of placement, action and projection from each filler
5. Duration of each filler before your investment dissolves
6. And other considerations

Each injectors skill levels and understanding of anatomy is different. Consider different opinions.
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​All the best!

Does Botox improve smoker's lines and chin lines?

Dr. Dean Kane Q & A.

Q. Does Botox improve smoker's lines and chin lines? I am going to have Voluma in my cheeks on Monday and Botox on my forehead. Would Botox help smoker's line above lips and wrinkles on chin? Can Voluma be used on chin wrinkles?

A. ​White patients of northern european descent have the most 

trouble with lines around the lips and chin. This is due to:

1. ​Thinning aging lip skin
2. ​Thinning aging peri-oral fat
3. ​Inversion of the "pink" lip vermillion
4. ​Thickening (hypertrophy) of the lip and chin muscles

Depending on the findings at consultation, a well versed and competent Plastic Surgeon, Facial ENT or Dermatologist Injector may consider:

1. ​Botox or Dysport to relax the tightened lip and chin muscles
2. ​Various fillers to the fatty soft tissues under the skin or the thinning lip skin itself
3. ​Thicker gel fillers like Perlane and Juvederm Ultra Plus have worked very well for me in the pink lip
4. ​Silk has worked very well in the lines around the lips and chin in my hands.
5. Voluma may be to stiff and projecting in the chin unless you have a weak chin and wish more projection
6. For other improvements of the lip and chin lines, consider:
7. Retinoids to exfoliate the epidermis and stimulate thickening of the dermis
8. Chemical or laser peels to exfoliate the skin and stimulate collagen formation

I hope this has been helpful! All the best!