Cosmetic surgeon and aesthetic practitioner Dr Benji Dhillon explains how he used the Teosyal range of fillers to re-masculinise the male jawline
Assessment, ageing and anatomy
A 39-year-old male patient came to see me at my clinic concerned that his face, and specifically his jawline, lacked the masculine look and the definition he had enjoyed when he was younger. He was particularly concerned that he had a ‘weak’ looking profile.
I conducted a thorough consultation and review of his medical records which demonstrated no contraindications for potential dermal filler treatment. A key factor to take into consideration during any consultation is whether the patient had any prior aesthetic treatment. Having never had fillers before he needed a bit of encouragement to help him understand that well placed fillers were in no way likely to feminise his face, but instead could be used to enhance male features with a natural looking result. I showed him before and after images of previous male patients I had treated with filler, which reassured him that we would be able to achieve his desired result.
As we age, our face loses volume across multiple anatomical layers and actually increases in volume in other areas, and therefore the external appearances of age begin to appear. I chose to treat this patient with filler as I believed it was the best option to replace the volume loss and give a natural, yet more defined result.
Technique and product selection
I used a total of 5ml of filler distributed throughout the jawline and chin, as well as a small amount in the cheeks. I started with 0.4ml of Teosyal Ultra Deep filler in each cheek to define the contour of the cheek bone then I injected a total of 0.6ml of Ultra Deep into the chin area using a needle to create the desired anterior projection. Teosyal Ultra Deep was also used in 0.4ml boluses with a needle at each gonial angle. Finally, I used a total of 1.8ml of Teosyal RHA 4 with a cannula superficially along each jawline and vertically at a subcutaneous level along the border of the ramus of the mandible to create definition. The science behind these two products from Teosyal can’t be argued with, and they’re based on great technology. The RHA range uses a longer chain of hyaluronic acid (HA) which is more like our naturally occurring HA, so we can use it more superficially as it moves with the face, resulting in the most natural outcome you can achieve. The Ultra Deep can be used at a deeper dermal layer which is great for pure structure and definition. I use it to project and in a male face it’s fantastic for adding those angles we want to achieve. I do not use topical anaesthetic, but I make sure the patient is comfortable at all times, taking a gentle and methodical approach to the treatment, explaining what I’m doing and treating one side of the face first and assessing the results before moving on to the next.
The patient was over the moon with the results. He was thrilled that his face had regained some of the masculine definition and the results were natural looking. I routinely advise that the patient applies no topical creams or lotions on the face, or exercise for 12 hours after treatment. I also get a member of my team call after three weeks for a check-up. The patient needed no follow-up treatment.
Top tips for success
- Take your time to assess the face from different angles and remember that a profile assessment is key when treating the chin and lower face
- Always keep in mind that we want to balance the lower face with the mid-face
- Don’t feel like you have to do the whole treatment in one go. You can plan the treatment in stages and take your time to achieve the optimum results
