New Approaches in Jaw Shaping: The Decision Process Between Filler and Surgery

Since the jaw is the centre of the lower part of the face, it plays a big role in achieving facial symmetry. Especially in profile view, the jaw being back or forward creates a striking effect on the balance of the face. Jaw-shaping procedures are usually done for the following reasons:

• Bringing forward a jaw that stands back or weak

• Balancing asymmetric jaw contours

• Defining the facial oval

• Making the double-chin area look clearer

• Balancing the lower face relative to the upper face

Such needs, beyond aesthetic concerns, can also directly affect the person's self-confidence. For this reason jaw shaping is an application that should be evaluated with both surgical and non-surgical options.

Genioplasty is a permanent jaw-shaping procedure performed by cutting and repositioning the lower jaw bone or by placing an implant. This method is an ideal solution for people who are structurally back or have a prominent jaw deformity.

• It is permanent. Long-term results can be obtained with a one-time application.

• The bone structure can be reshaped. Serious asymmetries can be corrected.

• Functional problems can be eliminated. Functions such as biting and chewing can be improved.

• It requires general anaesthesia.

• The recovery time is longer (average 2–3 weeks).

• There can be side effects such as oedema and bruising.

• There are surgery-related risks (infection, loss of sensation, etc.).

It is quite important for people who will prefer this method that their expectations are clear and that a detailed facial and jaw analysis is made before the procedure. After the surgical procedure the results are definite and permanent; however, the recovery process can be longer compared to filler.

As an alternative to surgery, the jawline can be temporarily reshaped with hyaluronic-acid-based filler materials. This method is quite suitable especially for people with mild jaw recession or who want to define the jawline.

• It is non-surgical. The procedure usually takes 15-20 minutes.

• There is no recovery time. The person can return to their normal life the same day.

• The results are seen immediately.

• It is reversible. Unsatisfactory results can be dissolved when needed.

• Mild symmetry disorders and facial contour lines can be corrected.

• It is temporary. Its effect lasts on average 12-18 months.

• It does not provide a structural change of the bone.

• It can be insufficient in prominent deformities.

One of the most preferred methods in aesthetic procedures in İzmir, jaw filler offers an ideal option for individuals who want to improve facial proportion with minimal intervention.

There are situations where both methods offer successful results. However, for the correct choice to be made, elements such as the person's jaw structure, facial proportions, expectations and timing must be taken into account.

Situation

Shaping with Filler

Surgical Genioplasty

Mild jaw recession

✅

❌

Serious bone deformity

❌

✅

Expectation of a fast result

✅

❌

Desire for permanence

❌

✅

Possibility of reversal

✅

❌

Minimal invasiveness

✅

❌

Tolerance for a long recovery time

❌

✅

To summarise briefly: While jaw filler is suitable for individuals who want to improve the general aesthetic structure of the face with small interventions, jaw surgery is the most effective solution for situations requiring permanent and structural corrections.

Some individuals may want to first try with filler and, if they are satisfied with the results, consider the surgical procedure. This is also a possible approach. Jaw filler offers a temporary preliminary impression on the person's facial structure and allows the person to evaluate the changes in their own face more concretely.

Thanks to this transition process, many people can feel more ready for surgery or realise that being content with only filler is sufficient. In aesthetics the individual decision process is quite important, and the guidance of an experienced specialist facilitates this process.

Success in jaw-shaping procedures is directly related to personalised planning as much as to the technique used. The understanding of "the same application for everyone" has given way to an approach that takes into account facial proportions, observes symmetry and respects the person's aesthetic expectations.

In centres serving in the field of aesthetics in İzmir, detailed planning is made in this direction with jaw analysis, photo simulations and facial-proportion calculations; then the decision for filler or surgery is made. The correct conduct of this process directly affects both patient satisfaction and the success of the results.

Offering a scientific approach and aesthetic vision together on this subject, Op. Dr. Ayşe Öznur Akidil evaluates both non-surgical and surgical jaw-shaping options for her clients according to facial anatomy and performs personalised applications.

Thanks to jaw-shaping procedures, achieving a marked improvement in the facial contours and having a more balanced facial appearance is now possible with both surgical and non-surgical methods. What matters in this process is determining the method most suited to your face's needs and your expectations.

Whether you prefer filler for a fast and effective appearance or choose surgery for a permanent and structural solution — getting professional guidance in your aesthetic decision process will be the key to reaching the best result.