Nefertiti was recognized for her crisp jawline and smooth neck. Her bust is one of the most famous of the ancient Egyptian sculptures. A razor sharp jawline and well defined ascending ramus (or gonial angle) are hallmarks of beauty, both male and female. Jowling, submental fullness, blunting of the gonial angle, and an irregular jawline are all signs of aging.
While there are many commonalities between the sexes of what constitutes an attractive jawline, there are fundamental differences as well.
- Broad/wide rami of mandible leading to a near vertical appearance on frontal projection
- Approximately a 110-115 degree gonial angle (more acute than female)
- Significant height of the body of the mandible
- Wide defined, projected chin
- V-shaped rami of mandible on frontal projection. A more masculine (vertical) ramus is also considered beautiful in some women (Such as Alessandra Ambrosio)
- A more obtuse gonial angle of approximately 135 degrees
- Shorter height along the body of the mandible
- Pointed, less projected chin
There are considerable age related changes of the mandible.
- Loss of bone along the body of mandible leading to loss of vertical height. This change is accelerated in an edentulous patient
- Blunting of the gonial angle eventually leading to a curvilinear jawline
- Narrowing of the male chin and widening of the female chin
- Deepening of the gonial notch
The age related mandibular changes lead to loss of support of the soft tissue in the lower face – falling forward and downward. Jowling and submental fat is exaggerated. The upper neck skin shows more laxity as facial skin drops into the neck.
Correction of age related jawline changes with fillers- reJAWvenation
Dr. Weiner has perfected a correction using dermal fillers which he has coined “reJAWvenation”. It is based on restoring the age related loss of bone and leads to support of the lower face soft tissues. Filler is placed along the inferior border of the mandible as well as filling the gonial notch. The gonial angle is recreated. The lower aspect of the jowl is considered the new baseline and filling is made on either side to “camouflage” the jowl. Filler is also placed along the posterior aspect of the ascending ramus. The prejowl sulcus is filled, with emphasis to include the space beneath the inferior mandibular border. The chin must also be corrected to the male/female appropriate projection and shape.
reJAWvenation offers a quick (10-15 minute) correction of the age related changes to the jawline. Improvements in jowls, upper neck, jawline, and chin can be expected. There is minimal or no downtime. Even with facelifts, jawline volume is not typically addressed and needs to be corrected either during the procedure with fat grafting, or in the office, after healing, with fillers.
Source: Dr. Steve Weiner, Facial Plastic Surgeon Blog