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Reshape and reduce sagging jowls.

More Defined Jawline | Reduce Sagging Jowls

Many patients inquire about how to reverse the effects of ageing without resorting to a surgical procedure as the initial step. In other cases, patients with a receding or weak jawline feel that their appearance can be vastly improved if they have more definition or volume.

This treatment can be undertaken to accomplish any of the following:

1. Create a stronger-looking jawline
2. Balance out your lower face
3. Improve your front-on appearance
4. Improve your side on profile
5. Stop trying to hide your jawline or chin behind your hands or your facial hair (beards)

You have two options when you decide to improve your jawline: injectable fillers or surgery. We start with injectable fillers if you do not wish to go under the knife. This option – coupled with Dr Bong’s expert skills and techniques – offers you 9-18 months of correction.

A surgical procedure is very different. Your results are permanent and much more dramatic. However, the recovery time is much longer. With fillers, on the other hand, you can have a correction done in a matter of minutes, see immediate results, and be on your way.

Sagging Jowls - Essence Medical

Frequently Asked Questions

Dermal fillers are different types of injectable substances used to add volume to the face. The fillers we use are made of hyaluronic acid (HA), a natural substance found in the skin too. HA draws water to itself and holds it in the tissues, thus adding volume to the face.
Dermal fillers are frequently used for several areas of the face:

• With facial ageing – to restore contour and volume
• Cheek augmentation and definition
• Lip enhancement and volume
• Soften the appearance of undereye hollows and tear troughs

Rest assured — a filler jaw injection is safe if you entrust the procedure to an experienced and skilled professional. It is not something you want just anyone to do — and not something you want to try at home. Dr Bong is an internationally recognised expert doctor. He has delivered lectures at medical conferences in over 40 countries and trained doctors and surgeons from over 80 countries. Dr Bong’s unique skills and techniques ensure that your treatment is safe and effective and that the results are natural and age-appropriate.

The answer is ‘yes’ and ‘no’. There is a good chance you can enhance – or at least improve – your jawline using dermal fillers.

It depends on your anatomy, so not everyone is suitable for jaw enhancement and contouring using dermal fillers. But for many people, this treatment CAN enhance (or restore) a somewhat stronger jawline when this treatment is carried out with Dr Bong’s unique technique. You would be surprised what reshaping and recontouring the jawline can do to strengthen and balance the lower facial features.

Avoid blood-thinning medication and drinks. Anytime you have an injection, bruising is a possibility, even though this is not common. So, to minimise bruising, avoid medication or food which causes your blood to thin in the three days following your injections. This includes medications such as Aspirin, Ibuprofen, Diclofenac or St. John’s Wart. In addition, drinks such as Coca-Cola, Redbull, tea, coffee and alcohol should be avoided 24 hours before treatment. When you stay away from those products, you ensure a better outcome that leaves you looking as natural as possible after your procedure.

We want to administer the injections into clean, makeup-free skin. Therefore, we advise that you cleanse your skin before your appointment and come without makeup.

Finally, enjoy a good meal before your injection. Sometimes, if you have not had anything to eat, you can feel weak or faint with the injections. So, have a regular lunch or breakfast before your appointment.

The filler is injected with a micro-cannula (blunt needle) under the skin surface along the line of the jawline, jaw angle and chin.

This revolutionary technique – invented and perfected by Dr Bong and not available anywhere in Scotland – means the procedure is very safe, and the result is excellent with no downtime. No anaesthetic cream is required due to the use of the blunt needle. All dermal filler products used at Essence Medical Cosmetic Clinic contain pain-reducing lidocaine (local anaesthetic) for a comfortable treatment experience. The procedure can be completed in as little as 20 minutes. The results can be seen instantly and do not affect facial expression.

Not at all. Dr Bong’s unique technique – not available anywhere in Scotland – coupled with his skills and expertise means the procedure is not traumatic.

No anaesthetic cream is required due to the use of the blunt needle. As a result, 90% of our patients do not require any form of an anaesthetic agent, and they describe this procedure as less uncomfortable than getting their eyebrows waxed or threaded. To provide further relief and alleviate as much pain as possible, we use only premium, industry-leading soft tissue fillers which contain a pre-mixed anaesthetic agent.

Appointment times vary depending on the desired effect, and you are required to attend a face-to-face consultation before the treatment can be carried out. As a rough guide, the treatment can take around 30 minutes.

After your filler injection for jawline reshaping and contouring, there may be some mild swelling around the jawline. This is because the body often produces fluid that collects around the fillers temporarily in response to the trauma during the procedure. However, in the jawline, this swelling is usually minimal.

Remember, we are administering a gel-like substance into your skin and tissue. Therefore, feeling the filler for several weeks after your treatment is typical. This, however, is not noticeable.

While traditionally, soft tissue fillers have always been injected using sharp-tip needles, a new alternative to using needles is using blunt-tipped cannulas. Although there is a role for both injection methods, the cannula offers some excellent benefits to patients.

  1. Sharp needles can pierce veins and arteries beneath the skin. Since blunt cannulas push aside any arteries and veins encountered beneath the skin, there is a reduced risk of bleeding and bruising.
  2. Sharp tip needles use a very thin, short, sharp needle to inject dermal fillers. Multiple injection points are required when using needles, which can increase the risk of hitting a vein. If a vein is hit with a needle, there is a higher chance of bruising after the procedure.
  3. Sharp tip needles may also result in trauma to the skin, causing swelling.

Advantages of blunt-tipped cannulas
Cannulas have a hollow bore, like needles, allowing the filler to pass through into the tissue. However, cannulas have a rounded, blunt end instead of sharp tip-like needles. It is a bit like a long needle, but the tip is blunt. The process involves numbing the skin with ice and injecting a small amount of local anaesthetic beneath the skin with a tiny needle. When the skin is numb, a needle is used to pierce the skin, and then the cannula is threaded into the puncture site, sliding along the natural planes of tissue, providing access to a large area for filler placement.

  1. Less Pain During Treatment – Being injected multiple times with sharp needles can be painful. Still, while it may sound a bit uncomfortable to have a cannula beneath your skin, there is minimal discomfort. Patients often note that they experience a strange “pushing and tugging” feeling, but there is very little pain. Fewer pokes with needles also reduce the amount of pain, even when multiple areas of the face are being treated.
  2. Decreased Risk of Bleeding and Bruising – Sharp needles can pierce veins and arteries beneath the skin. Since blunt cannulas push aside any arteries and veins encountered beneath the skin, there’s a reduced risk of bleeding and bruising.
  3. A Safer Option – When using needles for filler injections, one of the scariest potential complications is accidentally injecting filler into an artery, which can cause tissue death. In extremely rare cases, blindness has occurred. Cannulas do not pierce arteries, offering a much safer option for patients.
  4. Minimal Downtime – Since needle-injected fillers can cause swelling and bruising after the procedure, they often have some social downtime. Since the cannula injection method cuts down on swelling and bruising, there is minimal downtime post-procedure.
  5. Precision – With blunt-tipped cannulas, fillers can be injected more accurately, reducing the amount of filler needed to achieve the desired results.
  6. Greater Flexibility – A much larger surface area can be treated with just a single injection site when using the cannula method, making it possible to get more done with fewer injection points.

Using a blunt instrument coupled with Dr Bong’s expert technique makes side effects rare. There may be mild bruising and tenderness, but 99% of the time there are no other problems. Results can be seen instantly.

In very rare cases, some people may suffer from biofilm — an inflammation that forms around the gel, which causes redness, inflammation and swelling. To avoid this, we clean the skin thoroughly before we inject the filler in, but this can occasionally happen regardless of precautions and can happen with any type or brand of filler.

All injections come with risks – swelling, bruising etc.; however, the jawline is a particularly unique area of the face, and this treatment is not a procedure you want to shop around for a cheaper deal. Dr Bong has extensive experience in this procedure and his expertise and skills in his field are unparalleled. Sadly, he sees many botched filler procedures due to a lack of training and knowledge.

Depending on the severity of sagging of the jawline and jowls, and the reason which might have caused this appearance, we will advise you on the treatments that suit you best. This treatment can be combined with Dr Bong’s signature, the 3D Liquid Face Lift. Dr Bong’s 3D Liquid Face Lift entails sculpting and contouring of the cheeks, nasolabial and marionette folds with injectable dermal fillers for a global improvement of your appearance.

The filler is slowly broken down after 12-18 months. However, there are large individual variations. Therefore, we recommend not waiting until the results are completely gone, and that you return to the clinic before everything is broken down.

After your treatment, we will again go through with you any after care advice in order to maximise your treatment benefits and avoid any undesirable side effects.

You can resume normal activities, drive yourself home or return to work immediately after the treatment.

As with any injection, there may be some slight redness immediately afterwards. Camouflage make up may be applied.

The results directly after the treatment should therefore not be seen as the final results. This is because over the following 2-4 weeks the results will gradually improve.

For 2 weeks after the treatment you are advised to avoid extreme heat (sun bed or sunbathing) or intense cold.

One of the significant advantages of the products we use at Essence Medical is that the effects are long-lasting but not permanent. Therefore you are always in control of your looks and can change your treatment depending on how you are ageing. The results typically last 9-18 months, although the exact length of time will depend on the structure of your face and other factors such as lifestyle, age, and the degree of perfection you demand. Additional touch-up treatments can be performed at any time after the initial treatment.

During your consultation, Dr Bong will formulate a treatment plan for you and advise the exact cost of your treatment. However, prices for this treatment start from £700. The precise cost of this treatment will be discussed and finalised during your consultation.

We accept cash or the following major credit and debit cards. We do not accept personal cheques.

If you are a new patient, a booking fee will be taken at the point of making your appointment.  Please read our full terms and conditions here.

We respect that your time is valuable, and we appreciate that you understand ours is too. Unfortunately, if appointments are cancelled or rescheduled at short notice, or if you do not attend an appointment, we cannot allocate your appointment slot to someone else; however, we still have overheads and staff salaries to pay. Please read our full terms and conditions here.

Please note for all patients, a £50 fee will be charged if you cancel or reschedule ANY appointment (including appointments which do not require an upfront deposit, such as a ‘check-up’ or review appointment) less than 48 hours before the appointment time. Patients who have pre-purchased a course of treatment will forfeit one of the treatments instead of paying this fee.

Late arrival to your appointment may result in reduced treatment time or the forfeiting of the appointment. We will endeavour to ensure that your appointment runs on time. However, for reasons beyond our control, we may need to cancel or postpone your appointment at short notice. In this unlikely event, we will try to contact you in advance. We do not offer compensation if we cancel or postpone your appointment.

Please read our full terms and conditions here.

To help our patients minimise the chance of losing their deposit or pre-paid treatments, we issue text reminders a minimum of 48 hours ahead of appointments. Patients should be aware that there may be reasons beyond our control, meaning that the text message does not reach them. Patients should diarise themselves when making follow-up appointments and not rely solely on the text message from the clinic as a reminder.

Thank you for the work you have done - I am so pleased with the results. You have a very fine hand

I LOVE my jawlines! You took away my jowls in half an hour. I am over the moon and the procedure was surprisingly painless. You are amazing!

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