Surgically placed into the lower jaw to create more definition in the jawline and does not involve cutting the jaw bone.

Neck & Jawline Definition

Some people with wide lower faces choose to have jaw implants to enhance the angularity and definition of their jawlines. Many candidates for this procedure have misaligned teeth, open bites, overbites, or other improper bites that detract from their overall facial attractiveness. Biocompatible jaw implants offer safe options for those with weak jawlines who wish to enhance their appearances and oral function.

During a jaw implant surgery, the patient will typically be given local anesthesia and an IV sedative to remain pain-free and relaxed. The surgeon will make small incisions to the inside of the mouth and then place the implants through those incisions where needed to correct facial deficiencies. Dissolvable sutures will be used to close the incisions and bandages are applied as needed to manage post-op bleeding and oozing.

Jaw implant surgery typically takes 1-2 hours for a board certified plastic surgeon to perform. It is considered a safe option for good candidates and has high success rates and patient satisfaction. Mild-to-moderate post-operative bleeding, swelling, and pain should be expected for 1-3 weeks after the procedure. The average cost for jaw implants in the United States is $2000-$4000.

Jaw Implant

Correct jaw and teeth misalignment that can be contributing towards open bite, underbite, and overbite.

Jaw Surgery (Orthognathic Surgery)

Corrective jaw surgery can help to improve the jaw and teeth misalignment that results in open bite, underbite, and overbite. It requires general anesthesia, a 2-4-day stay in the hospital, 1-3 weeks off work or school, and up to 12 weeks of recovery time. It cost $20,000-$40,000, depending on patient-specific variables.

Jawline

Head

Face

- Stop taking blood thinning medications
- No smoking 4 weeks before and after surgery 
- Do not eat or drink anything for 6 hours prior
- No alcohol for 2 days before 

Before Treatment

- Local anesthesia with sedation or general anesthesia
- Incisions made on the inside of the mouth
- Implant inserted through incisions 
- Dissolvable sutures to close incisions 
- Bandages applied to manage post-op bleeding

During Treatment

- Mild to moderate discomfort
- Swelling and bruising on the face and neck

Immediately After Treatment

- Liquid to diet for a week
- Swelling and bruising on the face and neck

1-14 Days After Treatment

- Mouth will be sore and stiff for several weeks
- Swelling subsides within 3-4 weeks

3 Weeks After Treatment and Beyond

- Permanent 
- Noticeable immediately after surgery
- Final results after 9 months

Result Notes

Jaw implants can be placed to augment the lower jaw to create more definition in the jawline. Here is a quick guide for what to expect before, during, and after a jaw implant.

Jaw implants are a plastic surgery procedure used to augment the lower jaw for a more defined contour of the neck and jawline.

Corrects a wide range of skeletal and dental irregularities to improve chewing, speaking, and breathing.

During an orthognathic surgery to correct an open bite, the orthognathic surgery performed will always be bimaxillary, to correctly position both the mandibular and the maxillary arch, usually by making rotational and orbital movements. Some of the bone in the upper tooth bearing portion of the jaw is removed. The upper jaw is then secured in position with plates and screws.

Orthognathic Surgery

Orthognathic surgery, or corrective jaw surgery, is a major surgical procedure performed by an oral and maxillofacial surgeon (OMS) to correct a wide range of skeletal and dental irregularities relating to the jaw bones.

Overbite

Openbite

Underbite

Overjet

Mouth

Treatment for reducing a prominent or asymmetric jawline caused by enlarged muscles by smoothing the facial contour.

Using botox to reduce the size of a muscle is not uncommon and can be used for enlarged jaw muscles as well as calf muscles to improve body contouring. Botox blocks signals from the nerves to the muscles preventing contraction. By preventing contraction the muscle will cease to grow in size and will begin to atrophy, reducing its prominence.

Before treatment the area will be cleansed and marked for injection. Typically, 15-50 units of botox is injected on each side of the face into the masseter muscle. This treatment should not have a major impact on biting or chewing. Patients who are interested in receiving botox to contour the jawline must be aware that the injection will only treat overactive masseter muscles and will not improve a squared jawline caused by bone structure.

Jawline Slimming with Botox

Widely used for correcting wrinkles and other aging concerns in the face, but also used to treat other health issues.

Botox

Widely known for cosmetic use in correcting fine lines, wrinkles, and other aging concerns, Botox treatments are also useful in helping temporarily treat hyperhidrosis (an overproduction of sweat), reducing large calf muscles, helping treat chronic migraines, headaches, and neck pain, and in helping control an overactive bladder, just to name a few.

jawbo1

- No alcohol 24 hours prior
- No blood thinning medications
- An antiviral medication may be prescribed 
- Reschedule if a rash, blemish, or cold sore develops in the area

jawbo2

- Skin will be cleansed and marked for injection
- Botox is injected, typically 15-50 units on each side
- Pressure is applied to the area

jawbo3

- Temporary soreness, redness, and bruising
- Do not manipulate the injected area or lie down
- Avoid strenuous exercise for 6 hours

jawbo4

- Return to work immediately or after 1 day
- It can take 4-7 days for any results to be seen

1-14 Days After Treatment and Beyond

jawbo5

- Temporary
- Requires multiple treatments to see an effect
- Can take 4-6 weeks to see improvement
- Maintenance treatments are necessary every 8 months

Botox treatment reduces the size of the jaw muscles injected, reducing prominent facial muscles and smoothing the facial contour. Here is a quick guide for what to expect before, during, and after jawline slimming with Botox. 

Botox is an effective treatment for reducing prominent or asymmetric jaw lines caused by enlarged muscles. The muscles along the posterior jaw are used to chew and clench the teeth, and can become enlarged when the teeth are clenched while sleeping. The botox treatment reduces the size of the muscles injected, thereby smoothing the facial contour.

Peel solution used to treat fine lines and wrinkles, acne scarring, and pigmentation irregularities through exfoliation.

Scars

Fine Lines & Wrinkles

Acne Scars

Melasma

Uneven Skin Tone

The Jessner solution has been used for over 100 years as a chemically exfoliating treatment to improve acne as well as pigmentation irregularities such as hyperpigmentation, photodamage, and melasma. Jessner's solution is unique in that it combines multiple chemical exfoliators in one peel. The traditional Jessner peel combines salicylic acid, lactic acid, and resorcinol. The salicylic acid is a BHA used for its exfoliating properties, lactic acid for its moisturizing effect, and resorcinol as an antiseptic. Resorcinol has since been replaced by other AHAs such as glycolic, mandelic, azelaic, and phytic acid due to health concerns related to its toxicity and effect on the nervous system. When resorcinol is not used in the the Jessner solution, it is considered a modified Jessner peel. 

First, the skin will be evaluated. Once it is determined the patient is a good candidate for the peel and all pretreatment skincare has been completed, the peel can be performed. The skin will be cleansed to remove any dirt or oils. Next, the Jessner solution will be brushed onto the skin. Typically, 2 coats will be applied for a superficial peel however, additional layers may be applied for a deeper peel. 

No neutralizing agent needs to be applied after a Jessner peel. After application, a moisturizing cream or lotion will be applied to the skin. Patients are able to resume normal activity after the peel is applied and should wash the treatment area 4-5 hours post-procedure. Depending on the AHAs used in the peel and the concentration, some patients may be asked to leave the solution on for up to 2 days. Be sure to follow the specific aftercare instructions given by your provider.

Jessner’s Peel

Melasma: you can live with it. But, if you prefer, you can also live without it. For those wishing to pursue treatment f

Melasma Solutions

Melasma: you can live with it. But, if you prefer, you can also live without it. For those wishing to pursue treatment for this skin condition, there are a variety of techniques to lighten skin and even skin tone.

Skin

med1

- Minimize sun exposure 
- An antiviral medication may be prescribed
- A preparatory retinoid or tretinoin cream may be prescribed to prime the skin
- A bleaching agent may be recommended to prevent changes in skin pigmentation
- Do not exfoliate or use aggressive products for 1 week

jessner3

- Skin will be cleansed
- Jessner solution applied to the skin
- Multiple layers applied to increase depth 
- No neutralizing agent needed

jessner4

- Immediately resume normal activity
- Wash off solution several hours after treatment or as directed by provider

jessner5

- Skin peeling will last 2–7 days
- Redness and swelling may last for 2 weeks
- Regular skin care products and makeup can be used once peeling stops
- Topical steroid cream may be used to reduce redness and irritation

1-2 Weeks After Treatment and Beyond

med6

- Results are temporary
- Two or more peels may be needed for desired results

Jessner's chemical peel solution is comprised of salicylic acid, lactic acid, and resorcinol to treat fine lines and wrinkles, pigmentation irregularities, and acne scarring. When resorcinol is replaced with alternative AHAs, it is considered a modified Jessner peel. Here is a quick guide for what to expect before, during, and after a Jessner peel.

Jessner

Jessner's chemical peel solution is comprised of salicylic acid, lactic acid, and resorcinol to treat fine lines and wrinkles, pigmentation irregularities, and acne scarring. The modified Jessner's peel replaces resorcinol with TCA, glycolic acid, and other AHAs for an effective, medium depth exfoliation.

Combines oxygen and a liquid, such as water, to create a jet stream that helps to exfoliate the skin.

Acne

Rosacea

Uneven Skin Texture

A JetPeel facial offers both cosmetic and medically practical solutions for individuals that prefer non-invasive treatments. The JetPeel system introduces customizable treatment serums or medications to the high-pressured aerosol stream of microdroplets to deliver the contents 4.5 mm deep into the skin at a speed of 600 ft/sec without causing any injury to the epidermis. There are a number of uses for JetPeel depending on the serums used including lymphatic drainage, exfoliation and deep cleaning, 3-D chemical peels, and infusion of medications such as anesthesia.

The skin will be cleansed with a combination of oxygen, hyaluronic acid, aloe, and salt water to get the skin prepped and cleansed before the customized solution is introduced to the treatment area. The jetstream can be adjusted in distance from the face in order to make the treatment more comfortable. Once the face has been thoroughly cleansed the JetPeel handpiece will deliver a customized solution to treat skin concerns such as blackheads and milias in a concentrated stream. JetPeel can also administer PRP and anesthetics into the dermis for a needle-free alternative to common treatments.

JetPeel™ Facial

Nourish your skin, remove dead skin, and get rid of unsightly acne scars or wrinkles through a relaxing facial session.

While there are many different types of facials, most will begin by cleansing the skin using facial sponges, cloths or cotton pads. The eyes will be covered with moistened pads for the next step. Using a lighted magnifying glass, your skin will be evaluated. During this phase, the esthetician may discuss their findings and ask about skin care regimen and your expectations for the facial.

Next, an exfoliation cream, gel, mask, gommage or peel will be used. Certain exfoliation products, such as enzyme peels, require the product to be left on the face to dissolve the plugs that cause blackheads. Other products require either manual or machine stimulation. Depending upon the exfoliation product used, steam will either be applied to the face during that phase or after the product has been removed. Some spas may use heated, moist towels instead of steam. The moist heat loosens plugs and encourages skin to sweat out any impurities that may be caught in pores.

During the extraction phase blackheads and possibly whiteheads will be removed. Facial massage stimulates and lubricates skin. The esthetician may use a massage oil or lotion during this process.  Depending upon the facial, the esthetician may choose a mask that will then be applied. After the mask is removed, the esthetician will likely apply a specialty serum to the skin. Serums include those for aging skin, for blemished skin and for sensitive skin. Lastly, the esthetician will apply a skin-specific cream or gel to the skin. They may also apply an eye gel and/or lip treatment cream.

Facials

Having a facial can be a rewarding, pleasurable experience that can be much more than just a relaxation session. Maybe you are looking to target acne scars, visible signs of sun damage, or lines and wrinkles. Or it could be you are wanting to nourish sensitive skin, remove dead skin or gain a more youthful appearance. The fact is, facial treatments can address these problems and many others, and can be a wonderful way to refresh your skin and feel rejuvenated, inside and out.

jet1

- Do not use self-tanner for 1 week
- No aggressive scrubs or masks prior to treatment
- Refrain from injectable fillers 
- Stop using prescription topical medications for 1 week

jet2

- Using the JetPeel hand peice, the skin is cleansed with a combination of oxygen, hyaluronic acid, aloe, and salt water 
- JetPeel handpiece will deliver a customized solution to treat skin concerns 

jet3

jet4

- Do not use astringent cleansers for 2 days
- Avoid sun exposure 

1 Day After Treatment and Beyond

jet5

- Results are temporary
- Upkeep treatments every 6 months

The JetPeel facial created a jet stream of micro-droplets that penetrate deep into the skin. Here is a quick guide for what to expect before, during, and after a JetPeel facial.

JetPeel

The JetPeel facial combines oxygen and a liquid such as water, anesthetic or skin nutrients to create a jet stream of micro-droplets that penetrate deep into the skin. The JetPeel system can reach a velocity of up to 600 ft/sec and a depth of to exfoliate the skin’s surface without causing irritation. This concentrated stream can reach a skin depth of up to 4.5 mm (3/16″).

Jeuveau® by Evolus is the newest botulinum toxin type A injectable. It has only been FDA-approved for cosmetic purposes.

Jeuveau® by Evolus contains the primary active ingredient prabotulinumtoxinA. Targeted to the millennial population with a slightly lower price point than Botox® by Allergan, Jeuveau® has a similar profile to Botox® — composed primarily of human albumin and sodium chloride (mixing solution). Due to the relative newness of the product (it was approved by the United States Food and Drug Administration (FDA) for cosmetic use only in February 2019), there is limited data on Jeuveau®, however, it has shown a similar safety profile and efficacy to Botox®. 

Botulinum toxin type A (and all of its specially formulated offshoots like Botox®, Dysport®, and Xeomin®) generally functions by inhibiting cell transmissions between nerve and muscle cells causing a flaccid paralysis. These are temporary results, as the body will naturally degrade the toxin over time.

Jeuveau®

Fill ‘er up! Well, kind of. Dermal fillers and neurotoxin injections can smooth fine lines and wrinkles to create a smoo

Dermal Filler & Injectable Solutions

Fill ‘er up! Well, kind of. Dermal fillers and neurotoxin injections can smooth fine lines and wrinkles to create a smooth and youthful appearance.

neurotoxin1

- Typically, only a few considerations need to be taken prior to treatment
- There are no medication contraindications to receiving neurotoxin injections, but aspirin and supplements like fish oil, ginseng, garlic, and ginkgo biloba (to name a few) can increase a patient’s chance of bleeding and, therefore, bruising
- Exercise prior to treatment, as you'll need to stay upright (read: not lay down or bend over) for about three hours after being injected

neurotoxin2

- Topical local anesthetic applied to site of injection
- Injections are made in predetermined areas

neurotoxin3

- Minimal redness at injection sites
- Ice and/or cold compresses to reduce redness, swelling, and tenderness

neurotoxin4

- Avoid touching or excessive movement of the treated area 
- Normal activities can be resumed (sometimes limitations on strenuous activity may be needed)
- Sleep in an elevated position

24 Hours After Treatment

neurotoxin5

- Initial results visible in three to five days, with full results in two weeks
- Neurotoxin injections usually last three to four months

Jeuveau® injections are a simple, outpatient procedure with minimal recovery. Here is a general guide for what to expect before, during, and after a Jeuveau® injection:

Jeuveau® by Evolus is the newest commercial injectable formulation of botulinum toxin type A (BoNT-A). Jeuveau® has only been FDA-approved for cosmetic purposes.

Juvéderm® by Allergan is a commercially available injectable formulation of hyaluronic acid.

Nose Shape

Lip Size

Cheek Volume

Chin Shape & Size

Juvéderm® by Allergan is a hyaluronic acid (HA)-based dermal filler approved by the United States Food and Drug Administration (FDA) to treat common cosmetic concerns including fine lines and wrinkles, lip shape and size, ear shape and size, and neck, jaw, and cheek definition. Hyaluronic acid fillers are the most popularly used in the U.S., and are, therefore, well-proven for their safety and efficacy.

Juvéderm products are a collection of injectable gel hyaluronic acid-based dermal fillers targeting specific cosmetic concerns and treatment areas:

- Juvéderm® XC and Juvéderm Vollure® XC combat fine lines and wrinkles on the face most commonly at the smile lines (i.e. parentheses lines of the nose and mouth)
- Juvéderm® Ultra XC and Juvéderm® Volbella XC are used for lip augmentation, specifically thin lips and lipstick lines
- Juvéderm® Voluma XC is used for cheek augmentation, especially targeting the nasolabial folds for enhancements to volume and plumpness 

Hyaluronic acid functions by pulling water into the injected area to augment volume and plumpness and smooth fine lines and wrinkles, while also stimulating collagen production. Certain Juvéderm® formulations have a thicker viscosity and provide plumpness from the injectable alone. Hyaluronic acid is considered the most temporary of the impermanent dermal fillers. Those seeking more lasting restoration and rejuvenation may wish to consider alternatively formulated fillers such as Radiesse®, Sculptra®, and Bellafill®.

Juvéderm®

Lips

Cheek

HAfiller1

- Stop taking blood thinning medications one day prior to surgery. Blood thinners may include Ibuprofen, Acetaminophen, Aspirin, and prescription anticoagulants. 
- No alcohol one day before the procedure
- Reschedule if a rash, cold sore, or other lesion develops

HAfiller2

- Topical local anesthetic applied to site of injection
- Injections (a combination of hyaluronic acid and lidocaine) are made in predetermined areas

HAfiller3

- Avoid sun exposure, alcohol, strenuous activity, and makeup application for 24 hours following the injections
- Avoid touching or excessive movement of the treated area 
- Sleep in an elevated position

HAfiller4

24 hours After Treatment

HAfiller5

- Results are Immediately noticeable 
- A series of initial injections may be needed to achieve desired results
- Juvéderm® injections generally last six to 12 months

Juvéderm® injections are a simple, outpatient procedure with minimal side effects and recovery. Here is a general guide for what to expect before, during, and after a Juvéderm® injection:

Juvéderm® by Allergan is a commercially available injectable formulation of hyaluronic acid. A naturally occurring compound, hyaluronic acid provides volume and plumpness and has both aesthetic and functional uses.⁣

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