Evolution of Technology

Skin Filler

Various filler materials exist, and are catered to cosmetic outcome, as well as patient goals for longevity. Filler material can broadly be separated into permanent and temporary, however most various types exist on a spectrum from months to years. Juvaderm is temporary filler with multiple formulations that vary in thickness, best suited for certain locations on the face respectively. Other more long lasting filler materials include fat from our own bodies, poly-L-lactic acid (also known as Sculptra), and Calcium hydroxyapatite (also known as Radiesse).

Evolution of Procedure

Noninvasive Orthognathic Surgery/Genioplasty

Orthognathic surgery has traditionally been performed via invasive procedures, to include using a bone saw to alter the mandible and advance the jaw forward. This can be done cosmetically, or for medical conditions such as dental misalignment and airway collapse causing apnea and other medical conditions. Noninvasive jaw and chin surgery typically does not address such medical issues, but can improve cosmesis in patients who are not happy with the appearance of their lower face. This is commonly performed through the use of chin implants as well as both temporary and permanent filler materials, sometimes referred to as “liquid genioplasty”

Evolution of Diagnosis

Jawline/Chin Deformity

In facial cosmesis, the chin and jawline are some of the most pronounced and noticeable subunits of the face. Accordingly, small changes in angulation and subcutaneous fat lead to drastic changes in facial structure and appearance. Retrognathia, otherwise known as a recessed jaw, is a common issue addressed with Orthognathic or “jaw surgery”. A small jaw can give the appearance of an overlying projected or large nose. Microgenia, known as a small or under projected chin, is a common issue addressed in Genioplasty or “chin surgery”. A small chin can also give the appearance of an over projected nose, and can enhance the appearance of facial fat below the jawline.