Chin and jawline filler is the placement of structural hyaluronic acid on the jawbone and chin to define the jaw angle, sharpen the line between face and neck, project the chin and balance the profile. Filler at the jaw angles adds definition behind the ear. Along the jawline it draws a clean jawline. In the notch in front of the jowl it fills the notch that makes an early jowl visible. On the chin it adds forward projection or vertical length. The chin and jaw are the anchors of the lower face — a recessed chin makes any nose look large and a soft jaw makes the face read as heavier and older, which is why they are assessed together with the nose. Results are immediate, settle at two weeks, last 12–18 months and are fully reversible. At Medisha Clinic every treatment is performed by Dr Nish Shah MD, a profile harmonisation specialist with over 6,000 non-surgical rhinoplasties, using The Medisha Method.

At Medisha Clinic in Mayfair, chin and jawline filler is priced per millilitre: 1ml £350, 2ml £600, 3ml £850, using structural reversible HA, with a complimentary 4-week review and any refinement included. The Profile Balancing Package — nose, chin and jaw in one session — is £750 for 2ml, £1,000 for 3ml, £1,250 for 4ml and £1,500 for 5ml. Consultation with Dr Nish is £50, fully redeemable against treatment, so if you go ahead it costs nothing. The clinic is at 58 South Molton Street, Mayfair, London W1K 5SL, three minutes from Bond Street station.

Usually less than clinics quote, because structural HA placed on bone is far more efficient than soft filler fanned through tissue. As a guide: 1ml sharpens the jaw angles or projects the chin on its own; 2ml treats chin and jaw together and is the commonest choice; 3ml gives full lower-face definition for a strong masculinisation result or a heavier lower face. Adding the nose as the Profile Balancing Package typically needs 2–3ml in total across all three areas. Volumes above 3ml in one session are rarely appropriate. Dr Nish maps your profile at consultation and recommends a volume. He will not sell you more, and the 4-week review exists so anything further is added later rather than over-corrected on the day.

It is nose, chin and jawline filler in a single session, priced from £750 for 2ml to £1,500 for 5ml, and it exists because those three structures are one line in profile. A recessed chin makes a normal nose look large. A soft jaw makes a balanced chin look weak. Treating one in isolation often leaves the real imbalance untouched. Dr Nish — who has performed over 6,000 non-surgical rhinoplasties — maps the whole profile first and distributes the filler where it is actually needed. This frequently means less on the nose and more on the chin than the patient expected. The result is a profile in proportion rather than three areas each ‘done’. It is also the most cost-effective route to treating the nose, and everything is reversible.

Yes, and it is one of the most useful things a profile specialist can tell a rhinoplasty patient. In profile, the eye judges the nose against the chin: a chin that sits behind the lip line makes a perfectly average nose project further than it should. No amount of nose filler will correct that because the nose was never the problem. Projecting the chin by a few millimetres with structural filler on bone brings the lower face forward to meet the nose, and the nose immediately reads as smaller and better proportioned without being touched. Dr Nish assesses this at every rhinoplasty consultation. In many patients the answer is chin filler alone, and in most the best result is both, as the Profile Balancing Package.

It can significantly reduce early jowls and disguise mild ones. It cannot lift established ones. An early jowl is visible mainly because of the notch in front of it. The notch in front of the jowl, and filling that notch with structural HA on the jawline restores a straight jawline so the jowl no longer breaks the line. Sharpening the jaw angle behind it adds to the effect. Where the jowl is a genuine descent of tissue rather than a notch, filler adds bulk to a face that needs lifting, and the right treatment is a PDO thread lift, which Dr Nish also performs. Usually with filler afterwards to refine the edge. He will tell you at consultation which you have.

Yes, and the placement is different. For a feminine result the aim is refinement rather than width: a clean, tapering line along the jawline, a softly projected chin that balances the nose and lips, and definition at the angle without squaring it. Volumes are usually 1–2ml. For a masculine result the aim is angularity: a wider, more defined jaw angles, a squarer and more projected chin and a stronger horizontal jawline, usually 2–3ml. The same structural, on-bone, minimum-volume principles apply to both. The shape comes from where the filler sits, not how much is used. Dr Nish designs the placement for the result you want at consultation.

Typically 12–18 months, at the longer end for structural HA placed on bone: the chin and jaw are static structures and the product is not worked by muscle the way lip or fold filler is. Longevity varies with the product, your metabolism and lifestyle factors such as intense exercise. A second treatment often lasts longer because some structural scaffold persists. When the effect fades a smaller top-up restores it because Dr Nish uses only reversible HA, the filler can also be dissolved at any point.

Most patients describe pressure rather than pain. The jaw angle can be slightly more sensitive than the chin. Topical anaesthetic is applied for 15–20 minutes and the structural filler contains lidocaine. Downtime is short: the result is visible immediately, most patients return to work the next day, mild swelling and tenderness settle within 3–5 days. The area may feel firm to the touch for a few weeks as the filler integrates. Bruising, if any, clears within a week. The result is considered final at two weeks. For two weeks avoid pressure on the jaw, sleeping on your side, dental work if it can wait and tight straps or masks. For 48 hours avoid vigorous exercise, alcohol and heat.

Yes. It is the lower half of every facial harmonisation programme. Chin and jaw with the nose is the Profile Balancing Package. Chin and jaw with cheeks is the full structural programme and the basis of masculinisation and feminisation. Jawline filler after a PDO thread lift refines the edge of a lifted jaw. Jawline filler with masseter anti-wrinkle injections slims a wide angle and sharpens the edge at the same time. Filler and threads are usually spaced 2–4 weeks apart; Dr Nish designs the sequence at consultation.

In specialist hands the chin and jaw are among the safer filler areas, because the placement is deep on bone. But the facial artery crosses the jaw in front of the masseter and the mental artery exits the chin, and the injector has to know exactly where. Expected, temporary effects: swelling and tenderness for 3–5 days, firmness for a few weeks, bruising for up to a week. Uncommon risks: asymmetry (assessed and adjusted at the 4-week review). Over-filling or a heavy, square result where refinement was wanted (avoided by mapping and conservative volume). Migration (a soft-product problem, avoided by structural HA on bone). Infection (rare. Sterile technique, and dental infections are screened for), and a blocked blood vessel — rare, minimised by checking for blood vessels, small deposits, reversible HA and hyaluronidase on site. Warning signs are skin blanching or mottling or disproportionate pain, and Dr Nish provides his direct number for the first 48 hours.

Because the lower face rewards an injector who sees the whole profile, and Dr Nish has assessed more profiles than almost anyone in London. He is a medically trained doctor, a profile harmonisation specialist who has performed over 6,000 non-surgical rhinoplasties, Brand Ambassador and Key Opinion Leader for dermal fillers with a global manufacturer. Senior International Clinical Trainer at Derma Medical where he teaches chin, jaw and profile filler to other doctors. Every treatment is his, using The Medisha Method: profile mapped from three angles with the nose in frame. Structural HA placed deep on bone in small checked deposits. Live recontouring in movement. Hyaluronidase on site, and a 4-week review with refinement included. The Profile Balancing Package treats nose, chin and jaw together from £750. From £350; £50 consultation redeemable. 58 South Molton Street, Mayfair, London W1K 5SL, three minutes from Bond Street. Also Marylebone.