May 19, 2026 • 22 mins
Have you ever wondered why strong jawlines are so universally attractive?
In this episode of Plastic Surgery Uncensored, Dr. Rady Rahban explores the anatomy, structure, and surgical realities behind one of the most defining features of facial beauty: the jawline.
From celebrities and social media to everyday patients searching for sharper definition, the demand for a stronger jawline has exploded. But Dr. Rahban explains why most people misunderstand what actually creates a strong, attractive jawline—and why so many modern treatments fail to address the real issue.
A beautiful jawline is not a single feature, nor is it created with a single procedure. It is the result of harmony between bone structure, chin projection, neck contour, skin quality, fat distribution, and muscular support. Treating the wrong issue—or relying on trendy “quick fixes”—often leads to unnatural, heavy, or overfilled results.
In this episode, Dr. Rahban breaks down:
• Why jawlines are deeply tied to human perceptions of beauty
• The critical difference between the chin and the mandible
• When and why chin implants are superior to filler
• Why jawline filler is frequently overused and misunderstood
• The truth about neck liposuction
• The limitations of non-surgical jawline treatments
This is a nuanced discussion about anatomy, aesthetics, and restraint—and why truly exceptional results come from proper diagnosis, not trend-driven treatment plans.
✨ If you enjoyed this episode of Plastic Surgery Uncensored:
✔️ Subscribe on Apple Podcasts, Spotify, or wherever you listen.
✔️ Rate & Review—your feedback helps more people find us.
✔️ Follow Dr. Rady Rahban across all platforms for daily insights, behind-the-scenes, and patient education:
In this episode of Plastic Surgery Uncensored, Dr. Rady Rahban explores the anatomy, structure, and surgical realities behind one of the most defining features of facial beauty: the jawline.
From celebrities and social media to everyday patients searching for sharper definition, the demand for a stronger jawline has exploded. But Dr. Rahban explains why most people misunderstand what actually creates a strong, attractive jawline—and why so many modern treatments fail to address the real issue.
A beautiful jawline is not a single feature, nor is it created with a single procedure. It is the result of harmony between bone structure, chin projection, neck contour, skin quality, fat distribution, and muscular support. Treating the wrong issue—or relying on trendy “quick fixes”—often leads to unnatural, heavy, or overfilled results.
In this episode, Dr. Rahban breaks down:
• Why jawlines are deeply tied to human perceptions of beauty
• The critical difference between the chin and the mandible
• When and why chin implants are superior to filler
• Why jawline filler is frequently overused and misunderstood
• The truth about neck liposuction
• The limitations of non-surgical jawline treatments
This is a nuanced discussion about anatomy, aesthetics, and restraint—and why truly exceptional results come from proper diagnosis, not trend-driven treatment plans.
✨ If you enjoyed this episode of Plastic Surgery Uncensored:
✔️ Subscribe on Apple Podcasts, Spotify, or wherever you listen.
✔️ Rate & Review—your feedback helps more people find us.
✔️ Follow Dr. Rady Rahban across all platforms for daily insights, behind-the-scenes, and patient education:
- Instagram: @drradyrahban
- TikTok: @radyrahbanMD
- YouTube: @Rady Rahban
- Facebook: @Rady Rahban
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:07):
Welcome to another episode of Plastic Surgery Uncensored. As always,
I'm your host, Doctor Roddy Raban, and we have a
fantastic episode for you because we're chatting about celebrity jaw lines.
I hate the word celebrity, but it's a clickbait thing,
and my staff tells me I gotta throw it in
because somehow that you guys like that. So I don't
really give a shit if it's a celebrity of the
jaw line. But to be honest, most celebrities do have
(00:30):
a pretty nice jaw line. Is that celebrities have jaw
Is it that they become a celebrity because they have
a good jaw line or because they get a good
jaw line? I don't know at any rate, how do
we get an amazing jaw line. Well, it turns out
jaw lines, in my opinion, are the single most critical
(00:54):
aspect of facial beauty. Let me reiterate a person, man
or woman, and this is very interesting man or woman.
You look at them. They're Asian, they're Mexican, they're black,
they're Middle Eastern, and you say, wow, that person is beautiful.
They may have different shaped eyes, they may have different
(01:14):
shaped brows. They may have different shaped lips, they may
have different shaped noses, they may have different color hair,
they may have different kind of hair. All of them,
every one of them will have a strong jaw. Have
you ever noticed that? Go check it out now, stop
this episode, Pull up your favorite three celebrity crushes, and
(01:37):
irrespective of what they are, what they're not, every one
of them has a badass jaw. And I think that
is primordial. I think that's built into our genetics. I
think that, you know, we look for things that are
signs of strength and reproducibility and genetics. That's why we're
attracted to let's say, tall people or strong people, or
(02:00):
beautiful people or smart people. We want to reproduce that.
And I think that having a strong jaw is something
really sort of like primordial in our who we are
at any rate, it doesn't matter. Bottom line is it
looks good and everybody wants it. And interestingly enough, unlike
ears and eyelids and noses, it's actually a very complicated
(02:21):
area of the body and anatomy and you and you
can't just go in and do a jaw surgery and
have a nice jaw, right, You can have a terrible nose,
do a rhinoplasty. It's nice. You have big ears, we
pin them. It's nice. You have sagging eyebrows, we lift them.
They're nice. But if you have a crappy jaw line
and you want a nice jaw line, there's like five
or six different things that lead to it that you
(02:44):
need to figure out which one is off to fix it.
There isn't a jaw surgery. There is chin implants, there's
mental the sub mental liposuction, there's jaw advancement. There's so
many elements to it, and we're gonna go through all
of it. And as a result, more than anything else,
it requires a great analysis. In other words, when people
are coming to my office, they're like, I don't like
(03:06):
my profile or my jaw. We got to sit down,
I gotta hold the mirror, and I gotta go through
each area and show them what in them which is
different in the last patient, is causing them to have
perhaps a weaker jaw line, because it's completely different from
person to person. So we're going to do that. I
think that in general, jaw lines are really really popular
(03:28):
now because we're looking at four hundred million images, whereas
in the past we looked at four hundred thousand images.
Social media is constant red carpets. Everyone is shooting photos. Now.
The other thing is we have so much photomorphing and
so much photoshopping that somehow a regular person is looking
(03:50):
online and it's like, wait a second, every human being
I'm looking at online has great jaw. No, that's not true.
It's lighting, its manipulation, it's positioning. Like I have patients
who come in and I'll say, well, part of it
is the way your posture. I mean, when you're kind
of slouched, your chin and jaw kind of sag, and
then when you're standing erect and you're holding your head straight,
(04:13):
all of a sudden you got like a jaw advancement.
So positioning makes a huge difference. So we're going to
go through all of the dos and don'ts and all
the specifics. So let's just dive right in and say, Okay,
what actually creates what pieces create a strong jaw line?
Number one, and by far the most important thing is
(04:33):
you're mandible your actual jaw bone. Well, what aspect of it?
Number one is how wide it is. I have met many, many,
many a woman who come into my office who have
beautiful jaw lines, and their jawbone is wider than mine,
and I'm jealous. So we are attracted to why jawbones.
(04:53):
Narrow jawbones that is, at the angle of the jaw
don't create the underhang. There isn't a shadow underneath it,
and then your face runs straight into your neck. When
your face, your face runs straight down and there is
no underhang and goes straight into your neck. It's not attractive.
So the wider your jawbones at the angle, the more underhang,
(05:18):
the more defined, and your jaw looks Two. We like bone,
the mandible to be protruding. We want it to come
off the face. That has to do with how strong
your mandible is in the front of your face. And
that matters both in terms of how strong your jaw
is and also how far back your neck is. So
(05:38):
sometimes people are unlucky. They have a really big neck.
Their jaw is fine, but their neck sits so large
that the space under their chin is very limited. Next,
we like a little bit some width to the front
of our jaw. Now this varies slightly between man and woman.
Having a wide jaw. It looks in women and in
(06:00):
men having a wide chin you definitely varies from man
to women. This is gender specific. Men look beautiful with
wide jaws. Women look better with sort of still wide
but more maybe heart shaped or a little bit refined.
But I would argue you still need a strong jaw
even in a woman. You don't want some small, little, weak,
(06:22):
little chin in the front. Okay. So bone structure is
by far the number one thing your physical mandible. The
next thing is your actual chin. Now, your chin is
only a small part of your mandible. In other words,
people come in and like, hey, doctor bottam here, I
don't really like my profile. I'm here for a chin implant.
And then I look at their chin, which is just
(06:43):
the front end of your mandible, and I'm like, your
chin looks great, it's projecting, it's coming off your face,
but your mandible is weak. You can't just stick a
chin implant on a person whose chin is good but
they're mandible is weak. Then their chin looks crazy. So
a chin is a specific part of the mandible that
(07:05):
can be enhanced if it's the reason you look like
you have a weak jaw next your neck contour. So
your mandible is amazing. You got a strong bony element,
yet underneath, which we would call the submentum. So you
have your chin and then underneath it is the space
underneath it until you go straight and hit your neck
(07:27):
and then go down. So naturally we want a sharp
contour there. Right. What makes for a strong jaw is
a ninety degree angle. Very hard to find a ninety
degree angle from your mandible to your neck. So what
makes that ninety degree angle? Number one, how much fat
do you have in your submantum. So obviously if you're overweight,
(07:50):
ninety five percent of people carry some fat in their
neck and it obliterates that jawline. I can't tell you
the number of people I've seen that look like they
had a weak chin rather excuse me, a weak jaw.
They went on ozampiic Manjaro, lost weight, gas or sleep whatever,
lost one hundred pounds and you're like, bro, wow, what
a jawline you have. And the bone was always there,
(08:13):
it was just covered by fat. So the thinner you get,
without a doubt, the better your jaw line look, because
the less fat you have in your neck, which sharpens
that angle. The next thing is how much skin is
hanging right. A loose skin causes the angle to go
from ninety degrees to be uptunded. And then it looks
(08:33):
kind of like the neck runs straight into the chin.
Right if you look at imagine exaggerate. Look at your
grandmother or your grandfather. They have just loose turkey neck
and you look from the side and you'd see the chin,
and then the skin starts and it goes straight down
to the neck. And then lastly we're looking at the muscles, right,
(08:56):
so their skin, fat and muscle in the neck and muscles.
Some people get what's called platismal banding. The muscles start
to sag separate, and then when you talk, they're kind
of like a tends. So an easy way is grimace,
look in the mirror and go ah, and then you
see the bands popping out. Some people's bands are there
all the time because of either hyperactivity or laxity in
(09:19):
the muscles. So that is the anatomy of a jaw.
Everything I just mention bone, skin, muscle, and fat. Therefore,
you should imagine if someone comes in and says, hey,
doctor bron, I don't like my jaw. It looks weak.
I want a stronger jaw. We need to analyze what
part is causing the issue. So we address it hypothetically.
(09:42):
Like I said, if your issues that you got loose skin,
you can't put a chin in plant and that's not
going to fix the problem. And conversely, if you have
super super tight skin, very little fat and a weak chin,
we're not gonna LiPo your neck, right, we need to
find the issue. So one of the misconceptions, and I
really believe this when it comes to the jaw, nonsurgical
(10:06):
things suck in general. I think most non surgical things suck. No,
it's not because I'm a surgeon and I'm greedy and
I want your money. It's because the results are shitty
and they don't deliver what they're supposed to deliver. Botox
is amazing. It delivers what it needs to deliver. I
love it filler in the right place. So I'm not
anti non surgical, but nine out of ten non surgical
(10:28):
lasers and kuypella is just garbage. So the reason why
I think it's nonsensical is it doesn't address the things
surgically tightening the skin. Zero none, never, not happening, not yet.
I hope it happens. I'd love not to operate on
you and just charge you to come and do lasers,
but it doesn't happen removal of fat from underneath the
(10:50):
neck when you do it surgically, rather should be nonsurgically
with like a Kupella or any of these devices. Cool sculpting.
All it really does in most instances has caused louse skin. Well, shit,
now I have a new problem. Muscle bands not so bad.
You can boot botox them. So if your issue is
muscle bands, nine out of ten jaw issues are not
muscle bands. Let's be honest. You can botox them. And
(11:13):
then the number one culprit in the jaw is filler.
So filler in the jaw to me makes me cringe
because the issue is you're missing bone, right, You're missing
some type of bone right, and you're replacing bone hard, rigid, sharp,
with smushy, gooey gel and or fat. And then you
(11:35):
have this rubbery, fatty face and so many this sort
of like pillow face. All the stuff that we're talking
about online occurs from overfilling. You're filling your tissue making
it heavy and saggy to replicate sharp bone. Like right there,
It should make total sense to you when is filler
(11:55):
a good idea? When you have a tiny amount of
weakness around the chin and jaw line, maybe in the
angle of your jaw and as it was originally designed
for a small degree of camouflage. Sure, no problem. I
like my jaw. It's pretty good. I wouldn't mind having
just a little little bit of extra fullness. Boom, filler
(12:17):
come in. It's affordable, it's quick, downtime is not much.
Oh amazing with designed for that. Great, But when you
start using the hammer as a saw, then we run
into problems. And I can tell you the number of people,
especially as they start aging, that are using filler incorrectly
and they come in and we have to reverse it.
(12:37):
They look. I call it a Koy effect. I don't
know if you know what KOI like the koyfish decide.
Did their face get heavy and kind of hang and
they got those little tentaical things. Anyways, if you don't
know the visual then or bulldog or what have you. Okay,
So non surgical things, for the most park are just nonsensical.
So let's go through each of the items and talk
about it. So weakchin, gold stand, no question, chin implant
(13:03):
boom done, home run, amazing finished. I've done a thousand
episodes on chin implants. I teach the course for the company.
I do more chin implants than almost anyone I know,
and when done correctly, it's amazing. Ah But I don't
want to look like Jay Leno. I just want a
little bit wrong. Chin implants come in a million variations. Literally,
(13:24):
there are different styles and different sizes. The company makes
Style one, Style two, Style three, Okay, small, medium, large,
extra large, small, medium, large, extraizes. What the hell do
you need a small for? It's barely even visible, Like
you can't even tell I was done. So clearly, a
chin implant doesn't have to be the j Leno chin implant.
(13:45):
You can have the most subtle chin in plant that
you'll kind of be like annoyed that it didn't even matter.
So it's incredibly customizable, both in terms of shape and
with and whatever. So weak chin nine out of ten
boom bam chin implant. What about this sliding genie? You
mean where they go in, open up your chin, take
a sauce, saw off your chin, slide it forward, put
(14:07):
plates and screws. Hell No, it's a terrible surgery. It
is a terrible surgery, and you're gonna be told that, oh,
you have no foreign device. Chin implants are bulletproof. You
leave them in for your whole life. You go live
your life. You don't give a crap. So there's no
one that can convince me that chin implants are not
incredible because for what they are and what they do amazing. Okay,
(14:29):
so weekchin, I got it. What happens if my mandibled
my angle of my jaws or week ah, we got
a little bit of a trickery there. So unlike chin implants, bulletproof,
low complication work great. Angle of the jaw, that is,
the corners of your jaw also have implants, but very
(14:50):
very difficult to insert. Almost always have some degree of
asymmetry and have a lot of complications as a result.
I don't do them. So angle of your jaw not
a bad place for a little bit of filler. But
if you're not blessed, and I'm one of them, not
blessed with amazing angle to the jaw, not a whole
(15:13):
lot that I suggest that you can do to overcome that,
aside from adding a little bit of volume just to
give the protruberans. Now people are running out getting botox
of the angle of their jaw, of their massiter Okay,
why are you getting injections in your massad? Usually it's
getting injections on your masters because you're grinding or TMJ.
(15:35):
The muscle there for chewing is your massad. Be aware,
when you inject the massater to make it weaker so
that you don't grind, you will make the muscle smaller.
When you make the muscle smaller, the width of your
jaw will shrink. And unless you have a massively wide jaw,
(15:57):
in my opinion, it takes away from the beauty of
your jaw. Be aware. Botox in the massa or does
not enhance your jaw. It makes your jaw look worse.
Unless in some Asian cultures, people's mandibles are so wide
and their massaters are so strong that it maybe makes
it a little softer in some females, but by and large,
(16:19):
I think it makes it look weaker. Okay, Next, what
happens if I have fat in my neck? Well, if
you have fat in your neck, catch the caveat here,
and your chin is strong and your skin is thick. Again,
if you have fat in your chin under your neck,
your sorry under your chin in your neck, and your
(16:40):
chin is strong and your skin is tight I'm a
young person. You can vary judiciously liposuction that fat out. Well,
what happens if I have a weak chin or my
skin is a little loose, you will get more loose skin.
If you liposuction the fat in your neck and your
chin is weak or your skin is loose, it will
get looser. So just isolated fat removal requires everything else
(17:06):
to be intact, so that skin will redrape and look tight.
That happens in young people. That happens in young people,
and only in young people. So if you're a young
person and your skin is nice and tight, and you
have a little bit of fat underneath your chin, but
everything else is fine, you are a candidate for isolated lifrastruction. If, however,
(17:27):
which is I hate to say it, the majority of
people have a sort of, I don't know, a union
of things. They have a little bit of loose skin,
their chin isn't great, they have a little bit of fat,
and their jaws a little weak. Then, unfortunately, and I
hate to say it, the right surgery to get that
sharper jawline is a necklift. That's correct. A necklift, A
(17:50):
necklift that's crazy. Yeah, a necklift. We have to restructure
this area, and a necklift requires an incision under the chin.
You go in, you take out the fat surgically. You
go under the muscle. You take out the fat surgically.
You sew the muscle together like a hammock, tightening it
and pushing it back to your jaw, making it a
(18:11):
sharper angle. You then go behind the ear. You open,
you find the muscle of the neck, the potisma there.
You pull it like a hammock. You tighten the skin,
and bam, you have a sharper jaw line. Unfortunately, in
the neck and in the jaw, in order to create
(18:32):
in many people the look that they want, they need
that surgery. And it's not a little surgery. The little
mickey mouse procedures don't often make people satisfied when it
comes to the neck and jaw, whereas for example, oh
my ears are a little prominent, bing bang bing, one
(18:53):
hour surgery, pin your ear off, you go, satisfaction rate
through the roof. Right, my brow is a little set,
little brow incision, elevate the brow bing bang boong hour later,
one hundred percent satisfaction eye lid skin look. You see.
There are other procedures that are very linear, very effective.
Neck is not one of them. The anatomy is incredibly convoluted,
(19:15):
so you kind of need a necklift. And if you're
even older now I'm like, oh, now I'm forty six,
forty seven, fifty three, sixty two. The neck then bleeds
into the face and you need a facelift. But I'm
here for my neck. You need a facelift because your
neck is attached to your face and it's all one
sheet of paper. The isolated necklift only works in young people.
(19:37):
I'm talking thirties, late twenties. Not that you need a
necklift because you have a saggy neck. You just don't
like the contour of your neck. But as you get
older and it starts getting saggy, you're gonna need a
facelift as well. Okay, Now, as I said to you before,
the key here is understanding your anatomy. And I really
(19:59):
think of all the areas of the face, the one
that's most difficult to get an understanding of by yourself
is your neck. And you really need a trained person
to take you through each of these categories. But now
you have knowledge. Is it the fat under my neck?
Am I overweight? Is it that my jaw is weak
or my chin is weak or both. Do I have
(20:22):
laxity in my skin and it's kind of loose and
kind of a little bit hanging. Is my neck really
large and pushing forward? Do I have lax muscles that
if they were sewn together and tightened it would be better.
So it's a super super complicated and convoluted area. But
(20:42):
one thing is for sure, and this is just my
humble opinion, Mickey Mouse. Nonsurgical, quick and dirty things almost
never make people love their jaw line, and probably the
only thing that can that can help is filler, but
done judaeously in the right patient, in the right places,
(21:03):
without making you look bulldoggy, heavy and frankly a little
bit wide and weird. Okay, So, at any rate, I'm
very straightforward episode in that it was very lazier focused
on getting you the key elements of a neck. I
will tell you very very few people have that incredible
(21:23):
Brad Pitt, Angelia Julia Jaw. I don't have one, obviously,
and most of the image you see online are photoshopped
or positional. In other words, if I bend my neck
and push it forward, my jaw looks much much, much sharper,
So don't be tough on yourself. Cut yourself some slack.
All right, guys, that's a wrap on this episode of
Plastic Surgery Uncensored. As always, I'm your host. I hope
(21:45):
you enjoyed it. I have two parting favors. One. If
you like the show, do me a huge favor. Right
now as we're speaking, put pause, go write us an
amazing review. Oh my god, the best episode ever. Write
something nice. There's so many people involved in this podcast,
from editing, filming, posting, etc. And they all really really
appreciate the positive reviews. And the others. Share this episode
(22:09):
or episodes for that matter, with a few of your friends.
Two friends that you think, huh, maybe they would go
do something, and by the time they realized it, it was
too late. I wish I had sent them this or
other episodes. It would be very helpful. We really really
hope that the knowledge is used. All right, guys, that's
a wrap. I'll see you all next week on Plastic
Surgery Uncensored.
Welcome to another episode of Plastic Surgery Uncensored. As always,
I'm your host, Doctor Roddy Raban, and we have a
fantastic episode for you because we're chatting about celebrity jaw lines.
I hate the word celebrity, but it's a clickbait thing,
and my staff tells me I gotta throw it in
because somehow that you guys like that. So I don't
really give a shit if it's a celebrity of the
jaw line. But to be honest, most celebrities do have
(00:30):
a pretty nice jaw line. Is that celebrities have jaw
Is it that they become a celebrity because they have
a good jaw line or because they get a good
jaw line? I don't know at any rate, how do
we get an amazing jaw line. Well, it turns out
jaw lines, in my opinion, are the single most critical
(00:54):
aspect of facial beauty. Let me reiterate a person, man
or woman, and this is very interesting man or woman.
You look at them. They're Asian, they're Mexican, they're black,
they're Middle Eastern, and you say, wow, that person is beautiful.
They may have different shaped eyes, they may have different
(01:14):
shaped brows. They may have different shaped lips, they may
have different shaped noses, they may have different color hair,
they may have different kind of hair. All of them,
every one of them will have a strong jaw. Have
you ever noticed that? Go check it out now, stop
this episode, Pull up your favorite three celebrity crushes, and
(01:37):
irrespective of what they are, what they're not, every one
of them has a badass jaw. And I think that
is primordial. I think that's built into our genetics. I
think that, you know, we look for things that are
signs of strength and reproducibility and genetics. That's why we're
attracted to let's say, tall people or strong people, or
(02:00):
beautiful people or smart people. We want to reproduce that.
And I think that having a strong jaw is something
really sort of like primordial in our who we are
at any rate, it doesn't matter. Bottom line is it
looks good and everybody wants it. And interestingly enough, unlike
ears and eyelids and noses, it's actually a very complicated
(02:21):
area of the body and anatomy and you and you
can't just go in and do a jaw surgery and
have a nice jaw, right, You can have a terrible nose,
do a rhinoplasty. It's nice. You have big ears, we
pin them. It's nice. You have sagging eyebrows, we lift them.
They're nice. But if you have a crappy jaw line
and you want a nice jaw line, there's like five
or six different things that lead to it that you
(02:44):
need to figure out which one is off to fix it.
There isn't a jaw surgery. There is chin implants, there's
mental the sub mental liposuction, there's jaw advancement. There's so
many elements to it, and we're gonna go through all
of it. And as a result, more than anything else,
it requires a great analysis. In other words, when people
are coming to my office, they're like, I don't like
(03:06):
my profile or my jaw. We got to sit down,
I gotta hold the mirror, and I gotta go through
each area and show them what in them which is
different in the last patient, is causing them to have
perhaps a weaker jaw line, because it's completely different from
person to person. So we're going to do that. I
think that in general, jaw lines are really really popular
(03:28):
now because we're looking at four hundred million images, whereas
in the past we looked at four hundred thousand images.
Social media is constant red carpets. Everyone is shooting photos. Now.
The other thing is we have so much photomorphing and
so much photoshopping that somehow a regular person is looking
(03:50):
online and it's like, wait a second, every human being
I'm looking at online has great jaw. No, that's not true.
It's lighting, its manipulation, it's positioning. Like I have patients
who come in and I'll say, well, part of it
is the way your posture. I mean, when you're kind
of slouched, your chin and jaw kind of sag, and
then when you're standing erect and you're holding your head straight,
(04:13):
all of a sudden you got like a jaw advancement.
So positioning makes a huge difference. So we're going to
go through all of the dos and don'ts and all
the specifics. So let's just dive right in and say, Okay,
what actually creates what pieces create a strong jaw line?
Number one, and by far the most important thing is
(04:33):
you're mandible your actual jaw bone. Well, what aspect of it?
Number one is how wide it is. I have met many, many,
many a woman who come into my office who have
beautiful jaw lines, and their jawbone is wider than mine,
and I'm jealous. So we are attracted to why jawbones.
(04:53):
Narrow jawbones that is, at the angle of the jaw
don't create the underhang. There isn't a shadow underneath it,
and then your face runs straight into your neck. When
your face, your face runs straight down and there is
no underhang and goes straight into your neck. It's not attractive.
So the wider your jawbones at the angle, the more underhang,
(05:18):
the more defined, and your jaw looks Two. We like bone,
the mandible to be protruding. We want it to come
off the face. That has to do with how strong
your mandible is in the front of your face. And
that matters both in terms of how strong your jaw
is and also how far back your neck is. So
(05:38):
sometimes people are unlucky. They have a really big neck.
Their jaw is fine, but their neck sits so large
that the space under their chin is very limited. Next,
we like a little bit some width to the front
of our jaw. Now this varies slightly between man and woman.
Having a wide jaw. It looks in women and in
(06:00):
men having a wide chin you definitely varies from man
to women. This is gender specific. Men look beautiful with
wide jaws. Women look better with sort of still wide
but more maybe heart shaped or a little bit refined.
But I would argue you still need a strong jaw
even in a woman. You don't want some small, little, weak,
(06:22):
little chin in the front. Okay. So bone structure is
by far the number one thing your physical mandible. The
next thing is your actual chin. Now, your chin is
only a small part of your mandible. In other words,
people come in and like, hey, doctor bottam here, I
don't really like my profile. I'm here for a chin implant.
And then I look at their chin, which is just
(06:43):
the front end of your mandible, and I'm like, your
chin looks great, it's projecting, it's coming off your face,
but your mandible is weak. You can't just stick a
chin implant on a person whose chin is good but
they're mandible is weak. Then their chin looks crazy. So
a chin is a specific part of the mandible that
(07:05):
can be enhanced if it's the reason you look like
you have a weak jaw next your neck contour. So
your mandible is amazing. You got a strong bony element,
yet underneath, which we would call the submentum. So you
have your chin and then underneath it is the space
underneath it until you go straight and hit your neck
(07:27):
and then go down. So naturally we want a sharp
contour there. Right. What makes for a strong jaw is
a ninety degree angle. Very hard to find a ninety
degree angle from your mandible to your neck. So what
makes that ninety degree angle? Number one, how much fat
do you have in your submantum. So obviously if you're overweight,
(07:50):
ninety five percent of people carry some fat in their
neck and it obliterates that jawline. I can't tell you
the number of people I've seen that look like they
had a weak chin rather excuse me, a weak jaw.
They went on ozampiic Manjaro, lost weight, gas or sleep whatever,
lost one hundred pounds and you're like, bro, wow, what
a jawline you have. And the bone was always there,
(08:13):
it was just covered by fat. So the thinner you get,
without a doubt, the better your jaw line look, because
the less fat you have in your neck, which sharpens
that angle. The next thing is how much skin is
hanging right. A loose skin causes the angle to go
from ninety degrees to be uptunded. And then it looks
(08:33):
kind of like the neck runs straight into the chin.
Right if you look at imagine exaggerate. Look at your
grandmother or your grandfather. They have just loose turkey neck
and you look from the side and you'd see the chin,
and then the skin starts and it goes straight down
to the neck. And then lastly we're looking at the muscles, right,
(08:56):
so their skin, fat and muscle in the neck and muscles.
Some people get what's called platismal banding. The muscles start
to sag separate, and then when you talk, they're kind
of like a tends. So an easy way is grimace,
look in the mirror and go ah, and then you
see the bands popping out. Some people's bands are there
all the time because of either hyperactivity or laxity in
(09:19):
the muscles. So that is the anatomy of a jaw.
Everything I just mention bone, skin, muscle, and fat. Therefore,
you should imagine if someone comes in and says, hey,
doctor bron, I don't like my jaw. It looks weak.
I want a stronger jaw. We need to analyze what
part is causing the issue. So we address it hypothetically.
(09:42):
Like I said, if your issues that you got loose skin,
you can't put a chin in plant and that's not
going to fix the problem. And conversely, if you have
super super tight skin, very little fat and a weak chin,
we're not gonna LiPo your neck, right, we need to
find the issue. So one of the misconceptions, and I
really believe this when it comes to the jaw, nonsurgical
(10:06):
things suck in general. I think most non surgical things suck. No,
it's not because I'm a surgeon and I'm greedy and
I want your money. It's because the results are shitty
and they don't deliver what they're supposed to deliver. Botox
is amazing. It delivers what it needs to deliver. I
love it filler in the right place. So I'm not
anti non surgical, but nine out of ten non surgical
(10:28):
lasers and kuypella is just garbage. So the reason why
I think it's nonsensical is it doesn't address the things
surgically tightening the skin. Zero none, never, not happening, not yet.
I hope it happens. I'd love not to operate on
you and just charge you to come and do lasers,
but it doesn't happen removal of fat from underneath the
(10:50):
neck when you do it surgically, rather should be nonsurgically
with like a Kupella or any of these devices. Cool sculpting.
All it really does in most instances has caused louse skin. Well, shit,
now I have a new problem. Muscle bands not so bad.
You can boot botox them. So if your issue is
muscle bands, nine out of ten jaw issues are not
muscle bands. Let's be honest. You can botox them. And
(11:13):
then the number one culprit in the jaw is filler.
So filler in the jaw to me makes me cringe
because the issue is you're missing bone, right, You're missing
some type of bone right, and you're replacing bone hard, rigid, sharp,
with smushy, gooey gel and or fat. And then you
(11:35):
have this rubbery, fatty face and so many this sort
of like pillow face. All the stuff that we're talking
about online occurs from overfilling. You're filling your tissue making
it heavy and saggy to replicate sharp bone. Like right there,
It should make total sense to you when is filler
(11:55):
a good idea? When you have a tiny amount of
weakness around the chin and jaw line, maybe in the
angle of your jaw and as it was originally designed
for a small degree of camouflage. Sure, no problem. I
like my jaw. It's pretty good. I wouldn't mind having
just a little little bit of extra fullness. Boom, filler
(12:17):
come in. It's affordable, it's quick, downtime is not much.
Oh amazing with designed for that. Great, But when you
start using the hammer as a saw, then we run
into problems. And I can tell you the number of people,
especially as they start aging, that are using filler incorrectly
and they come in and we have to reverse it.
(12:37):
They look. I call it a Koy effect. I don't
know if you know what KOI like the koyfish decide.
Did their face get heavy and kind of hang and
they got those little tentaical things. Anyways, if you don't
know the visual then or bulldog or what have you. Okay,
So non surgical things, for the most park are just nonsensical.
So let's go through each of the items and talk
about it. So weakchin, gold stand, no question, chin implant
(13:03):
boom done, home run, amazing finished. I've done a thousand
episodes on chin implants. I teach the course for the company.
I do more chin implants than almost anyone I know,
and when done correctly, it's amazing. Ah But I don't
want to look like Jay Leno. I just want a
little bit wrong. Chin implants come in a million variations. Literally,
(13:24):
there are different styles and different sizes. The company makes
Style one, Style two, Style three, Okay, small, medium, large,
extra large, small, medium, large, extraizes. What the hell do
you need a small for? It's barely even visible, Like
you can't even tell I was done. So clearly, a
chin implant doesn't have to be the j Leno chin implant.
(13:45):
You can have the most subtle chin in plant that
you'll kind of be like annoyed that it didn't even matter.
So it's incredibly customizable, both in terms of shape and
with and whatever. So weak chin nine out of ten
boom bam chin implant. What about this sliding genie? You
mean where they go in, open up your chin, take
a sauce, saw off your chin, slide it forward, put
(14:07):
plates and screws. Hell No, it's a terrible surgery. It
is a terrible surgery, and you're gonna be told that, oh,
you have no foreign device. Chin implants are bulletproof. You
leave them in for your whole life. You go live
your life. You don't give a crap. So there's no
one that can convince me that chin implants are not
incredible because for what they are and what they do amazing. Okay,
(14:29):
so weekchin, I got it. What happens if my mandibled
my angle of my jaws or week ah, we got
a little bit of a trickery there. So unlike chin implants, bulletproof,
low complication work great. Angle of the jaw, that is,
the corners of your jaw also have implants, but very
(14:50):
very difficult to insert. Almost always have some degree of
asymmetry and have a lot of complications as a result.
I don't do them. So angle of your jaw not
a bad place for a little bit of filler. But
if you're not blessed, and I'm one of them, not
blessed with amazing angle to the jaw, not a whole
(15:13):
lot that I suggest that you can do to overcome that,
aside from adding a little bit of volume just to
give the protruberans. Now people are running out getting botox
of the angle of their jaw, of their massiter Okay,
why are you getting injections in your massad? Usually it's
getting injections on your masters because you're grinding or TMJ.
(15:35):
The muscle there for chewing is your massad. Be aware,
when you inject the massater to make it weaker so
that you don't grind, you will make the muscle smaller.
When you make the muscle smaller, the width of your
jaw will shrink. And unless you have a massively wide jaw,
(15:57):
in my opinion, it takes away from the beauty of
your jaw. Be aware. Botox in the massa or does
not enhance your jaw. It makes your jaw look worse.
Unless in some Asian cultures, people's mandibles are so wide
and their massaters are so strong that it maybe makes
it a little softer in some females, but by and large,
(16:19):
I think it makes it look weaker. Okay, Next, what
happens if I have fat in my neck? Well, if
you have fat in your neck, catch the caveat here,
and your chin is strong and your skin is thick. Again,
if you have fat in your chin under your neck,
your sorry under your chin in your neck, and your
(16:40):
chin is strong and your skin is tight I'm a
young person. You can vary judiciously liposuction that fat out. Well,
what happens if I have a weak chin or my
skin is a little loose, you will get more loose skin.
If you liposuction the fat in your neck and your
chin is weak or your skin is loose, it will
get looser. So just isolated fat removal requires everything else
(17:06):
to be intact, so that skin will redrape and look tight.
That happens in young people. That happens in young people,
and only in young people. So if you're a young
person and your skin is nice and tight, and you
have a little bit of fat underneath your chin, but
everything else is fine, you are a candidate for isolated lifrastruction. If, however,
(17:27):
which is I hate to say it, the majority of
people have a sort of, I don't know, a union
of things. They have a little bit of loose skin,
their chin isn't great, they have a little bit of fat,
and their jaws a little weak. Then, unfortunately, and I
hate to say it, the right surgery to get that
sharper jawline is a necklift. That's correct. A necklift, A
(17:50):
necklift that's crazy. Yeah, a necklift. We have to restructure
this area, and a necklift requires an incision under the chin.
You go in, you take out the fat surgically. You
go under the muscle. You take out the fat surgically.
You sew the muscle together like a hammock, tightening it
and pushing it back to your jaw, making it a
(18:11):
sharper angle. You then go behind the ear. You open,
you find the muscle of the neck, the potisma there.
You pull it like a hammock. You tighten the skin,
and bam, you have a sharper jaw line. Unfortunately, in
the neck and in the jaw, in order to create
(18:32):
in many people the look that they want, they need
that surgery. And it's not a little surgery. The little
mickey mouse procedures don't often make people satisfied when it
comes to the neck and jaw, whereas for example, oh
my ears are a little prominent, bing bang bing, one
(18:53):
hour surgery, pin your ear off, you go, satisfaction rate
through the roof. Right, my brow is a little set,
little brow incision, elevate the brow bing bang boong hour later,
one hundred percent satisfaction eye lid skin look. You see.
There are other procedures that are very linear, very effective.
Neck is not one of them. The anatomy is incredibly convoluted,
(19:15):
so you kind of need a necklift. And if you're
even older now I'm like, oh, now I'm forty six,
forty seven, fifty three, sixty two. The neck then bleeds
into the face and you need a facelift. But I'm
here for my neck. You need a facelift because your
neck is attached to your face and it's all one
sheet of paper. The isolated necklift only works in young people.
(19:37):
I'm talking thirties, late twenties. Not that you need a
necklift because you have a saggy neck. You just don't
like the contour of your neck. But as you get
older and it starts getting saggy, you're gonna need a
facelift as well. Okay, Now, as I said to you before,
the key here is understanding your anatomy. And I really
(19:59):
think of all the areas of the face, the one
that's most difficult to get an understanding of by yourself
is your neck. And you really need a trained person
to take you through each of these categories. But now
you have knowledge. Is it the fat under my neck?
Am I overweight? Is it that my jaw is weak
or my chin is weak or both. Do I have
(20:22):
laxity in my skin and it's kind of loose and
kind of a little bit hanging. Is my neck really
large and pushing forward? Do I have lax muscles that
if they were sewn together and tightened it would be better.
So it's a super super complicated and convoluted area. But
(20:42):
one thing is for sure, and this is just my
humble opinion, Mickey Mouse. Nonsurgical, quick and dirty things almost
never make people love their jaw line, and probably the
only thing that can that can help is filler, but
done judaeously in the right patient, in the right places,
(21:03):
without making you look bulldoggy, heavy and frankly a little
bit wide and weird. Okay, So, at any rate, I'm
very straightforward episode in that it was very lazier focused
on getting you the key elements of a neck. I
will tell you very very few people have that incredible
(21:23):
Brad Pitt, Angelia Julia Jaw. I don't have one, obviously,
and most of the image you see online are photoshopped
or positional. In other words, if I bend my neck
and push it forward, my jaw looks much much, much sharper,
So don't be tough on yourself. Cut yourself some slack.
All right, guys, that's a wrap on this episode of
Plastic Surgery Uncensored. As always, I'm your host. I hope
(21:45):
you enjoyed it. I have two parting favors. One. If
you like the show, do me a huge favor. Right
now as we're speaking, put pause, go write us an
amazing review. Oh my god, the best episode ever. Write
something nice. There's so many people involved in this podcast,
from editing, filming, posting, etc. And they all really really
appreciate the positive reviews. And the others. Share this episode
(22:09):
or episodes for that matter, with a few of your friends.
Two friends that you think, huh, maybe they would go
do something, and by the time they realized it, it was
too late. I wish I had sent them this or
other episodes. It would be very helpful. We really really
hope that the knowledge is used. All right, guys, that's
a wrap. I'll see you all next week on Plastic
Surgery Uncensored.
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