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Guidelines for Optimal Patient Outcomes Using Calcium Hydroxylapatite for Jawline Contour
Aesthetic Surgery Journal. Open Forum
|April 24, 2023
Summary
Calcium hydroxylapatite (CaHA(+)) is an FDA-approved injectable filler for jawline contour improvement. This guidance details best practices for patient selection, injection techniques, and safety for optimal jawline rejuvenation outcomes.
Area of Science:
- Aesthetic Medicine
- Dermatology
- Plastic Surgery
Background:
- Calcium hydroxylapatite (CaHA(+)) is the first FDA-approved injectable filler for improving moderate-to-severe jawline contour loss.
- CaHA(+) offers contour and support for tissue, making it suitable for jawline augmentation.
- Clinicians need awareness of best practices for CaHA(+) use in jawline contouring.
Purpose of the Study:
- To provide guidance on best practices for patient assessment.
- To outline the on-label use of CaHA(+) for jawline rejuvenation and augmentation.
Main Methods:
- A 2-hour roundtable discussion was held with 5 expert clinicians.
- Discussions focused on patient selection, CaHA(+) injection technique, and safety measures.
- Guidance was developed to support optimal clinical use of CaHA(+) for jawline treatments.
Main Results:
- Common CaHA(+) applications include rejuvenation of the prejowl sulcus, jawline recontouring, and gonial angle definition.
- Gonial angle improvement is a popular procedure across genders and ages.
- Case studies and technique variations were presented.
Conclusions:
- Calcium hydroxylapatite (CaHA(+)) is an ideal filler for jawline augmentation due to its rheologic properties.
- CaHA(+) enables the achievement of defined contours and angles for effective jawline enhancement.
- Appropriate injection techniques lead to high patient satisfaction.

