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The Journal

Dermal Fillers

The Male Executive Refresh: Combining Jawline Structuring, Masseter Injections, and Under-Eye Boosters

28 October 202613 min read
The Male Executive Refresh: Combining Jawline Structuring, Masseter Injections, and Under-Eye Boosters

Many men in professional environments find themselves increasingly aware of how fatigue, stress, and the natural ageing process can alter their appearance over time. Whether it is a softer jawline, persistent under-eye hollowing, or a jaw that appears broader due to habitual teeth-grinding, these concerns are prompting a growing number of men in London to research aesthetic treatments discreetly and thoughtfully.

01

Introduction

Many men in professional environments find themselves increasingly aware of how fatigue, stress, and the natural ageing process can alter their appearance over time. Whether it is a softer jawline, persistent under-eye hollowing, or a jaw that appears broader due to habitual teeth-grinding, these concerns are prompting a growing number of men in London to research aesthetic treatments discreetly and thoughtfully.

The concept of the male executive refresh — combining jawline structuring, masseter injections, and under-eye boosters — has gained considerable traction among men seeking a rested, defined, and natural-looking result without dramatic change. Understanding the individual components of this combined approach, how they work, and what realistic outcomes might look like is an important first step before considering any treatment.

This article provides an educational overview of each treatment element, the science underpinning them, who may find a professional consultation worthwhile, and what to consider when exploring these options. It is not intended as a substitute for personalised clinical advice.

02

What Is the Male Executive Refresh?

The male executive refresh refers to a combined aesthetic approach addressing three key facial concerns common in men: a softening jawline, an overly wide or tense jaw caused by masseter muscle enlargement, and under-eye hollowing or fatigue. Each element is assessed and delivered individually, tailored to the patient's anatomy following a professional consultation. Results vary by individual.

03

Understanding the Three Core Treatment Areas

Jawline Structuring in Men

The jawline is widely considered a defining feature of male facial aesthetics. As men age, gradual bone resorption and soft tissue descent can soften the angle of the jaw, reduce projection at the chin, and blur the boundary between the face and neck. This process is entirely natural and varies considerably between individuals.

Jawline structuring, often achieved using injectable dermal fillers placed along the jaw angle, body, and chin, aims to restore or enhance definition in this region. The goal is typically to create a cleaner, more angular profile rather than an exaggerated look.

It is important to note that results depend heavily on individual facial anatomy, skin quality, and the skill of the treating practitioner. Fillers used in the jawline area carry specific risks — including rare but serious vascular complications — which is why assessment by a medically qualified practitioner is strongly recommended before any treatment.

For those exploring dermal filler treatments for facial structure, a thorough consultation should always be the starting point.

Masseter Injections: Addressing Jaw Width and Tension

The masseter muscle sits at the angle of the jaw on either side of the face and is responsible for chewing. In some individuals — particularly those who clench or grind their teeth (a condition called bruxism) — this muscle can become significantly enlarged, creating a broader, more square lower face than the individual desires.

Masseter injections involve the use of a prescription anti-wrinkle treatment (commonly known as anti-wrinkle injections) placed into the masseter muscle to reduce its activity. Over a period of several weeks following treatment, the muscle gradually reduces in size, which can result in a slimmer, more tapered lower facial appearance. Some patients also report a reduction in jaw tension, headaches, or discomfort associated with teeth grinding, though this is a secondary consideration and not the primary aesthetic aim of this type of treatment.

Results are not permanent. Muscle activity typically returns over time, and maintenance appointments are usually required every six to twelve months, depending on the individual response. Treatment suitability must be assessed on a case-by-case basis.

Under-Eye Boosters: Addressing Hollowing and Fatigue

The under-eye area is one of the earliest regions to show signs of fatigue and ageing in both men and women. The tear trough — the groove running from the inner corner of the eye along the lower orbital rim — can become more prominent as facial fat pads descend and volume diminishes beneath the eye.

Under-eye boosters may refer to a range of treatment approaches, including:

  • Tear trough filler: Hyaluronic acid filler placed carefully beneath the eye to reduce the appearance of hollowing
  • Skin boosters or polynucleotides: Injectable treatments designed to improve skin hydration, texture, and quality in the under-eye area rather than add volume
  • Combined approaches: Some patients may benefit from addressing both volume and skin quality simultaneously

The tear trough is considered a high-risk area for filler injection due to the proximity of important vascular structures. This treatment should only be carried out by highly experienced practitioners with an appropriate medical background. Bruising, swelling, and in rare cases more serious complications are possible.

Those interested in exploring under-eye treatment options may find skin booster and polynucleotide approaches particularly relevant for improving under-eye skin quality. For further background, this article on how practitioners assess under-eye concerns before treatment explains what is reviewed in clinic.

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04

The Science Behind Facial Ageing in Men

Understanding why these concerns develop can help men make more informed decisions about whether and when to seek professional advice.

Bone Resorption and Soft Tissue Descent

Facial ageing is not simply about skin becoming less smooth. The underlying bony skeleton gradually remodels with age, with studies suggesting that certain areas — including the orbital rim (around the eye socket) and the mandible (jawbone) — lose both volume and projection over time. This bony change alters the foundation upon which soft tissue and skin rest, contributing to hollowing under the eyes, softening of jaw angles, and changes in facial proportions.

Loss of Subcutaneous Fat and Collagen

Beneath the skin, fat compartments that once provided youthful volume gradually atrophy or descend. Simultaneously, collagen and elastin fibres — the proteins that give skin its firmness and elasticity — diminish in both quantity and quality from the mid-twenties onward. In men, this process is often more pronounced in certain areas such as the undereye due to naturally thinner skin in that region.

Muscle Hypertrophy in the Masseter

Unlike much of the face, where muscle activity contributes to wrinkle formation, the masseter presents a different dynamic. Repeated, forceful clenching or grinding causes the muscle fibres to enlarge — much as any repeatedly exercised muscle would. This is a structural change that can affect the perceived shape and width of the lower face.

05

Who May Find a Professional Consultation Worthwhile?

A professional aesthetic consultation may be a useful step for men who:

  • Notice a progressive softening or loss of definition along the jawline
  • Feel that the lower face appears broader or more square than they would prefer, particularly if they are aware of teeth grinding
  • Experience persistent under-eye hollowing or shadows that leave them looking tired regardless of their sleep habits
  • Are considering aesthetic treatment for the first time and would like unbiased, medically informed guidance
  • Have existing skin or medical concerns that may influence treatment suitability

It is entirely reasonable to attend a consultation purely for information, with no obligation to proceed with any treatment. A reputable practitioner will present options, explain the associated risks and realistic expectations, and support you in making a decision that aligns with your own goals — without pressure.

To explore your options with a qualified practitioner, booking a consultation at Pantaleo Clinic is a straightforward first step.

06

Combining Treatments: Potential Benefits and Realistic Expectations

Potential Benefits of a Combined Approach

When individual treatments are thoughtfully combined and tailored to a patient's specific anatomy, a more harmonious outcome may be achievable than by addressing a single concern in isolation. For example:

  • Jawline structuring can enhance definition and create a cleaner lower facial border
  • Masseter injections can reduce excessive width and create a more tapered appearance, complementing jawline work
  • Under-eye treatment can address hollowing and improve the skin quality around the eyes, contributing to a less fatigued appearance

Realistic Expectations

It is important to approach combined treatment with measured expectations. These treatments:

  • Do not stop the ageing process — they may address certain visible changes at a point in time
  • Are not permanent — most injectable treatments require maintenance over months to years
  • Carry individual variability — outcomes differ based on anatomy, skin type, lifestyle, and how each individual responds to treatment
  • Cannot guarantee a specific aesthetic outcome — results are influenced by numerous factors outside the practitioner's control

Limitations to Consider

  • Not all patients are suitable candidates — underlying health conditions, medications, or anatomical factors may affect suitability
  • Swelling, bruising, and temporary asymmetry are common after injectable treatments
  • In rare cases, more significant complications may occur, particularly with filler in high-risk areas such as the tear trough and jawline
  • Multiple sessions may be required to achieve or maintain desired results

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07

Aftercare and Skin Health Considerations

Following any injectable treatment, responsible aftercare supports recovery and helps maintain results. General guidance for patients following jawline, masseter, or under-eye injections typically includes:

  • Avoiding strenuous exercise for 24–48 hours following treatment to minimise swelling and bruising
  • Keeping the treated areas cool and avoiding excessive heat (saunas, steam rooms, direct sunlight) in the immediate days following treatment
  • Not massaging or applying pressure to treated areas unless specifically advised by your practitioner
  • Staying well hydrated — particularly relevant for those who have received hyaluronic acid-based skin boosters
  • Using broad-spectrum SPF daily — sun exposure accelerates skin ageing and can affect treatment longevity
  • Attending all follow-up appointments — many practitioners schedule a review at two to four weeks post-treatment to assess results and address any concerns

Beyond the post-treatment period, maintaining general skin health through consistent sun protection, adequate hydration, a balanced diet, and good sleep habits remains the foundation of long-term skin wellbeing.

08

Frequently Asked Questions

Is the male executive refresh a single treatment or a combination of procedures?

The male executive refresh is not a single standardised procedure. It is an educational term referring to a combined approach that may include jawline structuring with dermal filler, masseter reduction using prescription anti-wrinkle treatment, and under-eye treatment using filler or skin boosters. Each element is assessed, planned, and delivered individually based on the patient's anatomy, concerns, and suitability. Whether to combine treatments simultaneously or across multiple appointments is a clinical decision made in consultation with a qualified practitioner.

How long do the results of jawline filler typically last?

The longevity of jawline filler varies depending on the product used, the volume placed, individual metabolism, and lifestyle factors. Most hyaluronic acid-based jawline fillers may last between twelve and twenty-four months, though this varies considerably between patients. Filler in high-movement areas may metabolise more quickly. A follow-up assessment with your practitioner will help determine when maintenance may be appropriate. Results are not permanent, and outcomes cannot be guaranteed in advance.

Are masseter injections painful, and how long does recovery take?

Most patients report minimal discomfort during masseter injections, which are typically brief. Mild tenderness, localised swelling, or bruising at the injection sites may occur but usually resolves within a few days. The slimming effect on the masseter develops gradually over four to eight weeks as the muscle reduces in activity and size. There is generally no significant downtime, though patients are typically advised to avoid strenuous exercise and excessive jaw movement for 24 hours following treatment.

What are the risks associated with under-eye filler?

Under-eye or tear trough filler carries a more complex risk profile than many other facial filler treatments due to the proximity of blood vessels and the delicate nature of the periorbital skin. Possible side effects include bruising, swelling, prolonged puffiness, lumpiness, and — in rare but serious cases — vascular occlusion, which can have significant consequences if not promptly identified and managed. This is why treatment in this area should only be undertaken by a medically qualified and experienced practitioner. Individual suitability must be assessed at consultation.

How many sessions are typically needed to see results?

For many patients, a single session may produce visible initial results. However, the number of sessions required depends on the individual's starting point, the extent of the concern being addressed, and the specific treatments chosen. Masseter slimming, for example, may require two to three treatment cycles over twelve months before the full effect is appreciated. Skin booster treatments are often recommended as a course of two to three sessions. Your practitioner will advise you on an appropriate treatment plan following assessment.

Can men with no prior aesthetic treatment experience consider these options?

Yes, men who have not previously had aesthetic treatments can explore these options. A consultation provides the opportunity to ask questions, understand the process, and receive an honest assessment of what may — or may not — be achievable given your anatomy and concerns. Practitioners at reputable clinics will not pressure patients into treatment and will prioritise patient safety and informed decision-making above all else. Attending a consultation does not commit you to any treatment.

09

Conclusion

The growing interest among men in aesthetic treatments such as jawline structuring, masseter injections, and under-eye boosters reflects a broader shift towards informed, considered approaches to appearance and wellbeing. Understanding what these treatments involve, how they work, and what realistic outcomes look like is an essential part of making any aesthetic decision with confidence.

The male executive refresh — as a concept — acknowledges that men's aesthetic concerns are specific, nuanced, and worth addressing with the same care, expertise, and clinical rigour applied to any other area of aesthetic medicine. Whether driven by professional environment, personal confidence, or a desire to look as well as one feels, these considerations are entirely valid.

Treatment suitability, risks, and expected outcomes should always be assessed individually during a professional consultation. No article, however detailed, can substitute for an in-person evaluation by a qualified practitioner who can review your full medical history, assess your facial anatomy, and provide genuinely personalised guidance.

If you are considering any of the treatments discussed in this article, seeking advice from a reputable, medically qualified practitioner remains the most important first step.

P

Written by Pantaleo Team

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