Facial Masculinization in Colombia — Structure Without Surgery
If you feel your face could look more defined — a sharper jaw, a more projected chin, more structure in the midface — hyaluronic acid can build that without surgery. The goal is to reinforce the features you already have, not to install someone else’s. The vessels are mapped with ultrasound before injecting. Cartagena, with consultation days in Bogotá and Medellín.
Jawline, chin and cheekbones
- Colombian Society of Radiology
- CMAC Expert Committee
- International Speaker
- Degree Validated in Spain
- Radiologist + Aesthetic Physician
- WHAT IT IS
Reinforcing masculine structure without an operation
Facial masculinization is a set of non-surgical procedures that reinforce the structural features associated with a masculine face: a defined mandibular angle, a projected chin, lateral cheekbone projection and a flatter brow ridge.
It uses high-density hyaluronic acid placed on bone, so it is reversible and it builds structure rather than volume. What suits your face is decided from your proportions — the same design applied to every face is exactly how a result stops looking like you.
- BENEFITS
What facial masculinization can do for you
Structure, definition and ultrasound guidance throughout.
Natural result
Reinforces the masculine features you already have, without a template.
Reversible
Hyaluronic acid can be dissolved with hyaluronidase if you change your mind.
No surgery
No scalpel, no general anesthesia and no operating room.
Immediate result
The structural change is visible from the first session.
Ultrasound-guided
Millimeter precision, with the vessels visible during placement.
No downtime
Back to your normal activity the same day.
- TREATMENT AREAS
Which areas build the structure
Each area is worked strategically to build a coherent structure, not treated in isolation.
Jawline
Angular definition of the mandibular angle for a squarer lower third.
Chin
Projection and lengthening of the chin to balance the profile.
Cheekbones
Lateral projection of the cheekbones to widen the midface.
Nose
Non-surgical correction of the nasal profile for a straighter line.
Brow ridge
Definition of the supraorbital ridge for a deeper-set look.
Zygomatic arch
Angulation of the midface for a more angular structure.
- STEP BY STEP
How your treatment is done, step by step
A precise four-step protocol.
Facial analysis
Assessment of facial proportions and thirds, and a plan for which areas actually need work.
Preparatory ultrasound
Ultrasound mapping of the facial vessels and nerves in every area to be treated.
Sculpting
Strategic placement of hyaluronic acid under ultrasound guidance in the areas defined by the plan.
Result and follow-up
Evaluation of the result with comparative photographs, and a follow-up appointment at two weeks.
- REAL RESULTS
Facial masculinization before and after
Real patients treated with facial masculinization by Dr. Vives.



- ABOUT THE SPECIALIST
Dr. Jorge Vives Gutiérrez
Radiologist and aesthetic physician. Structural work touches several areas at once, and every one of them adds vessels to avoid. Imaging them first is the point of the ultrasound.
- Universidad de Cartagena, Colombia
- Medical degree validated in Spain
- Speaker at international congresses
- Radiologist — member of the Asociación Colombiana de Radiología
- Member of the CMAC and AAAM expert committees
- International speaker for the Colombian Society of Radiology
- Trains physicians in ultrasound-guided injection technique
- Faculty: Ultrasound and Interventional Techniques in Facial Aesthetics
Where this procedure is performed
The same medical assessment wherever you are treated. Travel from abroad is coordinated in English, around the city that fits your trip.
Cartagena
The main practice, in Bocagrande. Full consultations, assessment and treatment in the same visit.
Booking · Online form or virtual consult
Bogotá
Dr. Vives travels on scheduled dates and sees patients at a partner clinic. Same assessment protocol; procedures are planned around the confirmed date.
Booking · Request the next available date
Medellín
Dr. Vives travels on scheduled dates and sees patients at a partner clinic. Same assessment protocol; procedures are planned around the confirmed date.
Booking · Request the next available date
Bogotá and Medellín are consultation days at partner clinics, not permanent offices — dates are confirmed before you travel.
Start with a virtual consultation- BOOK YOUR APPOINTMENT
Book your consultation
The first step is a personal assessment with Dr. Vives — in Bocagrande, Cartagena, or online before you travel.
- FAQ
Frequently asked questions about facial masculinization
The questions international patients ask most about facial masculinization.
What is facial masculinization?
It is a non-surgical approach that reinforces the structural features of a masculine face — jaw angle, chin, cheekbones, brow ridge — using high-density hyaluronic acid placed on bone.
How much does it cost in Colombia?
The price depends on which areas are treated and how much product each needs. The exact quote is given at the assessment consultation. International patients can request the equivalent in US dollars before traveling.
Does it hurt?
Discomfort is limited. Topical anesthetic cream is applied beforehand and most products contain lidocaine. Most patients describe pressure. Bruising along the jaw for a few days is common.
How long do the results last?
Between 12 and 18 months depending on the area. Structural areas like the jaw and chin move less than the lips, so the product tends to last longer there.
Will it look natural?
That depends entirely on the plan. The approach here is to reinforce the features you already have rather than to impose a template — which is why the assessment starts from your proportions and not from a reference photo. Overfilling a face is what makes a result look done.
Why does ultrasound matter here?
Because these areas contain vessels and nerves whose exact position varies between patients. Ultrasound shows where yours are and confirms the product is sitting on bone rather than in a vessel. That matters more here than in most treatments, because several areas are treated at once.
Can it all be done in one session?
For one or two areas, yes — a single session of about 45 minutes. Full structural plans are usually staged, so each result can be evaluated before adding to it.
Can I see Dr. Vives in Bogotá or Medellín?
Yes. Dr. Vives is based in Cartagena, where he sees patients on a regular weekly schedule at his practice in Bocagrande. He also travels to Bogotá and Medellín on scheduled dates each month and sees patients at a partner clinic in each city, following the same assessment protocol.
Facial masculinization is performed in all three cities. Structural plans are usually staged, so the sequence is arranged around the confirmed consultation dates.
Because Bogotá and Medellín are consultation days rather than permanent offices, dates are confirmed before you travel. Request the next available date through the form and we will confirm the city and the date with you. If you are traveling from abroad, you can also start with an online consultation before booking your trip.
- RELATED TREATMENTS
Treatments that pair well
These procedures are often combined with facial masculinization.
Facial harmonization
Balance and proportion, planned for each face.
Dermal fillers
Filler for lips, tear troughs, cheeks and folds, with natural results.
Masseter Botox
Treatment for jaw clenching, teeth grinding and a squared jawline.
Ultrasound-guided fillers
Procedures guided by ultrasound for greater precision.