Chin Fillers

Chin fillers for augmentation is a common procedure to restore and enhance the lower face. The chin represents a crucial element to facial proportion. Over time, changes to the underlying bony structure, muscle and skin leads to changes such as chin retrusion, chin mentalis muscle hyperactivity and jowl formation. Chin fillers for augmentation helps to restore volume and enhance support to improve lower face rejuvenation and overall facial harmony.

Chin fillers for chin augmentation is a common non-surgical procedure that is effective for individuals who want a more prominent chin. The chin filler procedure can be performed under topical anaesthesia with minimal downtime. Most patients can return to work on the same day of the procedure. Chin fillers lasts for 1-2 years and can be combined with other procedures to enhance your look.

What are Chin Fillers?

Chin fillers that are used for chin augmentation include hyaluronic acid (HA), autologous fat, poly-L-lactic acid (PLLA) and calcium hydroxylapatite. The specific type of chin fillers used depends on your anatomy, costs and product offered.

Hyaluronic acid fillers such as Restylane helps to restore bony loss, thus improving facial contour and definition. Chin fillers enhances your facial features that can be customized to your individual natural look. HA fillers lasts from 1-2 years, look natural and has the element of reversibility if necessary.

Why Chin Fillers?

Chin augmentation treatment options include autologous fat transfer, implants, genioplasty and injectable chin fillers. Surgical procedures are associated with more downtime, pain and potential complications such as infection, nerve damage, extrusion of implants etc.

Injectable chin fillers presents a non-surgical option with minimal downtime and discomfort in appropriate cases. Chin fillers are simple procedures that can be performed in clinic with minimal downtime.

Evaluation of Chin Proportion

What is the ideal chin? Does it differ for men and women? Although there are several guidelines available, chin augmentation has to take into account the overall facial aesthetic proportions. The upper -face, mid-face, nose and lips should be considered when planning for any chin augmentation procedure to create a harmonious appearance.

The pogonion is the most forward projecting point of the chin, whereas the menton is the most backward projecting point of the chin. The gnathion sits midpoint between the pogonion and menton.

The Gonzalez-Ulloa line is a vertical line from the nasion (indentation between the forehead and the nose) to the pogonion. An ideal male chin should just meet this line whereas an ideal female chin should just fall short of this line.

Of course, the chin contour, chin height and chin width with respect to the other facial features must be considered to produce a prominent chin with good aesthetic proportions.

How Chin Filler procedure is done?

Injectable chin fillers can be safely carried out in clinic with minimal downtime. Your skin is cleansed and a numbing cream is applied. The chin filler is injected deep to the skin in the midline plane. You may feel some swelling and mild discomfort but it is tolerable for most individuals.

Can Chin Fillers be combined with other treatment?

As aging affects different areas of the face and different layers of the skin tissue, the best chin fillers approach is often combined with other treatments to achieve a more natural and harmonious look.

Chin retrusion owing to volume loss rarely occurs in isolation. There may be concomitant volume loss over the cheeks, visible laugh lines and marionette lines that may also benefit from the addition of injectable fillers. 

Tense mentalis muscles around the chin and masseter hypertrophy may benefit from botox treatments. Relaxing the mentalis muscle overlying the chin leads to better aesthetic improvement and can prolong filler longevity.

In addition, skin laxity on the lower face, neck and cheeks may benefit from energy-based treatments such as HIFU and Genius. These procedures stimulate collagen, enhances skin elasticity and tightens the skin. A multimodality approach that considers the overall facial proportions will therefore lead to better results.

Price is from $769 per syringe before GST.

Chin fillers for augmentation is suitable for individuals with mild to moderate chin retrusion. Most individuals only require 1-2mls of chin filler per session.

Common and temporary swelling and bruising is to be expected. Bruising will typically fade in 10-14 days.

Skin irregularity is uncommon as the skin overlying the chin is thick.

Uncommon side effects include allergy to filler, infections, granulomas and vascular compromise.

Individuals with the following conditions are not suitable for chin filller injections.

  • Active infection around treatment site
  • Multiple allergies
  • Allergies or hypersensitivity to hyaluronic acid fillers or lidocaine
  • Pregnancy or breastfeeding
  • Bleeding disorders
  • Existing implants

Shortly after your procedure, there will be some swelling around the injected area. Once the swelling has subsided, you will begin to appreciate a natural looking chin that is more contoured and projected.

Most HA chin fillers can last for 1-2 years. With time, hyaluronic acid is gradually broken down by your body. A repeat treatment at least once a year is sufficient for most cases.

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References:

  1. Wilson MJ, Jones IT, Butterwick K, Fabi SG. Role of nonsurgical chin augmentation in full face rejuvenation: a review and our experience. Dermatologic Surgery. 2018 Jul 1;44(7):985-93.
  2. de Maio M, Wu WT, Goodman GJ, Monheit G. Facial assessment and injection guide for botulinum toxin and injectable hyaluronic acid fillers: focus on the lower face. Plastic and Reconstructive Surgery. 2017 Sep 1;140(3):393e-404e.