According to doctors on RealSelf, the best fillers for chin augmentation are JuvĂ©derm Voluma and Radiesse.Â
In June 2020, JuvĂ©derm Voluma became the first and only filler officially sanctioned for use in the chin area, gaining approval from the U.S. Food and Drug Administration (FDA). This high-viscosity facial filler contains hyaluronic acid, a substance naturally produced in the skin that plumps and volumizes by attracting and holding up to 1,000 times its weight in water. Providers may use other similar hyaluronic acid fillers, like Restylane, off-label.Â
Voluma can last up to two years or more before it naturally resorbs into the body. It can also be dissolved early with hyaluronidase, if you wish.Â
JuvĂ©derm Voluma is a preferred jawline filler because of how well it holds its shape, but JuvĂ©derm Volux, which is even more robust than Voluma, was FDA-approved for jawline definition in 2022. Itâs commonly used in the chin, as well.
Many providers recommend semipermanent Radiesse for chin augmentation. âThis filler is made of calcium hydroxyapatite microspheres, which offer more structural support and firmness than hyaluronic acid,â says Dr. Sanusi Umar, a board-certified dermatologic surgeon in Manhattan Beach, California.Â
As a semisolid substance, Radiesse better imitates the bony chin area. Like hyaluronic acid fillers, this material eventually dissipates on its ownâtypically within a year or twoâbut it also stimulates the bodyâs own collagen production for longer-lasting effects.
However, thereâs no substance like hyaluronidase to dissolve Radiesse at will. So if there is a complication, or the results arenât to your liking, youâll have to wait them out. It's worth noting that a 2013 study of dermal filler complications found that treatment with calcium hydroxylapatite filler had the highest complication rate, compared to hyaluronic acid and poly-L-lactic acid (PLLA) productsâthough the rate of complications was still less than 3%.
Some providers combine the two types of fillers, for best results. âWhen treating the chin, we often use them in combination,â says Kimberley Rolley, a physician assistant at the Mabrie Facial Institute, headed by board-certified facial plastic surgeon Dr. David Mabrie, in San Francisco. âWe place Radiesse deep, on top of the bone, since it is a firmer, stronger filler. We then layer JuvĂ©derm Voluma more superficially, to help push the skin outward for further projection.â
While not as frequently chosen for chin injections, the poly-L-lactic acid filler called Sculptra can also be used in the chin. According to a 2023 study, however, âThere are no highâquality, randomized controlled trials as of yet studying the use of PLLA injections on lower face rejuvenation.â
Technique impacts the outcome as much as the filler itself. When you're considering any dermal filler treatment, seek out a highly experienced injector, like a board-certified dermatologist, who can make personalized recommendations for you and knows how to minimize risks.Â
RealSelf Tip: The FDA strongly advises that you avoid permanent silicone injections, which can have serious complications and be extremely difficult to remove.