Scott Trimas, MD

Hi there! It is safe to have these two treatments done one day apart or even done at the same appointment. Just make sure to follow the appropriate aftercare instructions. Good luck!

The horizontal line is known as a mental crease- this tells me you have an active mentalis muscle. Botox in the mentalis would help with the protrusion you complain of as well as the mental crease. Once Botox is on board, using HA fillers in the chin can give you a more heart shaped face and reduce the "butt chin"

Botox in the mentalis muscle will reduce risk of migration of chin filler if you opt to trial filler again. I would recommend Botox to the platysma or a "Nefertiti neck lift" to give your profile the appearance you are looking for.

Botox to slim the jaw is an excellent idea- I would also recommend seeing an expert injector to inject a small amount to open your eye and help with brow symmetry. I would consider midface and possible temple filler before doing undereye filler again. I would recommend PRP undereyes over filler as well. Consider chin shadow filler to soften lower face. If the bulkiness in the lower face is not muscle or not responding to Botox, jawline filler may help give a more contoured appearance.

Chin filler is often placed directly on the bone to minimize risk of injected into a blood vessel. This is a common area for vascular occlusions, so product placement sounds correct. One single injection point is odd- from the photos it looks like you may have needed a smoother product in your chin shadows and something firm for the projection of the chin- but you only received projection which may have accentuated the volume loss creating the lines on the sides of chin. Hyaluronidase (used to dissolve) can destroy some of your natural hyaluronic acid along with the target filler. This is also a highly mobile area, the mentalis muscle is very strong, and can often push the filler and cause migration depending on product choice. Chin filler is best paired with botox in the mentalis to prevent this. From here you have a few options- Botox in the mentalis and DAO muscles can help smooth the area but it is temporary and will not address the indention left behind. I would recommend allowing a few months for the area to heal/recover and then consulting with a board certified facial plastic surgeon that works with an aesthetic injector to consider filler or more permanent products in the area if the problem persists.

Hello! At your age I would recommend pursuing a comprehensive injectables plan including Botox for your gummy smile as well as chin and DAO. I recommend a complete assessment of the face for facial balancing- some midcheek filler may be beneficial for correcting assymetries along with lower face filler- possibly chin/jaw.

A chin implant would be a permanent, surgical solution. A less permanent choice would be chin filler. It is difficult to tell through the facial hair in this picture, but jawline filler may help with the overall appearance and contour of the area as well.

Juvederm Volux is a robust filler great for adding definition to the jawline. A firm filler used along the jaw and chin will define your mandibular angle, giving a stronger and more masculine appearance.

This area could be treated with dermal fillers such as Juvederm Voluma or Vollure to improve what some call "chin shadows" It is possible that you could also see improvement with Botox in the mentalis muscle. Over time, without Botox, you could see a mental crease develop in that area. I would recommend a combination of both treatments- filler to soften the shadowing and Botox to stop the muscle movement that is contributing to the appearance.

The suggested filler to cheeks and temples would help restore volume and balance your overall features, but it is not addressing other signs on aging in the lower face. While a profile image was not provided, I can see some blunting to your chin that suggests you may benefit from jawline/chin filler. Additionally the divots you pointed out- I like to call them chin shadows, can results from volume loss in that area and would need filler directly to the shadows to improve. In addition to what was suggested, you may benefit from lower face Volux/Voluma. I would recommend developing a long term plan with your injector to treat these areas over a few months.