Long term use of filler for chin augmentation?

Of course, the very word "permanent" when referring to a surgical implant can admittedly be very enticing. However, it does not convey the whole story. Yes, the artificial implant itself is permanent, after all it's a foreign, non-biodegradable body, so it cannot be broken down by any natural metabolic actions of the body. However, the surrounding normal tissues into which it is placed are not permanent. With aging, there will inevitably be resorption of the underlying bone and changes in the surrounding muscles and in the overlying skin that will inevitably make what appeared to be a great result when first done turn often into the requirement to surgically remove the original implant and reinsert another if so desired--meaning more surgeries, more expense and more downtimes. On the other hand, with the expense and downtimes of implant surgeries, the use of HA lifting fillers can be easily repeated as needed to maintain correction in accordance with whatever age-related changes have gone on during the interim between treatments--keeping the results looking natural.

Hello, there are advantages and disadvantages to each. First of all, if considering long-term augmentation with dermal filler, you would want to use a more durable product like Radiesse. This product is based on calcium hydroxyapatite (rather than hyaluronic acid fillers like Restylane) which stimulates collagen production and is more useful for structural changes. This would be a relatively quick and straightforward approach to injection augmentation, but it is not reversible, may require some 'touch-ups' over time, and there is always a risk of vascular occlusion with injections. Some patients also feel their filler migrates over time or dissipates. On the other hand, an implant is generally an excellent option because it mimics the structure of bone, is low risk, and can be performed in the office under local anesthesia. I place implants through a small incision inside the mouth, so there is no visible external scar on the skin, although some surgeons favor an external approach (concealing the incision under the chin). Implants are stable and do not change or migrate over time. Either can be a good option, but depending on the severity of microgenia, implants can be a better option for more dramatic results. If it's a more subtle change that's needed, filler may be the way to go.

"A formal evaluation would be needed to determine what's best. Many of my patients try to avoid surgery, so we perform a non-surgical chin augmentation treatment with injectable fillers. Fillers like Radiesse, Voluma, BellaFill as well as Sculptra are injected into the area, improving the overall appearance of the lower face and balancing the jaw and lip harmony. We use cannula injections to meticulously contour and project the chin, soften the chin along the jawline and improve the chin crease.

Implants are still a great option once you are 100% positive that you are ready for a permanent enhancement.​ I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert; our practice is located right here in Los Angeles. Best, Dr. Emer"