Can chin implant elongate the face? E.g placed forward and downward? Do dermal fillers give same results as chin implants?

 Chin implants are placed for patients who have a weak and recessive chin profile. The implants are composed of Silastic, are usually placed through a submental approach under local anesthesia as an outpatient procedure. The chin and implants are both three-dimensional structures, so a full set of pictures are required to make a determination about being a candidate. Silastic chin implants can also be custom carved when needed to match patient's unique anatomy. For more information, diagrams, and many examples, please see the video and the link below

  Hi, I have performed many chin augmentations and facial shaping procedures over the past 30 years.  Non smiling photos of your face from the front and side would help in the evaluation.  Following the beauty principles
outlined in my book on face and body beauty, women look the most feminine,
youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks
that are full and round in the front. Cheek augmentation using a dermal filler
(I prefer Restylane Lyft) or with cheek implants for a permanent enhancement
will create full, round cheeks anteriorly that will feminize the entire face.    When the chin is weak, this creates an imbalance that makes the nose appear larger, the lower face short
and the mid face appear top heavy while de-emphasizing the lips and allowing early "double chin" formation.  Chin augmentation, using a chin
implant, will add projection to the chin creating harmony and balance to the
lower face.  I have found placing a silastic chin implant through a small,
curved, incisions under the chin to be very safe, quick, highly effective and
far less invasive than a sliding genioplasty that requires bone cuts with
placement of screws and metal plates.  I perform Chin Augmentation in 30 minutes or less, ofthen using local anesthesia alone.Hope this helps.

Thanks for the question but without true front and side view photos there is no way to comment an what shape changing surgery would be appropriate for your face. 

There are literally hundreds of chin implants that are different sizes and shapes giving us great flexibility in what can be achieved. Dermal chin fillers can provide volume but not the definition we can achieve with implants.