Lengthening face with filler?

Question

Is it possible to create a longer looking face using filler such as radiesse? I think I need a sliding genioplasty but I'm not ready for such a big surgery yet...

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra can improve facial symmetry and provide volume where needed. Implants or fat would be permanent solutions. Best, Dr. Emer

Edward E. Dickerson, IV, MD · Answer

There may be slight lengthening with Fillers but it will all depend on what you are looking for. If it is used in the chin area it can give the appearance of a more natural chin. There is also the option of a chin implant. Make an appointment for a consultation with a Facial Plastic Surgeon to get further information and help you make a decision on what you would like to do.

Bruce E. Katz, MD · Answer

Thank you for your question. You can use fillers like Radiesse and Voluma to help lengthen your face and add volume. Please make sure you get a formal an in-person evaluation from a board-certified dermatologist.

Kory Kitagawa, MD · Answer

Unless you have an extremely recessive chin, I would advise against sliding genioplasty. You can lengthen your face with hyaluronic acid fillers and sometimes Botox as well. Radiesse or Juvederm can be used to create a natural-looking chin augmentation that could give you a stronger profile and add a little length to your front view, if desired. Radiesse is particularly good for this as it is quite long-lasting; most patients continue to see benefits for at least a year, sometimes more. If you also have a bulky jaw, Botox can be injected into the masseters to relax them, which will give your face a softer and longer look. Botox can last for up to 4 months. A board-certified dermatologist who is an expert at contouring the face with injectables will be able to evaluate your face and help you choose procedures that will get you the look you want.

Melvin Elson, MD · Answer

Without photos it is difficult to tell what your goals are.  Generally, the answer is no--fillers will not lengthen the face/  See a board certified dermatologist, plastic surgeon or facial plastic surgeon for evaluation

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek, chin, lip), liposuction and/or facelifts for over 30 years. Non smiling photos of your face from the front and side would help in the evaluation.  
 I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut bone segments).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  The chin can be augmented with a dermal filler (Radiesse, Restylane Lyft) however, a silastic chin implant will be far more cost effective over the years.
Hope this helps.

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