Is it better to have a chin implant or going with fillers ?

Question

I'm thinking about getting chin implant to have a more defined jawline. That being said, I was told that chin implant was pretty painful and I feel like even with the chin implant, I will need to get fillers on the side of the masseter for a more defined look. I am also fearful of the scaring process and I don't want it to look too obvious. What would you recommend ?

Jason Emer, MD · Answer

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this.

We can place a chin implant, which is a quick surgical procedure. Many of my patients try to avoid surgery, however, so for those patients, we also offer non-surgical chin augmentation with injectable fillers. Fillers like Radiesse, Voluma, BellaFill, and Sculptra are injected into the area to improve the overall appearance of the lower face and balance 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 a great option once you are ready for permanent chin enhancement.​ I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Donald Groves; we are both located right here in Los Angeles.

Best, 
Dr. Emer

Selcuk Inanli, MD · Answer

Hello!Thank you for your questionfirst of all l need more information and photos to assess your casa , but if i have to comment in general the chin implant was done correctly not a surgical operation in the process , it is important to choose a correct implant volume , surgeon experience
Thank you ! regards

Michal Brichacek, MD · Answer

It depends on how much correction you need, and whether you want a permanent or temporary solution. In the long-term, a chin implant will end up being the cheaper option. There are different options for chin implants which can be more or less uncomfortable, however in general it isn't an extremely painful surgery. The scar is hidden under the chin, and I find in the majority of patients heals very nicely.

Jonathan Kulbersh, MD · Answer

Thank you for your question. Non-surgical augmentation uses a combination of dermal filler and collagen stimulator injections to add volume to the chin for results that can last 18 months or more. This approach is a good option if you’d like to experiment with changes to your facial appearance in a non-permanent way. 
A custom-fit chin implant is a great way to improve the side profile and bring the facial proportions into balance. Chin implants can be permanent, though silicone options are easy to remove if desired. Creating an incision in the natural crease of the chin can help to minimize visible scarring post-surgery. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector who can go over each option with you and help you make an informed decision.

J. Jason Wendel, MD, FACS · Answer

Thank you for your questions regarding chin implant vs fillers.

The biggest difference is that a chin implant is permanent. It will be a one and done. You will have to consistently have your filler redone.

In my experience, chin implant patients scars heal very well and you often have to look very hard for the scar after 1 year.

To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.

I hope this helps.

Michael P. Morrissette, DDS, FACS · Answer

The main difference between these two treatments is that one is temporary and one is permanent. You might want to try some filler along the jawline and chin to see if you like the results. In order to improve the jawline, I would recommend custom mandibular angle implants and a chin implant. The incisions can all be performed from inside the mouth so there is no scarring.

Zoran Potparic, MD · Answer

Well selected implant is permanent solution for most chin augmentatrions. Fillers, on the other hand, are used in out practice for small asymmetries or to give patient an impression how would permanent solution, implant, work. In some cases fat grafting is also an option, dpending of the patient. This is an issue that you should best discuss with a board certified plastic surgeon, expert in facial implants, on the basis of in person consultation. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

In many ways fillers are ideal. The primary reason fillers are better is because they can be adjusted each time you have a treatment and you can fine-tune until both you and your provider get the absolute best results. fillers can be added to many different places and in that way they are far more forgiving and flexible.
The biggest drawback is the need to have repeat treatments two or three times a year for as long as you want to maintain the augmentation.
Considering that most people and I’m needing at least two syringes of filler this and sub costing several thousand dollars per year for as long as you want to maintain the results.
It’s not a bad way to go if you want to see what chin augmentation looks like and you’re not burning any bridges other than if you want to go straight to having an implant in which case it’s better to do that without any fillers in place.
There are a variety of different brands including a long lasting fillers like Radiesse.
You can also vet providers by trying different providers each time you get fillers until you finally find the provider who does the best work for you.
If it wasn’t for the financial aspect as well as inconvenience of having multiple doctors visits there would be no reason to do chin implants.
In the end most people don’t want to have the inconvenience or expense and instead opt for something permanent.
There’s certainly nothing wrong with going with the filler route and I’ve heard people in the industry(filler sales people) say “why would anybody ever get an implant”.
It’s nice to have options. It is important whether it’s a permanent or temporary outcome to find the most talented providers.
Vett providers carefully before committing to any procedure.
Best,
Mats Hagstrom MD

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