Age 43. Chin implant vs chin/jaw filler for asymmetrical weak chin? (Photos)

A robust HA contouring filler can work well for defining and straightening the jawline and diminishing jowls along the jawline. Likewise, a robust HA volumizing filler can be used to augment chin projection and additionally smooth the surface appearance of the chin and harmonize its projection with those of the nose and the lips in profile.
Although chin implant surgeries promise permanent results, the reality is that while the implant itself is permanent, the improvement obtained with this form of surgery are not. That's because as one ages, there is typically underlying loss of muscle and bone,leading to loss of the correction, which can then necessitate surgical removal of the implant down the road and replacement with another implant.
The use of fillers, by contrast, allows for additional filler and fine tuning when age-related changes occur.
You would be wise to consult with an experienced, board certified cosmetic dermatologist filler injection expert. Hope this helps and best of luck.

Hi there,

Thank you for sharing your concern so openly — I completely understand how changes in the lower face can start to feel more noticeable with time, especially when balancing a busy life and wanting to look as refreshed as you feel.

At 43, what you’re describing — a mild chin asymmetry and softening of the jawline — is quite common and often related to gradual volume loss, bone resorption, and skin laxity. The good news is that nonsurgical options can make a meaningful improvement without the need for extensive downtime.

Dermal filler strategically placed in the chin and along the jawline can help restore balance, create a stronger contour, and even subtly lift the appearance of early jowls. It’s also adjustable and reversible, which makes it a great option if you’re exploring aesthetic harmony without committing to surgery.

However, if the asymmetry is due to more significant underlying bone structure differences or advanced skin laxity, a surgical chin implant could provide a more permanent and defined correction — but it does come with more downtime and cost, as you mentioned.

A thoughtful approach I often recommend is to start conservatively with filler — it allows you to preview what a more balanced profile might look like. Many patients find they love the result and can maintain it long-term with touch-ups every 12–18 months.

You’re absolutely right to consider your lifestyle and recovery time in this decision. With the right technique and placement, filler can give you a beautifully natural enhancement and restore confidence in your profile without disrupting your daily routine.