Is it safe to inject a filler on top of a chin implant? (Photos)

In our practice, we prefer to use microdroplet Silikon-1000 injections for permanent results. It is certainly feasible to achieve several more millimeters of chin projection which you may indeed find pleasing. I hope this helps! Sincerely, Dr Joseph

The short answer is yes, and I have done it quite a few times already using robust HA lifting and volumizing filers. Because there is already the presence of a foreign body (I.e. the implant) at the site, absolutely sterile technique and skilled, precise placement of the filler is essential to avoid adverse reactions. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist filler expert and best of luck.

As a note to other readers of this answer, I would like to emphasize my preference for considering the use of robust HA fillers in general for chin projection augmentation, rather than relying on surgical implants. Implants are permanent. That is true, and that is the big attraction for this procedure. But there are changes, such as loss of fat, muscle and even bony tissue with aging in the surrounding area. So, what may look nice right after the surgery may not look so right five or ten years later, necessitating the removal and replacement of the implant (I.e. a second surgery) or the additional use of filler, as in this case--reason enough in my opinion to consider filler treatment first from the outset and avoiding the expense and downtime of surgery in the first place.

It is generally possible and considered safe to inject dermal filler over a chin implant to refine contour or add subtle projection, provided it is done carefully by an experienced injector. The filler is placed in the soft tissue above the implant rather than beneath it, which avoids interfering with the implant itself.

Considerations include:

Choice of filler: Hyaluronic acid fillers (such as Juvederm Voluma or Restylane Lyft) are most commonly used because they are reversible with hyaluronidase if needed and integrate well in this area. Calcium hydroxylapatite (Radiesse) may also be used for more structural support.

Safety: The main risks are similar to filler in other areas—bruising, swelling, asymmetry, or rarely vascular compromise. With a chin implant present, the injector must be mindful of tissue planes.

Longevity: Fillers in the chin area tend to last longer than in more mobile regions, often 12–18 months or more.

Other options: If greater projection is desired than filler can achieve, revision to a larger implant may be considered, but filler provides a less invasive way to make fine adjustments.

In summary, filler can safely complement an existing chin implant when injected properly and can help fine-tune balance and projection.