Weak chin. Fillers or Botox? (Photos)

Thanks for the question! You illustrate a very good point about the proportion of the chin in relation to the rest of the face. In my opinion, a person's chin (or any other single facial feature) has to be assessed in the context of the rest of that person's face and what looks beautiful and proportionate. For instance, a weak chin or an over-projected chin can have profound implications on how someone sees that person's nose projection. Botox- as an agent that prevents muscle activity and therefore dynamic wrinkles associated with that muscle- is not likely to be useful in enhancing projection of the chin. Main options may include fillers, chin implantation, or a surgery to move that part of the jaw forward (known as a genious osseoplasty). In my experience, any are great choices in the correct patient. One advantage of using fillers is that it can give you an idea of how a more permanent solution in the form of an implant or moving the bone would look. It is temporary, relatively inexpensive, and almost painless. It could be a great starting point after consulting with your doctor! 

"A formal evaluation would be needed to determine what's best. Many of my patients try to avoid surgery, so we perform a non-surgical chin augmentation treatment with injectable fillers. Fillers like Radiesse, Voluma, BellaFill as well as Sculptra are injected into the area, improving the overall appearance of the lower face and balancing 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 still a great option once you are 100% positive that you are ready for a permanent enhancement.​ I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert; our practice is located right here in Los Angeles. Best, Dr. Emer"

Without an exam your question cannot be answered.  You will need to see an Oral/Maxillofacial surgeon to see if othognathic surgery, genioplasty or using an implant is best for your specific case. It should be noted that patients with severely weak jaws or abnormally functioning jaws may be better treated with other facial surgery (orthognathic surgery), although a chin augmentation may be an option at a later time. These patients should seek the advice of a plastic surgeon to determine which course is right for them. Here is some information to help you make this decision: Candidates for Chin Augmentation - Patients whose chin profiles are weak but have normally functioning jaws are candidates for Chin Augmentation. Many of these candidates have used injectable fillers in the past to strengthen the protrusion of their chins, but are looking for a permanent solution. If you are one of these patients, then you are a likely candidate for chin augmentation
#weakchin #chinimplant

Thank you for sharing your question and photos. You are an excellent candidate for Botox to the chin to soften the mentalis muscle. Although it is difficult to tell based on your photos, you may be a good candidate for a chin implant. In my practice, I like to use 3-D volumetric photos to communicate realistic surgical outcomes for chin implants. It is important that your chin is the right size to be in proportion to the rest of your facial features. Without seeing a photo of your full face, it is difficult to evaluate. If you are not ready for surgery, dermal fillers can be used to improve the contour of the chin temporarily. I recommend consulting with a board certified plastic surgeon who is also an experienced injector in order to evaluate your best treatment options. Best of luck!

Voluma would be a good filler to use in this area.  It can provide you with some length and you can see how you like it before doing something more permanent like a chin implant.  You will also need botox to relax the "orange peel" look to your chin.

Thank you for your question.  Botox does not add volume to a chin.  It can help with wrinkles in the chin caused by facial expression.  Other options to increase volume in the chin would be an implant or injectable filler.  I would suggest a consultation with a facial plastic surgeon.  It is important to evaluate the entire face, including the nose and forehead (which are not shown in your photos) before deciding on a treatment plan.

You can use fillers such as Radiesse for temporary mild chin augmentation. Botox can also be used to relax the muscle hyperactivity to help with the dimpling. For long term correction, you may want to consider a genioplasty to lengthen and advance the chin. This can be done by moving the lower part of the bone forward or forward and downward or with implants.  Be sure to see a board certified plastic surgeon with experience performing genioplasties or experienced with Radiesse. I think this is by far one of the best fillers for this particular purpose.

Hello and thank you for your question. Based on your
photograph, you may benefit from a chin implant.  I recommend a medpor implant with screw fixation.  Many surgeons use silicone implants, but these tend to undergo malrotation over time and often need revision.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

I thank you for  great question for a fairly common problem.  I would prefer looking at complete set of photos and access the amount of retrusiveness present.  Starting with the best option, I would consider a silastic chin implant.  If surgery is not for you at this time, volume works best.

The profile photo demonstrates what is called a retrusive chin, i.e. a "weak" chin that does not project sufficiently. In frontal view, there is clearly dimpling of the chin (aka "peau d'orange" or orange peel skin). I have been treating retrusive chins with volumizing fillers for nearly two decades (most recently with Voluma XC)--those present from birth and those resulting from bone and muscle loss with aging--and chin dimpling with Botox for about a quarter of a century. Treatment shouldn't take more than about five minutes total in experienced hands. I prefer treating first with the volumizer. Often, simply doing this "stretches" the dimpling sufficiently and may obviate the need for the Botox. But should the dimpling still remain, a couple of droplets of Botox properly placed will likely be all that would be necessary to smooth the chin. Volumizer results are immediate and may last up to two years, and Botox results generally takes 1-7 days to become apparent and last about four to six months, if performed alone and considerably longer when combined with the volumizing filler. Best of luck to you,.