Will chin filler fix my weak chin and is it safe to use over my implant? (photos)

"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"

Hi Friend,
I would recommend the injection of two milliliters of Voluma in your chin with a canulla above and away from your chin implant. When I inject filler close to permanent implants I like to prophylactically have my patients take an antibiotic for a few days to be safe. There is a risk of infection with injections close to implants. You should look great! Feel free to contact our office with any further questions or to schedule a consultation/treatment. Make sure to choose an expert physician injector for your care. Good luck and be well.
Michael Persky, MD
Encino, CA

In answer to your question, I have been injecting robust HA fillers over implants, whether chin, cheek or jawline, with gratifying results for quite a few years already. So, it should not be a problem at all, and will take only about five minutes or so to perform in experienced (with little to no significant post-treatment downtime) for an experienced injector to inject the necessary filler to smooth out the chin. At the same time, this case illustrates exactly what I have been writing about and cautioning my readers for many years about. The thought of getting a permanent implant, typically misinterpreted as meaning a permanent correction, for chin, cheeks, etc. is admittedly enticing. However, the results, contrary to what is promised, are not really permanent, since there are always inevitable changes in the surrounding and underlying tissues, as have occurred here, that will necessitate further treatment, such as surgical removal of the original implant and replacement with another implant) (accompanioed by the discomfort, expense and downtime this will entail or alternatively the supplemental use of filler.) So, I ask, why suffer the pain, expense, downtime in the first place when robust HA fillers can be used in place of the surgery and be easily supplemented when necessary when the time comes--especially if that is what will done anyway a few years after implant surgery. You would be wise to consult with an experienced, board certified cosmetic dermatologist and best of luck.

Nicely posted photos. I see 2 issues: 1. slightly to small chin implant result; 2. wrinkled skin over chin. As for the sizing if you do not desire exchanging surgery to larger implant then I recommend the newest HA from the Juvederm family, Vollux - longer lasting, higher G", costs per syringe $1,000. As for the skin issues - micro dosed BOTOX best - fee $600. Best to seek virtual consult with...