Fat grafting to the chin - can you shape the area?

Yes, fat grafting to the chin can be a good alternative after filler removal, especially if you’ve experienced chronic inflammation with previous hyaluronic acid fillers.
Unlike fillers, fat grafting uses your own tissue, which reduces the risk of allergic reactions or inflammation. That said, there are important differences:
Fat offers a softer, more natural look. If you’re okay with a slightly less sharp contour than filler, fat can absolutely add volume, projection, and a subtle V-shape.
The amount of projection achievable depends on how much fat is retained after the healing phase. Typically, 50–70% of the fat survives long term.
Your surgeon can sculpt and layer the fat strategically to improve symmetry, add definition, and enhance the chin’s profile.
In some cases, combining fat grafting with a chin implant or tightening procedures (like deep plane or submental approaches) may give a more defined V-shape if needed.
In summary: yes, fat grafting can improve your chin’s shape and projection, especially in experienced hands — but the results will be softer and more subtle than with fillers. If your goal is a natural enhancement and you prioritize biocompatibility and safety, fat transfer is a strong option.