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Why does chin implant cause bone erosion but HA fillers do not?

ThheaMay 6, 2017
The filler is placed at the same place and feels just as hard as an implant. How come? And will botox in the muscle over the implant/filler prevent erosion of the bone? And also, is it a higher risk to inject HA fillers over the muscle in the chin? Like just below the skinsurface? I feel that it gives more volume than injecting under the muscle where it often migrates in my case. I have been treated by different certified injectors.

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From board-certified doctors and trusted medical professionals
Dr. Michael P. Morrissette, DDS, FACS
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Dr. Michael P. Morrissette, DDS, FACS
Board Certified Oral & Maxillofacial Surgeon
5.0 | 12 Reviews
Answered on May 9, 2017
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Dr. Jason Emer, MD
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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on May 7, 2017
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Michael P. Morrissette, DDS, FACS

Fillers come pre-packaged sterile and most injectors prep the skin with alcohol or some other type of skin prep. An infection from a filler would usually manifest by redness and swelling at the site of the injection. These symptoms that you are experiencing do not seem related.

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Jason Emer, MD

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...

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Jeffrey S. Rosenthal, MD

Radiesse is a calcium based product that is thicker, comes in a syringe that has more volume and lifts well.  It does; however, last a shorter time than Juvederm.  

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Tim Neavin, MD

What are your goals? To improve projection? If so, please submit a lateral photo. Fillers for the chin are wonderful but not permanent solutions.

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Michael P. Morrissette, DDS, FACS

I would recommend treatment with injectable fillers. No surgery, just fillers. There is no specific filler that is superior to the others. Most injectors will offer several filler options. Good luck

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Jason Emer, MD

"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...

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