Do fillers damage or dissolve facial bone?

Question

Do chin fillers dissolve bone or damage it? Also, is there fat in the chin where filler can be injected and where is that fat because Botox needles hit the muscle and those needles are very small.

Nima Shemirani, MD · Answer

Hi @Tough9770. Great question-- dermal fillers do not damage or dissolve facial bone. There is fat under the skin in the chin.  When filler is injected in the chin,  we inject under the muscle over the bone. Best of luck, Dr. Nima!

Thomas Wright, MD · Answer

The answer is no, in fact Radiesse, a calcium based product actually can help build bone. It is used as an implant replacement for bony areas.

Jason Emer, MD · Answer

fillers do not damage bone. fillers like radiesse and bellafill can build collagen in the area around the bone.  start at home rolling now to build collagen and slow down the aging process.

at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation,  I would suggest a combination approach of 
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Michael A. Persky, MD · Answer

Hi Tough9770,

Fillers do not damage or dissolve facial bone.  Facial bone begins to lose volume naturally from age 25 on.  Chin implants have been known to cause the bone of the chin to reabsorb, we see this occasionally when chin implants are removed.  There is fat under the skin in the chin.  Filler in the chin area is injected under the muscle over the bone, or in the subcutaneous tissue.  Good luck and be well.
Dr. P
Encino, CA

Eric Dobratz, MD · Answer

Hello- HA fillers are being injected into the chin for augmentation. These fillers are injected deeper than those in the nasolabial folds or lips. The chin filler is injected deep by the bone, so yes, I think it natural to wonder if this could be changing the bone structure. There is no evidence of this and it would seem to be very unlikely. Chin implants can alter the bone very slightly, but this can be minimized with appropriate techniques. The layers at the chin from surface to bone are- outer skin, dermis, fat, muscle and bone. Botox is placed in muscle to minimize dimpling caused by Mentalis muscle. Filler in chin for volume is usually placed deep by connection of muscle and bone.

Mona Khurana, MD · Answer

Hi Tough 9770,
Fillers do not dissolve or damage facial bone. Most fillers are made of hyaluronic acid which a molecule that is found in our own bodies. Fillers replace volume and are placed in different areas/tissue planes to add volume and contour and do not affect the bone.
The placement of filler in the chin is done to create contour and is not really related to the presence or absence of fat in the chin. When Botox is injected in the chin it is injected into the muscles that sit very close to the surface of the skin and so it is okay to use a short needle.
I hope I have answered your question to your satisfaction!Dr. Mona

Amy Y. Paul, DO, FAAD · Answer

Thanks for your question. It is unlikely that fillers can alter the bone structure of the chin, and the fillers are injected deeply just above the bone and under the muscle in the chin area.  This is a lot deeper than where we inject in the nasolabial folds or lips.  Botox is injected into the muscle, which lies under the skin and subcutaneous fat.  Please see an expert, and best of luck!

Do fillers damage or dissolve facial bone?

Answers (7)

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