What are my options to make my chin and cheekbones bigger and fuller without the need of implants?

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Thank you for your question.Voluma is excellent for volumizing the cheeks without the need for implants. It is FDA approved for the cheeks in the U.S. and also approved in Europe for the chin.



To be sure you are a good candidate, see two or more board
certified and experienced plastic surgeons in your area for a full and complete
evaluation.



I hope this helps.

Thank you for the question and your thoughts. I understand that you have reservations about facial implants, though these are quite safe. Fillers such as Voluma and Radiesse are excellent options, though these are not permanent.  For patients who do not want implants or fillers, the options are more limited. For the chin, as you mentioned, a sliding genioplasty may be a good choice. In this surgery, the chin bone is cut horizontally, advanced, and then held in place with metal plates.  Without seeing your picture, I can't tell you how this would look for you.  In the cheek area, you could have fat grafting (microlipoinjection).  In this case, fat is taken from the abdomen, purified and washed, and then injected with tiny cannulas. This adds volume to the face, but it is soft tissue volume -- not bone.  Best of luck moving forward!