Is it safe to put a filler on top of a chin implant?

Thank you for your question. Yes, it is safe to use filler on top of a chin implant. Be sure to inform your surgeon of the implant.

Yes it is safe to put filler on top of an implant, but it's important to inform your Doctor that you do have an implant there so that they can take the necessary precautions with the technique they intend to use. 

Yes, you can have fillers on top of an implant to increase projection. An alternative is you could have the implant removed and get a larger implant. I hope this helps.

Hi.
Thank you for your question. As my colleagues already said it’s safe to inject fillers over implants. You might want to check with your surgeon if a new implant would give you the results you are looking for with the fillers. That would be cheaper on the long term. 
Best of luck.
Dr Marco Carmona MD 

Thank you for your question. You’re asking if it is safe to put a filler on top of a chin implant.
I can share what I explain to my patients who ask similar questions in our practice. A little background: I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I have been in practice in Manhattan and Long Island for over 20 years. Placement of chin implants is fairly routine in our practice, as well fillers that are very effective in creating similar outcomes in a method we call Structural Volumizing.
The reason I want to elaborate further on the question besides just saying yes or no is there are some important issues to resolve so to get a predictable and safe outcome. Number one is that chin implants are placed in a particular level of the bone called the subperiosteum. This is a layer of very tough tissue on top of the bone called the periosteum. The implant is placed between that tough tissue, the periosteum, the bone, then fixated. Basically, a capsule eventually forms around the implant. When you are placing injectable fillers, you have options for the level where those injectable fillers are placed.
One of the challenges we have to consider in your particular situation is whether or not the filler would actually make a difference. Sometimes when people have a chin implant, and there is a very tight space between the skin and the implant, the placement of a filler will not likely make a dramatic change. That’s something to be very mindful of, especially when you are placing the filler at a deeper level. Now if there are some soft tissue like the area below the skin where there’s room for movement, then placing filler in that space is feasible.
I think the take home message is the safety is in minimizing the possibility of infection. The implant itself does not have a blood supply., so when you are placing a filler from the skin through the skin, you have to be sure that the bacteria on the skin surface does not have an opportunity to go in at the same level of the implant by practicing as much sterility as appropriate.
When we do Structural Volumizing in our practice, what we are doing essentially, whether there’s a facial implant in place or not, we treat the procedure like surgery. Our preparation is as if we are doing surgery using different types of antiseptics such as Betadine to make sure that the skin surface is bacteria free as is possible, employing very specific sterile techniques to place the filler using blunt cannulas. We are placing this material between the bone structure, or in your case, the implant and the muscle. That provides a very nice sculpting effect that creates a very natural look. Very often, we’ll also fill the soft tissue between that space and the skin.
The take home message here is that the safety is there, but you have to be fastidious about minimizing the risk of infection. There are sometimes indications where we put someone on antibiotics just to cover those bases. Every case is individualized.
So I think that the short answer to your question, yes it’s technically safe to put filler on top of an implant, but there is a potential riskof the presence of a foreign body in your anatomy to minimize the risk of infection so that you get a good and safe outcome.
So I hope that was helpful, I wish you the best of luck and thank you for your question.

There are no contraindications in using fillers over an existing implant.  Unless there was an under lying asymmetry, it may be less expensive in the long run to change the implant.   

As my colleagues have reported, it is safe to inject fillers over implants to further refine the results of chin augmentation.  At times, this is performed simply for additional projection, and consequently facilitates a conversation about revision and exchange for a larger implant.  In other circumstances, the filler is used to address asymmetries in native anatomy that are not totally solved by simple implant placement.

Yes, it is safe to use fillers with a chin implant.  If you are not happy with the size of your implant, ask your surgeon about changing it.  The pocket has been made, so changing it for another one would be relatively easy to do.

 Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  Yes, dermal filler can be safely used to further augment the chin after a chin implant has been placed.  In my humble opinion, there's no need to remove and replace the chin implant if the patient is willing to have dermal filler placed to enhance and attain the proper aesthetic shape to the chin.  However, the fact that a proper sized and placed silastic chin implant is far more cost effective than repeated dermal filler injections, over the years, is another factor for consideration. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  Hope this helps.