Can I achieve a pointed chin/heart shaped face with a chin implant or am I better off with filler? (Photos)

Hello Sophie,Thank you for your questions and pictures. You are correct, your chin is weak relative to your nasal projection. Using a filler to improve your chin shape may make you happy temporarily. However, a surgical solution may be a better option. I recommend fillers for patients that are inconsistent in terms of the amount of projection they are looking for. It seems that you have a good vision of what your profile could look like. To help with communication, I often use computer morphing along with pictures patients bring in prior to surgery. It provides a patient a way to see how their chin profile may look after surgery and what type of implant is selected. Take a look at the link provided. You can also go to the rhinoplasty section to see patients that had nasal surgery and a chin implant.Hope this helps!Sincerely,Dr. K

Hi SophieMoreau,

Thank you for your question and sharing your photographs! Great job on providing photo examples of the facial shapes you admire, those are always helpful. I understand your frustration with surgical recovery and unpredictable outcomes, it can take up to a year to truly evaluate the results of your rhinoplasty.

Overall, you have a nice facial shape with lovely cheekbones. I can see some areas where placing dermal filler can improve your facial harmony.

Non-Surgical Chin Augmentation is definitely an option for you. Adding projection to the chin and feathering out the jawline can help achieve a more sculpted look like your photo examples. 
Non-Surgical Chin Augmentation is one of my favorite procedures because it can benefit both men and women. The results are immediate, and, because it’s non-invasive, we can work together to achieve your ideal facial shape during your appointment. Dermal fillers allow me to sculpt with precision that is greater than working with a surgical implant. I like using Juvederm Voluma in the chin because of its thick, spongy consistency. It can also be revered if needed, giving you more control over your results. Good luck and stay beautiful!

From the side profile photographs, it appears that there is a weak and a recessive chin profile for  which A chin implant can improve.  Chin implants offer a 3-dimensional augmentation of the mandible which includes mostly forward projection, some added width, and a small amount of vertical height.  Chin implants are manufactured in a large variety of sizes and shapes, and can be custom carved when necessary to meet patient's unique anatomy.  In our practice, we use Implantech solid silicone anatomical chin implants with an excellent success rate for over 25 years.  For more information, diagrams of the implants and many before and after examples, please see the link and the video below

From your photos, it may be possible to achieve the results you are looking for with either an implant or injectable fillers.  Of the two, the implant will have the advantage of giving you a more permanent result.  However, if you are not certain about the shape or size of the implant, injectable filler can be somewhat more controllable in that the injections can be performed at more than one sitting.  The downside - the fillers do resorb over time.  Of the fillers, Voluma, can last up to two years.  Best wishes, Dr. Lepore.

Dear SophieMoreau, It is a shame that your surgeon did not perform a chin augmentation at the time of your rhinoplasty to provide a better balance to your profile and overall facial aesthetic. I would suggest that you seek consultation and have imaging performed to show you how chin augmentation would effect your profile. You can see in the video above the imaging process and how it works and how close in proximity the end results are to the projected results. Having this performed will give you a good idea to see if this change in fact would meet your expectations. Personally, I believe a chin augmentation would nicely balance your face. See the link below as well for further examples. Best regards, Michael V. Elam, M.D.