Half a Syringe of Restylane to Fill Cleft Chin? (Photo)

     I would choose Radiesse in this situation.  I would find a plastic surgeon you trust, and then trust his or her judgment about the appropriate volume.  Kenneth Hughes, MD Los Angeles, CA

Nonsurgical treatment of a cleft chin, just as with routine chin augmentation, using volumizing fillers is a safe and effective way for dealing with a deep midline cleft, a congenitally receded chin, or chin recession related to age related bone loss or even irregularities that may result from surgical chin implants. (It also works well for smoothing out "cottage cheese" dimpling of the chin, especially when combined with the use of a neuromodulator, such as Botox, Dysport or Xeomin)..

I prefer the combination of Radiesse, a calcium-based volumizing agent, and Restylane SubQ, a robust hyaluronic acid volumizing agent for treating this region. Radiesse is known to stimulate neocollagenesis (native collagen production), which is an added plus of this agent, and Restylane SubQ gives remarkable lift.

Atlhough I routinely use Restylane SubQ in my practice in Israel, it is unfortunately not yet available in the United States  In my Upper East Side NYC practice, for chin augmentation, I combine Radiesse with Perlane L (another member of the Restylane family of products) known for its lifting capacity. A total of 0.8cc generally would do the trick for a cleft (whereas 1.5cc or more might be required for a full nonsurgical chin augmentation).

It's best to have a thorough evaluation by a reputable provider. Without seeing you in person, it's difficult to determine if that area will completely fill or if you'll still have that "cleft" - good luck!

I would suggest a minimally invasive surgery to release the cleft followed by either fat grafting or Radiesse. Restylene would be fine too but it wont last very long and might cost you more in the long run. whatever you do chose your doctor wisely. its not a commonly performed procedure and I wouldn't base my decision on short term and cheaper fixes

Hi Julie,

Radiesse is the best filler in the area of the chin.  It lasts the longest of available fillers that are not permanent.  You may need anywhere from 0.8 to 1.5 cc of filler, likely on the lower side.  It should cost around $495 to $695 depending on how much filler is used.  Most important, choose your injecting physician most carefully and make sure of their artistic vision before trusting your pretty face to their work.  Good luck and be well.

Dr. P

I hope whoever fills this great feature first takes time to explore with you why you want it filled.  I you recommend Restylane for this.  A 0.5 ml syringe will be enough to soften this feature but it is unlikely to eliminate it.  One big advantage of this filler over Radiesse is it can be removed if you decide you don't like the effect.  Juevederm in my opinion is not the right product for this service.  This area is under tension and the pressure will cause the juevederm to be pushed out of the treatment area.

I think you're a great candidate for filler in this area. With that said, Radiesse tends to work better in this area. It pushes out against the soft tissue to a great degree than Restylane which creates a more durable result. Secondly, these small clefts tend to require greater amounts of filler than one would predict. It is possible that you will need more than 0.5mL of filler. Radiesse actually is sold in a 0.8mL syringe which might work  well for you.

Restylane is available in a 0.5cc syringe. I am always surprised at how little one can accomplish with this small syringe. I would suggest starting with the 1cc syringe and get a full correction. Follow-up procedures 6-8 months later may require less and you could use the 0.5cc then.

Hi Julie.  You are definitely headed down the right road.  .5 - 1 CC should be the right amount, and we also might suggest that you consider a thicker filler as well like Radiesse or Perlane.  These may last a bit longer than Restylane.  

Given that the injections are temporary, you could also consider s surgical solution.  Good luck.

Thank you for sharing you photo with us.  Your cleft should be addressed down to level of the underlying bony structure.   Radiesse works very well for this and lasts longer than Restylane, Juvederm or Perlane, but any of these would work well.  The most important factor is who your injector is. Make sure to go to someone who has a great deal of experience with filler to assure you an optimal result.   If you go with Restylane, a full 1.0 mL syringe would be necessary.