What has happened to my chin? Will filler fix it?

A formal evaluation would be needed to determine what's best. Many of my patients try to avoid surgery, so we perform a non-surgical chin augmentation treatment with injectable fillers. Fillers like Radiesse as well as Sculptra are injected into the area, improving the overall appearance of the lower face and balancing the jaw and lip harmony. We use cannula injections to meticulously contour and project the chin, soften the chin along the jawline and improve the chin crease.Implants are still a great option once you are 100% positive that you are ready for a permanent enhancement. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert; our practice is located right here in Los Angeles. Best, Dr. Emer

There is unfortunately no substitute for an in-person, close-up examination that allows not only for viewing the chin in frontal, profile and three-quarter face views, as well as at rest and with motion. What I can say is that injectable hyaluronic acid-based volumizing fillers, such as Voluma XC and Neauvia Intense Flux, work well for shaping and contouring the chin and restoring more pleasing projection when these are needed. Microboluses of a neuromodulator, such as Botox, Dysport, Xeomin or Jeaveau can be helpful when movement of the chin muscle results in a cobblestone or dimpling of the chin.  The kind of crinkling and parallel smile lines that are evident in some of the photos, particularly on your left side, can be helped with the use of an injectable hyaluronic acid-based skin booster, such as Restylane Silk or Viscoderm Hydroboosters, injected in a gridlike bolus pattern or fanned via a cannula through the lower cheek region. You would be wise to seek consultation with a board certified aesthetic physician and make certain to ask to see his/her personal before and after photos before agreeing to proceed. Best of luck and Happy New Year. 

Injectable fillers are a great way to restore youthful volume to the face. While Sculptra is one option, it’s not the only one. Hyaluronic acid fillers like Restylane Refyne and Defyne are very good choices around the mouth, as they add the volume you want without compromising your ability to move your mouth naturally. Sculptra can help in the midface, although you won’t see positive results right away. This collagen stimulator works deep within the dermal structure to trigger the body to produce more collagen. The additional collagen adds the needed volume over time, with results that can last up to two years. Make sure you work with an experienced, board-certified plastic surgeon to ensure an optimal outcome.