Chin and Jaw
Profile of the face can appear disproportional when the volume of the chin and surrounding jaw line are underdeveloped and don’t appear to support the structures (lips, nose, cheeks,…) above it. Previously, implants were the only option. Recently, with the advent of thicker fillers such as Voluma, Restylane Lyft, and Radiesse, surgical implants are less often required. As an added advantage, the hyaluronic acid fillers add the flexibility to add or dissolve fillers whenever desired.
CHIN DIMPLING Botox & Fillers:
While Botox is very helpful in smoothing out this area, fillers are also commonly used in the chin for filling the dimples created when the chin is contracted. If left untreated, these lines and dimples can etch into the skin and remain visible even when the muscle is not being utilized.
Chin Filler FAQs
People who have receding chins often seek cosmetic enhancements to improve their appearance. Popular choices for chin enhancement used to be chin implants and genioplasty. However, with the advent of long-lasting fillers, fewer people are opting for surgery as their modality of choice. With the advantages of being less invasive, imposing lower downtime, and having the ability to remove/add to the desired endpoint, chin fillers such as Voluma, Restylane Lyft, and Radiesse have become an increasingly popular choice for people looking to enhance the appearance of their profiles.
When caught early, the development of a weak chin can be prevented through orthodontic care. Many patients do not realize they have developed a receding chin until they are adults. It is a good idea to talk to specialists from different fields (ie. surgical, non-surgical, ENT, dental) to discover the best treatment path for you.
A weak or receding chin occurs when the tip of the chin does not project forward enough to be in balance with other facial features, such as the forehead, nose, and lip areas. Many cosmetic enhancement options are now available that can balance the face and result in an improved overall appearance.
Chins recede for many reasons, including age and genetics. Aging and/or low calcium levels can cause loss of the bone and soft tissue in the jaw area, which can lead to a weak chin. Others may be born with a recessed chin. In addition, some individuals may develop this condition over time as a result of an overbite.
As we age, certain facial bones change their shape. Areas such as the eye sockets, nose, and both upper and lower jaw continuously morph throughout life, which can affect appearance. Over time, the length and height of the lower jaw and the angles of the upper jaw reduce. This can lead to a weak chin area.
As we age, the muscles that pull the chin forward and up to get stronger. With the loss of surrounding collagen and loosening of the tissues, the resistance to these muscles also decreases, resulting in further movement of the chin upwards, deepening the fold/wrinkle/crease between the chin and the mouth. In addition, osteopenia and metabolic bone changes decrease the size and definition of the chin and jaw, again contributing to the chin being pulled upwards and exaggerating the wrinkles above it. So in short, the chin collapses and shortens in height while the creases and folds get deeper.
The most common reason for an underdeveloped or weak jawline is genetics. Other common causes of a receding chin are aging and overbite. A weak chin (or the receding chin) means that the frontal projection of the chin pad or bone of the chin is not sufficient in relation to other facial features, like the nose and forehead. Most people will reach their peak bone mass between the ages of 25 and 30, and soon after that start losing calcium and the density of the bone leading to its shrinkage, and sometimes even develop osteopenia and osteoporosis later in life.
Every patient is different, and treatment options for an underdeveloped chin varies depending on a person’s age and how early the condition is treated. Some orthodontists have been able to prevent receding chins from developing using braces and other nonsurgical alignment modalities. These have to be completed early on to be completely effective. This is why many individuals have turned to chin implants and more recently to chin fillers to enhance their appearance with minimal invasiveness.
Chin implant surgery, like any surgical procedure, has its risks. However, it is an FDA approved procedure who’s risks are infrequent and usually minimal. The main potential risks associated with chin implants are infection, scarring, rejection, bleeding, and side effects from anesthesia. If the infection does occur, the implant usually needs to be surgically removed.
Chin fillers are less invasive than surgery and are considered to be generally safe. Cosmetic providers use chin fillers to add definition to their patients’ lower jawline and improve profile balance by strengthening the chin area. When done correctly, this commonly results in a more proportional and pleasing appearance. One of the benefits of using fillers is that areas can be re-injected and enhanced or removed to achieve results based on the patient’s liking and if preferred by the patient, over several different visits. This is especially important if the chin is asymmetric, to begin with, and requires more volume in one area than the rest. Many chin filler options exist, but the most commonly used are Voluma which lasts up to two years, and Restylane Lyft which lasts about one year. Another safety feature of these fillers is that both of these products can be easily reversed with an injectable enzyme called hyaluronidase. Since the treatment of infected chin implants is not as simple and requires surgery, injection of fillers on or around chin implants is discouraged.
Each treatment modality for chin enhancement has its pros and cons. Thankfully, both filler injections and surgical implants are low risk and generally safe. The pros of filler injections are that the patient doesn’t have to go through pre-op lab work and preparation, general or IV sedation anesthesia is not necessary, tweaking of the results is possible by adding or dissolving the fillers in future visits, and if any local complication occurs, an enzyme can simply be injected into the area to melt the fillers away. Surgical implants, on the other hand, maybe a preferred route if the requested amount of enhancement is extremely large. The downside to surgical implants is that if a complication such as infection occurs, the implant must be surgically removed. Due to this risk inherent to surgical implants, any future modifications in that area such as fillers are discouraged, making surgical procedures a deterrent to future fillers and enhancements. Since the advent of fillers, most patients opt for it over surgical interventions.
As with all things, beauty is in the eye of the beholder. There is no “perfect” chin, and what one person may prefer may not be the same as another’s preference. That being said, many people consider a good chin to be proportional to other facial features, primarily the forehead, nose, cheeks, and lips. A good rule of thumb is that if a vertical line is drawn from the base of the nose towards the ground, the chin should not be protruded in front or recessed behind this line. If you are unhappy with the appearance of your profile, you may want to schedule a consultation with a cosmetic provider to discuss treatment options.
There are chin reduction options available for people who feel that their chins are too prominent. Some facilities offer chin reduction surgery, which can provide a balanced look for people whose chins are substantially bigger than their nose, forehead, cheeks, etc. However, sometimes the “protrusion” of the chin can be an optical illusion from the recession of the surrounding tissues. By enhancing the jawline, the marionette lines, the chin fold, lips, and/or the nasolabial folds, sometimes the chin can appear less pronounced and more proportional.
Costs can vary depending on the procedure chosen. For chin fillers, the price range is typically between $550 and $2,100, depending on the location of the practice, the number of syringes used, your provider’s experience and his/her artistic expertise. Speak with a professional to get a more accurate figure for your chin enhancement procedure.
Typically, an increase in the volume of the jaw and chin area is immediately visible after hyaluronic acid chin filler treatments. Final settled results should become visible in the following weeks, once swelling decreases. For fillers that rely on collagen stimulation such as Sculptra, it may take 6 to 18 weeks before results are achieved. Fillers that are hyaluronic acid-based typically last nine months (Restylane-L and Restylane Lyft) to two years (Voluma) before the body metabolizes them. Other non-hyaluronic acid fillers can also last one year (Radiesse) to two years (Sculptra) but cannot be instantly reversed with an enzyme.
Although it might sound counterintuitive, the answer is yes! Chin filler procedures are nonsurgical and often can be used to recover a patient’s youthful appearance. Because the chin may appear accentuated and more visible, the rest of the face can look slimmer and longer. Depending on placement, cosmetic fillers can also be used to make the face appear wider. As a result, chin fillers are commonly used to rejuvenate appearances.
Your cosmetic provider will determine the number of syringes needed for you to obtain ideal results. Next, they thoroughly clean the area, may make markings on the skin, and then administer the filler injections. The chin filler treatment session usually lasts between 10 and 30 minutes, depending on the quantity used and the length of time spent on consultation. Many patients note feeling a slight pressure during and/or after their treatments, but the pain is minimal.
Implants do not have a blood supply of their own. Therefore if an infection occurs, the body can have a hard time fighting it even with antibiotics, leading to possible surgical removal of the implant. For this reason, filler injections on or around an implant are discouraged unless the patient is well aware of the risks outlined and accepts the financial responsibility of implant removal should such complications occur. In this case, the provider should take great care to clean the skin with different agents before the injection of fillers and prophylactic antibiotics might be considered before and after filler injections.