Pros and Cons of Chin Implants and Chin Fillers
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- Опубліковано 28 гру 2024
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New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. talks about the differences between chin implants and fillers, and explains why he is more inclined to use fillers for chin augmentation procedures:
0:20 - Introduction to chin augmentation.
0:54 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience working with fillers and facial implants in his practice
1:31 - How Dr. Prasad assesses a patient before a potential chin augmentation procedure
2:22 - How chin implant surgery is done
2:55 - The advantages and longevity of chin implants
3:15 - The disadvantages of chin implants
3:36 - Filler as an alternative to chin implants
4:12 - Dr. Prasad discusses his use of a technique called Structural Volumizing in filler procedures
4:48 - Results of Structural Volumizing in comparison to chin implant surgery
5:20 - Longevity of results with fillers and ease of removal
5:57 - The benefit of the flexibility of thicker fillers
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Reconstructive surgery is, I believe, one of the noblest of medical callings.
Thank you, 9988ScooterGirl. It is indeed gratifying to help patients, and make them happy. I'm very fortunate.
Great informative video! I’ve always wanted implants but I’m pretty worried about how they would look as we age and our bones start to recess.
Thank you for watching, Exxactly! You can refer to this other video about the factors of chin and other facial implants when used long-term - ua-cam.com/video/tzjKV3Jr2Ts/v-deo.html
Great video Dr! I wish you were close to my area! 😭
Thank you, Tamara Zamora! I'm glad you liked video! We can help you if you choose to travel to see us!
Do you prefer Genioplasty?
Hi @alamstar4511,
A genioplasty is for reshaping the chin, not for enhancing lost volume. As a genioplasty consists of breaking bones in the chin area for reshaping; while a chin implant, or filler are for enhancing bone volume loss due to aging, or treating a genetic volume deficiency. I hope this clarifies things for you.
I’m 20 years and I really wanna go with chin fillers and jaw Botox to give my face more structure and make it sharper. From the front my face looks a little round, mostly the lower half of my face because of my jaw and chin. I really want to achieve a nice and very slim defined v-shape profile without undergoing surgical procedures. So can chin fillers and jaw Botox do that? Also the left of my face is slightly fatter than my right side, like my jaw is little more fuller and wonky on that side so can these procedures make my face more symmetrical? Last concern is blindness by fillers. I done research and discovered that blindness can be a serious complication with fillers but it’s very rare. Has chin fillers ever caused blindness? How much of a risk is there for blindness by chin fillers?
Hi Aestaetic Edits,
It is possible to enhance chin projection with fillers, but I would need to examine your face before doing it for someone as young as yourself. Botox in the chin is usually only for chin dimpling like a golf ball, where Botox can reduce the activity of the mentalis muscle to improve this look. The risk of blindness from injectable filler is when under eye filler is injected directly into an artery or vessel below the eye, which can be avoided by an experienced doctor in the eyelid area, but it isn't a risk for filler in the chin area. I hope this clarifies things for you.
Hello! I am really hoping that you can help me answer a question: I had a chin implant placed 10 months ago, but only recently became aware of the risk of bone erosion. Is this something that I should be concerned with? If so, would you recommend the removal of the implant?
Hi Melissa Armenta,
While reports of this type of concern are common, chin implants are generally designed to minimize direct pressure on the bone, so it is likely your concern is addressed by the design of the implant. I hope this clarifies things for you.
Hi! Great video! By the way I also feel insecure with my asymmetrical face, weak chin/jawline and relatively chubby cheeks and double chin despite that Im skinny (18% body fat) Im going to get as lean as possible so i can get rid of the face fat but I will still have a weak chin/ jawline.
I'm thinking of getting fillers, are they safe? Long term wise though.
Lets say I get fillers for the rest of my life
Are there any side effects that would affect my face?
Also the fillers can last from 6 months to a year, does that mean that they dissolve slowly by little or when Ive reached a year since I got the fillers, they dissolve all at once?
Hi abgg 2000,
Hyaluronic acid fillers like those from the Juvederm family are very safe as hyaluronic acid does occur naturally in the body. Hyaluronic acid fillers are metabolized safely by the body, but this is a gradual, slow process. The thicker ones used for the chin and cheeks like Juvederm Ultra Plus and Juvederm Voluma actually last 1-2 years. There is little chance of filler material having any side effects on your face, but things like encapsulation around the filler does happen in rare cases, but the filler can be dissolved if this happens. I hope this clarifies things for you.
Amiya Prasad, M.D. thank you for your response!
And last, to maintain desired appearance, how often should I take the fillers?
Hi@@Bga274,
Frequency of filler treatment depends on the type of filler used, and the rate you metabolize filler. How often you need treatment needs to be established after your initial treatment. I hope this clarifies things for you.
what happens to this filler substance over the years? does it start to sag? where does it go?
Hi june2420111,
You can refer to 5:20 in the video explaining that hyaluronic acid fillers are safely metabolized by the body, and can also be dissolved with injectable enzyme hyaluronidase if you want to have it removed. I don't recommend or perform semi-permanent or permanent fillers because of the high risk of complications associated with their longevity. I hope this clarifies things for you.
But how does filler affect the facial hair growth?
Like, can one grow a normal beard after having fillers pushed in?
Hi 300 rises again,
Fillers are generally placed at deeper levels than where your hair follicles are, so filler does not affect facial hair growth. I hope this clarifies things for you.
Hi Dr. Prasad, can you talk a little bit about why you don't use Sculptra for chin and/or jawline enhancement? Doesn't it last longer? I'm fine with my chin projection in the front, but have some concerns with the width of my jaw on the sides and how it sort of runs together with my neck too much.
Hi @garythomasswings,
While I have administered Sculptra in the past, the results, especially for the chin and jawline, and are not as predictable or customizable as a thicker hyaluronic acid filler like Juvederm Voluma. Sculptra uses a biological reaction to create volume, so there is no control over what results will look like. With filler, I can mold the material to the precise look we decide on with the patient. Also, the results of Sculptra are semi-permanent, while hyaluronic acid fillers are gradually metabolized, and reversible if it's not the right look as the material can be dissolved with the injectable enzyme hyaluronidase. I hope this clarifies things for you.
what type of filler is used for the chin filler?
asking because i know a lot of black markets have negative chemicals used as fillers that could be dangerous
Hi berta,
I mainly administer hyaluronic acid fillers in my practice because of safety, predictability, and reversibility. The results of these fillers are shown in the video. Hyaluronic acid is naturally present in the body, so these fillers are easily tolerated by the body. They can also be dissolved with the injectable enzyme hyaluronidase if the patient wishes to reverse their results. These fillers are also safely metabolized by the body in about 6 months to 2 years, depending on the thickness and viscosity of the filler used. I hope this clarifies things for you.
Will the chin surgery affect facial hairs.
Hi GILL,
No it won't. If you watch 0:44 of the video, you can see the patient has facial hair in his chin after surgery. I hope this clarifies things for you.
I had a chin implant about 40 years ago in the states. The first time it was done, it was off centre (implanted through the chin). I had another doctor correct it. He opted to go in through the mouth. He did a good job. Now after 40 years of course my face has changed, and the implant looks off centre again. I have had some filler to help balance it....but now, I am thinking of having the implant removed - and just continuing with fillers. My biggest concern is a sagging and wrinkling in the chin area (once it is removed), which has already started a few years back. Does it make sense to have the implant removed now, and just continue on with fillers. I am 67, and fortunate enough to be near the La Prairie Aesthetic centre in Montreux, so I am confident of finding a good surgeon. I just don't know whether to keep the implant and fill in around it or go back to the original facial structure and enhance from there....Thoughts? and thanks!!
Hi Jasmine Alixandra North,
I would have to see how the implant still fits your face to say for sure, but generally, facial dimensions change as we age due mostly to bone volume loss. Even when I do chin implant surgery, I often still apply filler in area for more precise volume enhancement. The advantage of doing the entire augmentation with filler alone is there is no surgery needed after removal, but it does need to be maintained periodically as the filler is metabolized. A physical evaluation and discussing your options would be the best way to arrive at a specific recommendation for you. I hope this helps.
Will jaw implant help if I have a short ramus? Will it look more masculine and better?
Hi tupa_king,
It is possible, but a physical evaluation is needed to determine the best approach for your case. I hope this helps you.
hello, loved your video! i am thinking of getting my chin filled to balance out my face. however, i am afraid that it’s going to migrate and would make my chin/jawline “bulkier” as the filler spreads and migrates as time goes by. any thoughts on this? would i need to get it removed any time i want another mL of fresh filler? thank you!
Hi Mary Margaret Parco,
I place filler at the bone level, where it's held in place by the muscle layer to prevent migration. I only recommend hyaluronic acid fillers, which can be reversed by dissolving them with the injectable enzyme hyaluronidase at any time. However, hyaluronic acid fillers, depending on their thickness, usually metabolize in 1-2 years. I hope this clarifies things for you.
does chin exercises help? i read some online articles but some do and some dont
Hi KoG,
Chin exercises won't add volume if there is deficiency, but I don't suggest you consider treatment if you are still young while your face is still growing. I hope this helps you.
there are videos and studies saying the fillers don't really disappear, with MRI scans showing fillers still being there after 10 years. It is a scary concept, what is it your opinion on it?
Hi @EliEli-bu4zn,
Hyaluronic acid fillers stay longer than usual only when they are encapsulated, but they can still be dissolved with the experience of the right doctor. You can refer to this video about it, which also includes scans of how deep filler can be dissolved - ua-cam.com/video/-xepTFX83Lc/v-deo.html
This is very interesting. My Dr recently suggested a chin implant to supplement an upcoming rhinoplasty and the mixed reviews on implants have me nervous to go that route. Approximately how much filler would be needed to replicate the implant results and is every 2 years the longest duration available currently?
Hi âńgīė bäńgš,
The amount of filler needed is highly dependent on individual bone structure, and the amount of projection needed, so I can't give an approximation without a physical exam. About 2 years using a hyaluronic acid filler is the safest treatment. There are semi-permanent and permanent fillers available, but I don't advise using them as they can be highly problematic and prone to complications as they stay in the body too long without being metabolized, and require extensive surgical removal. I hope this clarifies things for you.
Amiya Prasad, M.D.
Dr. Could you tell me what filler last 2 years?
My cosmetologist recommended me Versa that last about 8 months ,I asked for a filler that last longer and she told me versa is good for the chin area.
I wasn’t happy with her recommendation but I did it anyway because I was already there ,but since a syringe was not enough may I get a different filler that last longer in that area?
I got this a week ago.
Is chin implant and genioplasty the same? If not, how safe is genioplasty as an option for correcting a weak chin?
Hi Alpha,
They are not the same, as a chin implant is the placement of silicone implant on the chin, while a sliding genioplasty is reconstructive surgery that involves sawing the chin bone from the jaw, and sliding it forward. I don't perform sliding genioplasties, which are most often performed by oral surgeons, and maxillofacial surgeons. I hope this clarifies things for you.
@@AmiyaPrasadMD Appreciate your reply. But how safe is sliding genioplasty? Are chances of permanent nerve damage quite high? And would you recommend it to your patients?
Hi@@alpha5614,
I discuss options with my patients, but since I don't perform sliding genioplasties, a proper opinion about risks involved are best discussed with a doctor who performs the procedure, as their expertise with sliding genioplasties can reduce the risks involved. I hope this clarifies things for you.
Hi Dr. I love that you answer everyones question wow thT is impressive. I would like to ask if I got chin filler would it make my nose look less big. Since my chin recessed my nose looks huge lol
Hi Babymamaz,
Reduced chin projection can make the nose appear prominent, especially from the side profile. Adding volume to the chin with filler can make the nose appear less prominent as it does reduce its proportion to the rest of the face. I hope this clarifies things for you.
Don't they have implants that are attached to the jawbone? And is it possible to re-adjust them later in life?
Hi,
Jaw implants are secured to the jawbone. It is possible to have them changed later in life, but an examination would be needed before changing them can be recommended. I hope this clarifies things for you.
Yes it does Dr. and thank you for all your help.
You're welcome, Flowers Flowers!
What about bone resorption with mandibular implants? Does this happen with angular implants?
Hi Ilgıt Dkdş,
Implants don't prevent bone resorption, so implants may be changed when they no longer fit the space, or filler treatment can be done as a non-surgical alternative. I hope this clarifies things for you.
Are chin fillers likely to cause an earlier onset of volume loss and sagging in the face?
Hi@Grace,
No, because they won't stretch your skin, and age-related volume loss happens if you have filler present or not. You can refer to this video about it - ua-cam.com/video/hx540qDFbrs/v-deo.html
@@AmiyaPrasadMD Thank you for your reply. I have another question. What is the likelihood for chin filler to cause blindness?
Hi@@charmander1370,
Very unlikely as the arteries here do not reach the eye area. I hope this clarifies things for you.
Dr what about the dangers of filler, especially on the chin and cheek? If you go to a certified medical professional who is trained in facial aesthetics, do the cheek and chin fillers pose a danger of blindness like when injecting into the glabella or nasolabial folds?
Hi Artime Silk,
There is a risk in injecting filler into a blood vessel called vascular occlusion, which I detail in the videos below. Basically, you want an experienced doctor who can avoid this, but can also address it immediately if it occurs. You can refer to these videos about the risks and treatment of filler complications:
ua-cam.com/video/GO1taD9mtKs/v-deo.html
ua-cam.com/video/lA6ietCvZf8/v-deo.html
@@AmiyaPrasadMD Thank you Dr.Prasad!
You're welcome, @@IceQeen1011!
Are fillers safe for someone with autoimmune hypothyroid?
Hi Ashwin Hegde,
While it is possible to have treatment, the extent of your condition has to be assessed before treatment can definitively recommended. I hope this clarifies things for you.
Hi One of my main insecurities of my body would be my what I have found is called a weak chin. I have already inherited a pretty large nose and this makes it look a lot worse. I am happy with my face from the front but from the sides it is very exaggerated and I hate it. When I pull my jaw forward it looks much better which method would be better and how old do you need to be?
Hi Sutton OG,
The video explains the pros and cons of chin filler and a chin implant. I'm not sure how old you are, but I would not perform these procedures in someone whose face is still maturing and changing. I hope this clarifies things for you.
@@AmiyaPrasadMD Sir, I also have same problem. My age is 22. For which method i shall have to go?
Hi@@pankajtopale8920,
You can meet with a doctor, and decide from there. It's important that you meet with a doctor who can do both. Often, my patients doing chin augmentation for the first time prefer filler as it's not the same commitment as surgery, as filler can be dissolved if necessary, and filler can be done in minutes. I hope this clarifies things for you.
@@AmiyaPrasadMD Thank you sir
Very helpful & detailed information ! Thank you so much
You're welcome, Lamia Sid! I'm glad you found video helpful!
@@AmiyaPrasadMD I don't know if uou can help understand something..I noticed that after getting a chin surgery one of my friends saw the shape of her face become more round while before it was long oval with a V shape chin.. What kind of operation did lead to this result (at least get rid of the long v shape) and is it possible to get it with injections only rather than surgery ? Thanks in advance 🙏
Hi@@lamiasid2290,
It is possible that your friend had chin implant, as well as cheek implant surgery to make the entire face more round. And yes, it is possible to achieve the same in the cheeks and chin using injectable fillers only. However, when it comes to the cheeks, filler placement technique is very important to prevent a soft, pillowy look, and to stop the filler from migrating. I made a similar video about cheek implants versus filler - ua-cam.com/video/GlF2ePf1AGw/v-deo.html
@@AmiyaPrasadMD Hi Pr Parasad That's really good to hear !! I'd like to try this on my face but didn't want to go through surgery. Thank you so much for giving me hope. Too bad am not living in the Usa I would 've come directly to you for this.. I' ll try to find a good plastic surgeon in my place since the intervention needs a high level of techniques 🙏 Thanks a lot for your reactivity
You're welcome,@@lamiasid2290! Glad you found the information helpful.
Simple question what is the best option for increase chin ? Because my chin was very small
Hi butu bu,
It's not a simple question as there are pros and cons of both chin implants, and fillers. However, if you are unsure, and want to try it first without the commitment of surgery, you can opt for hyaluronic acid filler to see how you like the appearance, which is reversible by dissolving the filler. I hope this clarifies things for you.
Does fat grafting help instead of fillers @@AmiyaPrasadMD
Hi@@King0808-vy6er,
Texture of fat is too soft for the chin, and the shape of grafted fat is unpredictable once it is removed from its original blood supply, and takes to a new blood supply. Also keep in mind that 30-70% of grafted fat is absorbed soon after surgery. Fillers, or implants are more rigid, and shape more predictable than grafted fat. I hope this clarifies things for you
Hello Doc is it possible to make my chin look smaller by chin implants or chin fillers ? My side profile is quite uneven so maybe for this my chin look bigger . I just want to skip double jaw surgery or any big surgical procedures
Hi Kang Y/n,
It is possible, but I would have to examine your chin before suggesting a treatment that could help you.
Id love to get a chin implant but how much would the total cost be?
Hi Steve Morgan,
There are no set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices to get a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1446. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you regarding price range. I hope to hear from you soon.
Hi doc, How common is bone erosion after chin implant?
Hi Jennifer Dang,
Volumetric bone loss at the chin, jawline, and cheeks due to facial aging is universal, whether a chin implant is present or not. I hope this clarifies things for you.
I had a chin implant procedure three years ago that had to be removed because it moved and it was uncomfortable. I still cannot feel my lower lip and chin because of nerve damage. Am I a good candidate for fillers??
Hi @juanmontelongo7314,
One of the main reasons why I prefer filler for the chin is that my patients are often uncomfortable with the feel of an implant. You are likely a candidate for chin filler, but your issues with losing feeling in your lower lip and chin need to be properly diagnosed before I can recommend treatment. I hope this clarifies things for you.
You didn't comment on the downside of filler. Can it travel, therefore losing it in the chin area or does it stay?
Hi Priscilla Oneil,
Placing filler at the bone level, and under the muscle layer prevents migration. You can refer to this video about it - ua-cam.com/video/Brb4uTzzG88/v-deo.html
Do you use sutures or a screw to stabilize the implant?
Hi katrashis,
Screws are often used for facial implants, when appropriate. I hope this clarifies things for you.
@@AmiyaPrasadMD It does Doc thank you. The surgeon I spoke to said they use Suters to stabilize it. Would you consider that a red flag?
Hi@@katrashis,
Screws are not needed in all facial implant procedures, but they are often needed. If your doctor never uses screws for implants, then I suggest you seek a second opinion. I don't have all the details of your consultation, so it's not my place to say there's a red flag. I hope this helps you.
Hi! So if you choose to get the fillers every two years, would that cause a lot of trauma to the skin? And is there any filler that lasts more than just two years?
Hi Joana Silva,
Filler application when done properly with blunt cannulas leave minimal trauma to the skin, even right after the procedure, and even in very fine, sensitive skin like the lips. While there are fillers that last more than two years, they are not as safe and predictable as hyaluronic acid fillers. The reason hyaluronic acid fillers last about two years is that they are safely metabolized by the body, as hyaluronic acid does occur naturally in the body. Fillers that last longer are resistant to metabolic processes, which can cause complications as the body can recognize them as a foreign body. While hyaluronic acid fillers can be dissolved if there is an issue, semi-permanent and permanent fillers need surgical removal, and surgery may not remove all of the material, especially if the filler migrates or dissipates. I hope this clarifies things for you.
Hi@KeepingUpWithAsraa,
Silicone chin implants are generally safe, but some people find the feel of a chin implant irritating. Silicone implants don't break apart like permanent fillers, so the foreign body reaction is not the same. I hope this clarifies things for you.
Hi@KeepingUpWithAsraa,
Different solid silicone implants from chin, cheek, and breast implants are generally well-tolerated by the body. And unlike permanent fillers, silicone implants can be completely removed; while permanent fillers may not be totally removed because they break apart, and can migrate, and worsens the foreign body reaction. I hope this clarifies things for you.
You're welcome,@KeepingUpWithAsraa. You understood it correctly.
Hi doc, i had chin implant which i love but my “marionette line” does not really connect with my chin, hence my face is still not balance enough (better than bfore obv), im thinking to get fillers to fill in the hollow area. Is it better to get fillers or redo a chin implant with “wings” instead? Thanks bfore
Hi Hello Hello,
I would have to examine your chin before making a specific recommendation for your case. However, as explained in the video, filler is often used after a surgical chin implant as the finer details of volume augmentation often needs the precision of an injectable filler. I hope this helps you.
Is chin implant surgery safe and how long we have to stay in hospital
Hi Mr.mobile Repair,
The safety of chin implant surgery depends on the surgeon performing it. When I perform this surgery with local anesthesia, patients can go home the same day as surgery, but a required overnight stay also depends on the doctor performing it. With chin filler, people can have it done over their lunch hour, then go back to work. I hope this clarifies things for you.
@@AmiyaPrasadMD doc bone sliding and chin implant both have same results or any.... And how safe it is if i get it done from u
@@AmiyaPrasadMD sir where u r located and i was planning to get my surgery done from richardson hospital from m.r sunil richardson in tamilnadu. I think he is amongs the best face cosmatic surgeon in india
Hi@@mr.mobilerepair4028,
Facial implant surgery is very safe with me, with a long and proven track record. A sliding genioplasty is an operation by an oral, dental, or maxillofacial surgeon, not a cosmetic surgeon. I'm located in the US, not in India. I hope this clarifies things for you.
@@AmiyaPrasadMD doctor sunil richardson is mexillofacial surgeon sir
Hi Doctor, great video. Is there a maximum amount of filler you can put in the chin area? I have seen examples between 1-4 ml. If someone has a very recessed chin can you put more than 4ml to build the chin out? Thanks!
Hi Stat Knez,
There is a limited amount of filler that an individual's anatomy will allow, but this limit depends on the person. There is no limit that applies to everyone. A recessed chin can be improved by filler, but a physical exam with a discussion about your goals is needed to determine what is best for you. I hope this helps you.
You also do Jaw implant? If yes do you have some before and after pictures with your patients? I'm interested.
Sir is it possible by face exercise... not by surgery?
Plz answer
Hi Gautam kajre,
Volume loss due to aging, as well as genetic volume deficiencies, are mostly due to bone volume, which facial exercises will not address. Chin augmentation can be done non-surgically using injectable fillers, as shown in the video. I hope this clarifies things for you.
Hi doctor, i got some kinda of "strawberry chin" please i dont know if it's a medical term so mabe you dont even know what is this, but please google it and tell me which option is better for me? I got good jawline and wide maxila, but my chin is terrible recessed.
Hi sassy dryad,
"Strawberry chin" is another term for double chin. While I can't make a specific recommendation for you without an examination, you can refer to this video about how it can be treated more conveniently for patients - ua-cam.com/video/y4p7nUeILu0/v-deo.html
What about fillers vs fat transplant, for chin augmentation? /regards
Hi juppan,
Fat transfer is not appropriate for chin augmentation because the chin needs a material more solid than fat, such as a thicker filler or silicone implant. Fat won't hold a consistent shape or rigidness in the chin. I hope this clarifies things for you.
Amiya Prasad, M.D. thank you for your amswer. I am however really torn now since my doctor had specifically recomended augmentation with fat transfer instead of an implant. He pointed out that he would be able to shape the chin better with fat and that implants hurt the bonestructure in the long run, damaging and making it weaker/regress. What would your opinion be on this? Again thanks for replying. I am trying to gather as many perspectives as possible to take a decision
Hi I just got chin fillers today and it hurts so much. My chin feels sore and I can barely eat or talk properly. Is this normal and will it go away?
Hi Lilo,
Some pain can be possible on the same day of treatment, depending on how your doctor performed the procedure. If the pain doesn't subside in the coming days, I suggest you follow up with your doctor who performed the procedure. I hope this helps you.
Hi what about radiesse ?
Hi connielin67,
I prefer Juvederm Ultra Plus and Voluma as Radiesse is not reversible in case there are any issues. Also, Radiesse doesn't last as long as although it is supposed to be long lasting filler with harder calcium hydroxyapatite, much of the projection it provides is through the gel suspension which does get metabolized faster. I hope this clarifies things for you.
will my dentures affects my chin implant?
Hi Willinglyyours,
When people need dentures, it also often means that they have decreased bone support for a chin implant, so this is factored into whether or not someone is a candidate for chin implant surgery. I hope this clarifies things for you.
Hi Amiya 👋🏼 Hope all is well!
Are fillers effective with cleft chins? I would much prefer to go the filler route rather than an implant!
I have quite a deep cleft and feel like maybe the fillers won’t really work for me?
Thanks!
Hi Tom Griffin,
It is very difficult to have the depth of a cleft chin reduced as there is a strong connection to the bone, and very few doctors are experienced in treating this issue. You would need to find a doctor with experience in it, and have a physical exam to determine what can be done. It's something that I don't have much practice in. I hope this helps you.
@@AmiyaPrasadMD Ok I get ya! Definately helps thanks :)
You're welcome,@@qEnergize !
the way you tell things is just so convincing
i got a query doctor, the skin below my lower lip is kinda bulges and it casts a weird shadow and my labiomental crease is like a long line, my chin is perfectly ok btw no recessing..☺
so can the skin below the lip flattened with filler?
do reply doc
Hi Fahad Hossain,
I need to physically examine the issue before letting you know what can be done. I hope this helps you.
What about sliding genioplasty
Hi 9999ty,
While that is a possibility, it should be discussed with an oral, or maxillofacial surgeon as it's not procedure I perform. I hope this helps you.
Very late comment lol but I know I’m still too young to get a chin implant, but I still want one when I’m older. Can the implants get knocked out of place if something bumps against ur chin? Maybe a dumb question but that’s the thing I’m most afraid of regarding chin implants :’
Hi ANISKUL,
Chin implants are secured into the anatomy, and usually held in place by sutures so they don't dislodge or shift. I hope this clarifies things for you.
@@AmiyaPrasadMD
Tysm for replying!! And yes that’s rlly helpful :]
You're welcome,@@bonecag3. I'm glad it was helpful.
I had a chin implant 2 months ago because I had a recessed chin and double chin and now my face looks uglier. My new chin looks like he threw a ball on it. It's not a nice v shape like my original shape. Are all implants this ugly "U-rounded" shape? Will the shape continue to change?
Hi Eli Gal,
Sorry to hear about your problem, but without seeing your face or knowing details of your surgery, I can't give you an answer, but I can say that the shape of the implant does not change, but your facial dimensions to change with aging. I suggest you follow up with your surgeon for concerns. I hope this helps you.
Leaning towards longer lasting fillers after watching this video!
I'm glad the video helped you, No Name!
I had chin filler and it disapointed me, it looked good for very short time and then it lost it projection and my chin looked the same
Hi@Arthur Esial,
It depends on the individual patient. There are jawline implants available. I hope this clarifies things for you.
I am from South India, i want to this. How can i get this done?
Hi KaMran Farooq,
I'm not familiar with doctors who perform chin augmentation in South India. I practice cosmetic medicine in the US only. I hope this helps you.
I have a chin implant 30 yrs. can I still get filler?
Hi Dozereyes 4444,
Filler is often used in chin implant surgery to fine tune results more precisely. While filler is a possibility for you, after 30 years it needs to evaluated if the implant still fits as facial dimensions change with time. You can refer to this video about it - ua-cam.com/video/tzjKV3Jr2Ts/v-deo.html
Again, Dr. Prasad the major problem with fillers is their lack of longevity. With people like myself on a fixed income, this is not very cost effective. Though I have experienced one of the problems mentioned in your acessment of chin implants, (mine shifted and the ends started poking through my skin). Rather than replace it, the surgeon elected to cut the ends off. The whole point of choosing that particular implant was to give my face a "square" shaped chin rather than a pointy one. Needless to say, after he cut the ends off the pointy chin is what I ended up with which I hate. On the other hand, that was eight years ago and your right...the face...the bones, the muscles underneath change with the aging process. Now I look as though I am constantly "petulant" even when I'm not. Saving my "pennies" so when I do come to see you I'll be prepared. Love your aesthetic eye!
Hi vanessa shaw,
Sorry to hear about your issues with the implant. There are downsides to filler, and you pointed out its biggest one, but we can still get a couple of years of longevity from thicker filler. I'm glad you appreciate my style! Thank you!
Hey doc, I want to get jawline and chin like Brad Pitt. I have a good face already but I want to get that really squared face. Is it possible for you to do it? Pls confirm. If you want I can show you my photos before I visit states to you for the same. Thanks.
Hi Joe black,
My aesthetic style is to enhance and accentuate your natural facial characteristics so you look like yourself, but a better version of yourself. An examination would be needed to determine what can be enhanced. I can't confirm what is possible for your natural characteristics, and what will fit your face without an examination. I hope this clarifies things for you.
Hello i want to know how much cost "sorry for my bad english".
Hi Upir,
There are no set costs for treatment as extent varies between individual patients, as well as the difference between surgical chin implants, or non-surgical chin fillers. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you regarding price range. I hope to hear from you soon.
I want chin fillers but i heard it can travel in artey carrying oxygen to eye which may lead to blindness. i am so scared now ....pls help
Hi n D,
Chin filler does not have have the same risk as under eye filler placement, but regardless, the risk of filler treatment is reduced by the experience and expertise of the doctor performing the treatment. You can refer to these videos about it:
ua-cam.com/video/lA6ietCvZf8/v-deo.html
ua-cam.com/video/GO1taD9mtKs/v-deo.html
Can you combine both? And how big can a chin implant be? I have a pretty weak chin and I want to really make it much bigger. How can I do so?
Hi G&T HD,
Chin implants are often supplemented with filler for more minute details. A physical exam is needed to determine how much chin augmentation you would need. I hope this clarifies things for you.
So the real question is... can someone with a cleft chin aka Butt chin (chin dimple etc) get a chin implant and not have the implant take away the dimple. I hate the fact that my chin doesn’t protrude much but in the same sense I would like to keep my cute cleft chin as well.
Hi
Tiffany Rondan,
Generally, you can still have a chin implant or filler without taking away your cleft chin. A chin implant may make it appear less deep due to the added volume raising the space, but it is actually quite difficult to to completely get rid of a cleft chin with chin augmentation. I hope this clarifies things for you.
Hello Dr., I recently got a chin implant along with rhinoplasty (almost 4 months now) and I am still experiencing partial numbness on the bottom right side of my lip. I was wondering if this would go away or if it's possible that I might need it fixed? I know it's still early in the recovery process but I feel very anxious about it. My bottom lip is also smaller than before and I was wondering if that was common with this surgery? I kind of wish I had done more research about filler before because I am not sure how I feel about this implant.
Hi Nat Mondragon,
Numbness, tingling, or swelling can happen after a chin implant because of the mental nerve being affected, but this can resolve after surgical year after about a year. Keep in communication with your surgeon if you have concerns. As for the bottom lip, it may appear smaller due chin projection changing, but it is unrelated to your procedure. You may want to compare older pictures to newer ones if this was an issue with normal volume loss due to aging prior to your procedure. I hope this helps you.
Those implants are wide. What do you do when your chin is small and you like it? And you only want to improve your v-shape with a projection on the tip
Hi Eli G,
It is possible to augment the chin with filler, and not with an implant, but an examination is needed to determine what will be the best approach for you. I hope this helps you.
Awesome video doc. I have recessed n short chin. You gave me hope on fillers. I hope i wont need any operation.
edit: I want longer chin. I think my chin is not that stays in back but it s really short n my face looks short and so round. do u think fillers can give what i want as implants?
Hi Politruk,
It is possible to gain chin projection with filler instead of a chin implant, but an examination is needed to determine how much chin projection would fit your face. I hope this clarifies things for you.
Hi doc!
Are you certified by the American Board of Plastic Surgeons?
Hi 12KA412,
I am a Diplomate and a Board director of the American Board of Cosmetic Surgery. Generally, cosmetic surgery is more specialized in aesthetic medical procedures than plastic surgery. I hope this clarifies things for you.
@@AmiyaPrasadMD Amiya Prasad, M.D. thanks. Considering not everyone can flyover to US for this procedure can you recommend someone in middle East or subcontinent for chin implant procedure?
May I have your email address?
Thank you.
Hi@@12KA412,
Sorry, I'm not familiar with doctors in the Middle East for chin implants. Consultations are by appointment only, and do require a fee, but they can be done on Skype or Facetime. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I had a chin implant in 1985 and haven't stopped crying since. I dont recommend it to any one. The Dr. Stated I needed one...never saw what he saw..i look back at old high school pics and I didn't need one...
Now I feel that is one of the reason why I have major creases down each side of my mouth. Not that it the only cause but major resason. I have been told if I had it removed I would have the old witches chin...so here I am 2019 and continue to cry.
Hi Flowers Flowers,
Sorry to hear about your problem. It is important to not have any cosmetic procedures that you are not comfortable with, and a good doctor would not force it on you, but it's too late for that now. Chin implants are not permanent as the dimensions of our faces change with age as we lose volume from bone, muscle, fat, and soft tissue, but particularly from bone loss. You may want consider removing the implant, but you should get a second opinion from another doctor since your original doctor didn't leave a great impression with you. I hope this helps you.
You could remove the implant and do filler to the shape u like
I’m sorry how does a chin implant affects the creases down your mouth❓ I think it’s because you are old now
Hi @@10418,
Nasolabial and mesolabial folds around the mouth area, and creases near the chin can be a result of volume loss due to aging. Volume loss happens at an earlier age than significant skin and tissue laxity. I hope this clarifies things for you.
@@AmiyaPrasadMD Are chin implants/fillers likely to cause an earlier onset of volume loss and sagging in the face?
Very informative
Thanks, Russian Badu!
I am having pain in my chin after almost 2 years of getting a chin implant. It’s like I get flare ups. The pain comes & goes
Hi Obi Okafor,
Sorry to hear about your problem. Pain and discomfort from a chin implant are not uncommon, as the implant can impinge the mental nerve, or slight movement can affect other nerves in the area. This is why many people opt for a filler instead, as it can be easily dissolved if there are regrets for chin augmentation. You can refer to these older videos about possible causes of pain or discomfort from chin implant:
ua-cam.com/video/2StgByVthP8/v-deo.html
ua-cam.com/video/XGzXy4jq11M/v-deo.html
If I do filler in my jawline, will it shift around when I sleep on my hand, or bring my fave close to my neck? Will the filler protrude, look obvious, or shift out of place in the jawline?
Hi J A,
When I place filler at the jawline, I place it at the bone level, and it's held in place by the masseter muscle, so it doesn't shift or migrate. With more conventional filler placement that may place it close to the surface of the skin, it is possible for it to dislodge or migrate as it is placed above the masseter muscle. You can refer to this video for more about jawline filler placement - ua-cam.com/video/LfOvnQm97Qc/v-deo.html
Dr I m having a depression of about 2inch in my chin on one side which gives my face assymetrical.look..can fillers help me in my case...
Hi Laxmi Raman,
A physical exam is needed to determine if the depression is somehow connected to the bone, which it makes more challenging to treat, so I can't say for sure without a physical exam. I hope this helps you.
..when u r visiting India
Hi Promila Sharma,
Sorry, I only practice medicine in the US.
Is chain implant forever?
Hi Bluepark Bluepark,
We lose facial volume as we age, notably bone loss, so our faces get smaller. Eventually, a chin implant won't fit your smaller face, so it will need to removed and changed, so they are not permanent. I hope this clarifies things for you.
I thought putting silicone in your body was bad🤔🤔?
Hi LittleSharon,
Silicone implants are proven as safe as silicone is the most common implant material. Complications happen when liquid silicone leaks and spreads into the body, but chin implants are solid, not liquid silicone. If you want something more convenient and safer to a certain degree, you can consider hyaluronic acid fillers as featured in the video. Hyaluronic acid naturally occurs in the body, and hyaluronic acid filler is safely metabolized by the body over time. I hope this clarifies things for you.
I wish I could afford a chin implant but sadly no😢, I've been bullied because of my backward chin 💔💔 I just want to sleep forever 💔
Hi Shela Soliva,
Sorry to hear about your problem. If you watch the video, you can see how chin filler can be an option. While it still entails a cost, it does not require surgery, so costs are lower, but periodic maintenance is needed after the hyaluronic acid filler safely metabolizes, but it can last up to 2 years. I hope this helps you.
I feel you man i get bullied about my chin too, i would get called leafy on the daily and asked why i have no chin, shit sucks
I don't think that should make you upset. People will always find flaws in us, no matter how good we look. So, Cheer up! ❤🌟