Chins can be injected for 2 purposes with dermal filler
- To look younger
- To look more beautiful.
As women age, our skull rotates, with the chin moving backward, the bone and soft tissue in the chin area dissolves, leaving us with reduced structural support in that area. This has a flow on effect to our neck and jowls. It is easy to replace the structural support that has been lost with dermal filler
Some people were born with great a great profile including a well projected chin, and others were born with underdeveloped or recessive chins whose appearance could be improved. For those who weren’t born with the perfect chin, it is so simple to just inject them to improve the appearance.
Dermal filler can improve:
Size of the chin: It is very easy to enlarge patients chins with dermal filler
Length of the chin: Some patients are too short in the chin. this is easily remedied with dermal filler injections to lengthen the chin
Projection of the chin: It is very common for patients to present with recessive chins on profile. Dermal filler can be injected to make a stronger more projected chin
Shape of the chin: Some patients need more length, width, more angular, less angular chins. Some patients think their chins are too pointy, these chins can be made more round. Some patients think that their chins are too square and we can make these look more round. Some patients want a more pointy, angular appearance to their chin. The patient will be assessed and the doctor will have a discussion with the patient about their anatomy, and how it can be improved.
Skin of the chin: this can be improved with dermal filler or skin boosters
Aging chinss: as we age, the skull rotates and bone and sof tissue dissolve causing reduction of structural support of the overlying tissue. This structural support can be replaced with dermal filler
Symmetry of the chin: asymmetry of the chin can be improved with dermal filler treatment
TREATMENT WITH DERMAL FILLERS
Choosing the dose of dermal fillers
The dose required for chin filling is very variable. Some patients will be satisfied with 1ml, others will need 6 mls to get the results that they want
The doctor will assess the face and decide on the best dose after taking a history and examining the patient. If a patient has a history of complications with dermal fillers, or if their budget is small or if they want a more subtle result, then a smaller dose might be chosen to start with.
With chins, the most we would consider injecting in 1 session would be 4 mls. If more is required, another session may be required
Typically, I will inject 1-3mls at a first treatment then review the patient at a month. If they said ” I liked the swelling after the last treatment and was disappointed when it went away” then I would recommend them to have a further treatment, and repeat this until they don’t like the swelling afterwards.
Pain relief during treatment
A numbing cream (eg EMLA or LMX ) may be applied to the area prior to the treatment (45 minutes prior is ideal) Glad wrap may be used over the numbing cream to increase its effect.
If a cannula is used, local anaesthetic is used prior to the cannula being introduced into the skin
There is local anaesthetic in the dermal filler
Ice is always used to decrease pain and to reduce the risk of bruising.
Very rarely patients will use Penthrox for dermal filler in lips
Nitrous oxide (happy gas) is available for patients to use
What happens during the injectables treatment itself?
The face will be cleaned with alcohol.
Ice will be applied to the area briefly before treatment The doctor will inject using a very fine needle. Then pressure with gauze will be applied.
If a cannula is used, which is most common in the china small injection of local anaesthetic is injected into the skin and then a fine needle makes a small hole in the skin where the cannula is inserted.
How will I look after dermal filler in the chin?
There may be redness and swelling. the chin may have a more “sharp” look about it, but when the swelling goes down after 2 days, the sharpness will reduce and give way to a more natural appearance. Patients may like the swelling in the first couple of days
Side effects /risks with dermal fillers
The treatment is very low risk
Bruising occurs in a significant number of cases.
Swelling in the injection area will occur. This will laser for 48 hours
Asymmetry: Sometimes one side is better treated than the other, this is usually because the patient is asymmetrical to start with.
Infection is a very rare complication, but always a possibility when the needle goes into the skin.
Necrosis (blood vessel being blocked, interfering with blood supply to the skin) is very rare. This could lead to scarring
Need for further treatment: Often with lips, it will take several syringes of product to get to where the patient wants to be.
Pain: If a large dose is injected into the chin, the area can be quite painful afterwards
Instructions for care afterward
- No makeup for 4 hours
- No heavy exercise that day
- No acid face products for 24 hours
- No spas no saunas, no hot yoga for 1 week post treatment
What to expect after a dermal filler treatment?
The effect of the dermal filler will be obvious immediately
Most of the swelling from the dermal filler will have resolved by 2-3 days after the procedure. There may be a small amount of swelling for even 2-4 weeks after the procedure.
What if I get asymmetry at some time before the 2 week point? Do I call the doctor?
No. No need to call the doctor. Sometimes asymmetry will occur because one side is more swollen or bruised. Usually it will right itself by the time of the review appointment. If it doesn’t, then it can be examined at the review appointment. There is no point in coming in early for treatment of asymmetry as there is often swelling associated and so the final result cannot be seen until at least 2 weeks. Treating asymmetry too early could lead to further asymmetry
How long will the treatment last?
The answer to this is very individual and depends on the patient’s anatomy, metabolism, the dose, the placement, the product etc. Typically with our most commonly used dermal filler: If the patient is happy with the results at 1 month (ie there has been adequate fill) they should be treated at 6 months, then at 6 months and then once yearly. If the patient is not satisfied with the results at 1 month (ie more dermal filler is required to obtain the results that they desire), then further dermal filler should be injected every 1-3 months until the desired appearance has been reached, and then the patient should have treatment at 6 months, then 6 months, then once yearly
Cost of dermal filler in cheeks:
Cost is per syringe. Number of syringes required depends so much on where the patient starts in terms of their chin anatomy and also depends on how big a change they would like to achieve. Cost is $700 per ml