No. This is the most comfortable area to fill. I use a formulation that has a numbing agent within the filler itself, making this procedure virtually painless.

The very first step is a consultation.

Understanding your expectations & wishes are important steps to prescribing a treatment plan. From there we will assess your facial shape, then provide suggestions to enhance & improve.

Technique – I use both needles & cannulas in the chin area. The majority of chin & jawline contouring is performed with a cannula.  The advantage of using a cannula in this area is the reduction in risk of perforating or injecting a blood vessel. Needles are often more suited to injecting the centre of the chin where there is a relative paucity of larger blood vessels.

At Cutis Dermatology we have diverse skill sets with injectables, lasers, energy- based devices, as well as surgical modalities to address your concerns.

Results are immediate, recovery is virtually instantaneous. My post-treatment requests include no exercise for the remainder of the day, & no facial massage for 4 days post injections (to prevent unwanted filler migration).

Side effects are extremely rare in this location. One may have some swelling & bruising. Asymmetry is exceedingly rare, however easily corrected.

The amount of filler will depend largely on the clinical findings.  Estimated guidelines,

• Subtle changes, elongation & projection: 0.5 to 1.0 ml
• Contouring & strengthening of chin: 1.0 ml to 4.0 ml
• Jowls, jawline* & contouring: 3.0 ml to 8.0 ml

* For the jawline area I prefer the use of collagen stimulating fillers as they give better structure, volume & longevity.

Yes, a reversal enzyme called Hyalase can reverse HA fillers immediately. Never had to reverse a chin filler before in my career, I am sure you won’t be the first.

Simple muscle relaxants can make a huge difference in this area, with little costs & virtually no side effects. Botox can diminish muscle activity of this area, providing a subtle but noticeable softening effect. Combined with fillers, no downtime injectables can enhance your profile.

Simple muscle relaxants can make a huge difference in this area, with little costs & virtually no side effects. Botox can diminish muscle activity of this area, providing a subtle but noticeable softening effect. Combined with fillers, no downtime injectables can enhance your profile.

Fillers can reshape to a limited extent. With traction to the skin one can improve some mild cases of ‘double chins’, however directed fat reducing treatments give better & more predictable results. Treatments include cryolipolysis also known as Coolsculpting, chin liposuction, as well as double chin injections, namely Kybella or Belkyra. To see which method is best for you, arrange a consultation with my clinical team @cliniccutis

I employ various energy-based devices, including RF & HIFU (High Intensity Focused Ultrasound) to help tighten this area. These devices heat up collagen, providing contraction over time.

I also use various threads including monofilament as well as suspension threads. Careful patient selection is required for a successful outcome.

An oral maxillofacial surgeon can discuss surgical options for chin shaping & contouring. Options include surgical implants or bone shaving.

Depends. If large volumes are required, fat transfer or fat grafting may be a viable option. For subtle changes of chin shape & profile I prefer dermal fillers.

I also employ minimally invasive liposuction to the under-chin area. This can define the chin as well as the jawline area. In some cases, I add radiofrequency energy to this area, further tightening & defining the jawline.