Written by Dr Julian De Silva
A small chin and weak jaw line often result in facial imbalance that results in a less attractive and weak appearance. Filler to the Chin and Jaw Line may provide more facial balance and harmony. Chin deficiency is usually apparent on looking at a person’s side profile, where the chin should align with a vertical line drawn through the philtrum (junction between nose and upper lip). Dr De Silva at The Centre uses Fillers and Chin implants to enhance facial balance and proportions. In addition there can additional changes in the chin enhance by ageing including a more prominent chin crease below the lips caused by tissue loss and sagging skin, this can lead to more sagging skin, resulting in a dimpled appearance of the chin or a ‘witchy chin look’.
Chin Filler provides the face with improved proportions and defines the jaw so that facial features are in better harmony. It can be done non-surgically with the use of fillers or more permanently through surgery with a Chin Implant, but this involves downtime with bruising and swelling up to six weeks after treatment. Chin Filler offers a non-invasive, non-surgical chin augmentation treatment that’s quick, safe and effective for a natural, balanced aesthetic appearance. Filler injections to the cheeks can restore lost volume, correct volume loss and can create a fuller, more youthful appearance. In addition fillers can be used to enhance natural curves and emphasise feminine parts of the female face and masculine parts of the male face.
Dr De Silva and his team will use a numbing local anaesthesia cream to reduce discomfort from the procedure. The numbing cream is specially made for Dr De Silva and was designed in Beverley Hills and manufactured in Germany. After this a small anaesthetic injection is applied in the already numb area. The Dermal Filler is then used to augment the Chin and Jaw Line. At The Centre we used ‘Fast-Healing’ techniques that utilize a Cannula to administer the filler for most patients, this results in much less swelling and bruising than older needle based techniques.
Additionally, dermal fillers can be used on other facial areas at the same time as on the cheeks to give an enhanced natural result. At The Centre we specialize in ‘Natural Looking Results’, common areas for filler enhancement include the cheeks, chin & jaw line, nasolabial folds, eye area (termed tear trough), the nose, and lip enhancement.
This figure below shows the normal position of the chin in relation to the lips. In a person with good facial proportions the lower lips is 1-2mm behind the upper lid and the chin is 1-2mm behind the lower lip. There are variations in facial harmony and balance based on genetics, gender and ethnicity.
*Results May Vary
The below figure shows the position of a recessed chin which is positioned (>5mm) behind a vertical green line drawn through the lips. With chin augmentation the chin is moved forward and the relative distance from the lips to the chin is reduced. Dr De Silva uses reference points on the face to evaluate proportions, however the artistry of chin augmentation also includes taking in to account gender, ethnicity and chin shape into account with chin shaping.
*Results May Vary
You can expect to see relatively ‘Instant Results’ with our filler treatments.
There will be minor swelling after filler treatment that for most patients resolves over night, more rarely there can be mild swelling for 5-days (in approximately 5%). There is a small possibility, <2% of a minor bruise, this will resolve over a few days.
In most cases, the final results of cheek fillers will be evident approximately 5-days after the swelling subsides. And with our techniques and filler choice will last 18 – 24 months, although results may vary from patient to patient.
*Results May Vary
At The Centre, we specialise in Natural Looking Results. We believe in a natural augmentation of the Chin Area. Dr De Silva has pioneered research in the area of facial beauty and this has been published in the mainstream media and multiple TV Channels. Dr De Silva developed the application of the Phi Golden Ratio (used in the many of the most famous Renaissance paintings of Leonardo Da Vinci) to the human face and has multiple trained specialists at The Centre to apply the principles of this facial Balance and Beautification. At The Centre we have treated many Celebrities and A-Listers with these techniques to enhance natural beauty, a term we describe as Beautification of the Face, enhancing the natural Phi Golden Ratio Lines. Of Key importance with Filler rejuvenation is avoiding excessive filler use as this no longer looks natural or beautiful, Key is application of filler in specific areas of the face that differ on each individual’s facial characteristics. The application of Chin Filler is different in Masculine and Feminine Face, in women is focused along the Phi Golden Ratio lines of the Cheek, in men is focus along the lines of the chin and jaw line. If you have already had treatment that has been excessive it may be necessary to dissolve the existing filler or wait for the filler to resolve. At The Centre we specialise in Natural Looking Results.
*Results May Vary
We use a combination of treatments to minimise discomfort, these include the use of a powerful numbing local anaesthetic cream that is specially made for The Centre. We use State-of-The-Art Cannula (No-Needle) technique to minimise discomfort.
We use fillers that have incorporated anaesthetic into the injectable fillers to increase patient comfort. At The Centre we use additional numbing and vibration devises that use the Nobel Prize winning research on ‘The Gate Control Theory of Pain” to minimise discomfort. At The Centre, we take the above measures to ensure most patients only experience minor discomfort.
Studies on safety of fillers have reported filler treatments as relatively safe with few side effects when completed by trained specialists. Recorded adverse events are usually minor including temporary injection site redness for less than three days. Patients may occasionally report temporary symptoms of redness, swelling, discomfort, lumps-bumpy changes, bruising, itching or change in colour. Infection is very rare however it is important that the treatment is completed in a CQC registered site (Care Quality Commission) and sterile precautions when having filler treatments. At The Centre all treatments are completed in our specialist Facial Centre on Harley Street. Serious side effects such as damage to skin (termed Necrosis) or damage to vision have very rarely been reported. Dr De Silva has pioneered the teaching of other doctors to avoid these serious issues in both National and International Conferences since 2012. Fillers are currently lacking from regulation, which remains a controversy in the UK. Precautions can be taken with competent practitioners to avoid these serious complications. Dr De Silva has trained his team at The Centre to avoid these unfortunate issues by utilising modern safe and newer techniques.
We use a combination of treatments to focus on a natural rejuvenation that is both safe, long lasting and safe. Over the last 5-years fillers have become more and more popular as both the quality of the filler product has reached new levels of quality and safety, in addition our techniques and skills at using them has matured with experience, Dr De Silva has been using non-surgical treatments for patients for over ten years. At The Centre we believe that it is important to avoid potential issues, we believe that there are certain products that are associate with higher risks of issues, including permanent and semi-permanent fillers, as in some patients this can result in long-term issues. In addition a number of highly marked products have shown to have minimal results, many patients have presented to us disappointed by the lack of results from treatments including Thermage, Ultherapy and thread lifts. At The Centre we do not offer any of these treatments that have minimal results. Some patients may have facial anatomy that is characterised by marked recession of chin and these patients are better suited to a surgical correction including the use of a chin implant. At The Centre, Dr De Silva a Specialist Facial Cosmetic & Plastic Surgeon is able to offer both Surgical and Non-Surgical treatments. Most clinics are only able to offer non-surgical treatment.
Renowned expert in Facial Cosmetic and Plastic Surgery. Signature techniques in Blepharoplasty, Rhinoplasty and Facelift surgery. Expert in revision surgery and in natural looking results
