The Complete Guide to Chin Fillers in Singapore (2020)

Guides
Dr Justin Boey

"Doctor with interest in Aesthetics and Lasers"

Chin fillers have been gaining popularity among younger patients. The procedure not only allows patients to achieve a V-shaped face, but also corrects retracted chins and improves facial proportions. 

Before undergoing this procedure, I would first like to share with you everything you need to know about getting chin fillers in Singapore.

(Read this other guide post for a comprehensive overview on the types of dermal fillers in Singapore, including HA and non-HA dermal fillers).

Why do people consider Chin Fillers in Singapore?

chin fillers in Singapore

Getting chin fillers is one of the ways to instantly achieve an improved face profile and proportions. Based on my experience, an ideal chin follows the golden ratio of 1/3, 1/3, 1/3 for length as well as a line that joins the tip of the nose, lips and the tip of the chin for an anterior projection. 

In recent years, it has also become increasingly popular for younger patients to have chin fillers in order to achieve a desirable V-shaped face.

A V-shaped face has the following characteristics:

  • sharper chin
  • more defined jawline

Furthermore, a study shows that Asians and Hispanics are more prone to having a retracted chin [1]. This was highlighted as a way that facial structures differ among different ethnic groups.

Both males and females with retracted chins can benefit from chin fillers. However, it is more common to see women undergo this procedure than men. That said, a sharp chin tends to make a man look more feminine. Therefore, it is crucial to discuss with your doctor what your desired outcome is.

How long do chin fillers last?

The longevity of the filler depends on the type of fillers used.

"Hard fillers" with properties of a high G prime are typically chosen for chin fillers, as they are more firm and tend to keep their shape.

They also have high cohesivity, which prevents the filler from spreading. Most fillers with such properties last longer than fillers of the other regions. 

Here's a small tip:

It is advisable to concurrently apply a bit of Botox to patients with hyperactive chin muscles, which are classified as having a "cobblestone chin" appearance. As dynamic contractions of the chin muscles can cause the fillers to spread sideways, Botox will enhance the effects of the chin filler as well as preserve the desired shape of the filler.

What are the different types of chin fillers?

ha-fillers-vs-semi-permenant-fillers

Common hyaluronic acid (HA) fillers are Juvederm and Restylane [2]

For chin fillers, I recommend Juvederm Volux, which was developed for jawline augmentation. It lasts for up to 2 years, while Restylane Lyft lasts for up to 18 months.

There are also other semi-permanent collagen-stimulating fillers such as Radiesse, which contain calcium hydroxylapatite. Its use is common as it contains a compound that is found in the bone [3][4], therefore the risk of an allergic reaction is low. It also has a higher G prime compared with HA fillers. Hence, it allows for a natural result without migration.

Semi-permanent fillers that are not used as often contain Polyacrylamide, Polylactic Acid (PLLA) or Polymethyl-methacrylate microsphere (PMMA). They are not used as commonly because Polyacrylamide is usually used by cosmetic surgeons while PLLA and PMMA require multiple injections.

(Read this other post to find out more details about types of dermal fillers in Singapore, including HA and non-HA dermal fillers).

How is a chin filler inserted?

what-happens-during-a-chin-filler-procedure

Prior to the injection, your doctor will discuss with you the desired outcome of the procedure, and will usually then apply a topical numbing agent.

Afterwards, the doctor will make a few injection points in the area that needs to be corrected. A cannula is usually not required for chin fillers. Your doctor will "mould" the filler into place after injecting it in.

This is a relatively straightforward procedure. Therefore, it should take no more than ten minutes to complete. 

What are the factors to look at to decide how much chin fillers I need?

how-much-fillers-do-i-need

Your doctor will have a detailed consultation with you to understand what you expect from the procedure. After understanding your expectations, your doctor will then determine the amount of filler needed. A more drastic effect requires a bigger volume of filler.

In general, a correction to the length of the chin will most likely be required in patients with retracted chins. Hence, the amount of filler needed will have to be increased, in order to correct the chin in 2 different places!

Does that mean getting more fillers is better?

The result of the procedure can go wrong. Excessive use of chin fillers can give you the infamous "witch chin" look, which leaves the patient with an overly pointy and sharp chin [5]. Fortunately, this can be prevented if you are in the good hands of an experienced and qualified aesthetic doctor.

Getting too many sessions of chin fillers can also leave your chin looking unnatural and "overdone", which is definitely not what you would want. Therefore, injecting more fillers is not always a good idea. 

How painful are chin fillers?

Getting chin fillers is a quick and usually rather painless procedure. I have many patients who have done chin fillers without applying a topical numbing agent. This is due to the fact that the fillers themselves contain lidocaine.

Lidocaine, formerly known as lignocaine, is an amide local anaesthetic agent. It is used to numb tissue in a certain area, making the procedure more bearable [6]. It is not painful for most patients, but they will feel a tight pressure after the injection. If you feel strong pain, you should inform your doctor immediately.

What can chin fillers achieve?

Chin fillers help:

  • improve a small or receded chin
  • correct a cleft chin
  • achieve a V-shaped face
  • enhance the 3D appearance of the face
  • improve the appearance of a double chin

What should I avoid after the treatment?

things-to-avoid-after-the-procedure

There is not much to worry about after you have had chin fillers done. In fact, you can continue to "mould" your chin over the next two days if you are still not satisfied with the outcome. However, it's best to inform your doctor so they can correct it before the position stabilises.

On the other hand, you should avoid putting any pressure on your chin for at least 1 week. This includes resting your face on your chin. Likewise, face massages and facials should be avoided in the first 2 weeks [7] to ensure that the fillers do not migrate or move before their positions stabilise.

Pros & cons of chin fillers

pros-and-cons-of-chin-fillers

There are always pros and cons to every aesthetic treatment. Your doctor will inform you of the possible pros and cons during the consultation. If you are in doubt, be sure to flag your concerns to your doctor. 

Pros

  • minimal to no downtime
  • visible results in 1 treatment session
  • no scars
  • no displacement
  • looks natural

In addition, results can be reversed for HA fillers. This is especially true for patients who are doing fillers for the first time.

Cons

  • requires touch-ups
  • chin implants are more cost-efficient in the long run

A comparison of chin augmention, HIFU, and chin fillers

differences

Chin augmentation VS chin fillers

Chin augmentation can be achieved with chin implants or chin fillers. The installation of implants by a plastic surgeon will require you to go under the knife. The results of a chin implant are permanent, which is desirable for most people.

However, in the event that you do not like the results, you will have to undergo another operation to remove the implant, and the associated scarring risk will not guarantee a 100% reversal.

Chin fillers, on the other hand, give only a temporary result. Therefore, if they are done using an HA filler, they can be dissolved easily with minimal risks.

Besides that, our facial profile changes as we age, and the implant may not give you the same desired effect as when you had it done.

Hi-Fu facelift VS chin fillers

A Hi-Fu facelift and chin fillers can be concurrently performed to achieve a V-shaped face.

Hi-Fu is a treatment for face tightening and lifting. It works very differently from fillers – which are solely used to replace volume. Hi-Fu improves the jowls and lifts the lower face to enhance the effects of a sharper chin.

The results of Hi-Fu are gradually seen as time is required for collagen stimulation. On the other hand, the effects of chin fillers can be seen instantly.

Achieving a V-shaped face

If you are trying to achieve a V-shaped profile, chin fillers alone may not be sufficient.

Injection of Botox into the masseters will help reduce squarish jaws, and can help achieve your desired V-shape. If you are unsure which treatments you should go for, be sure to consult a doctor.

What are the side effects of chin fillers?

side-effects-of-chin-fillers

Chin fillers are very safe. There is a small risk of bruising, as with all injections.

Some other side effects are common but can be well tolerated. Most of the time, these side effects are temporary and can be resolved without intervention. The common side effects are:

  • redness,
  • swelling,
  • transient discomfort,
  • pain.

Rare side effects are very unlikely to happen, especially with chin fillers. These include:

  • infection,
  • filler rejection, thus resulting in granuloma,
  • blocked blood vessels,
  • skin necrosis,
  • blindness.

Severe cases of filler rejection may result in granuloma -- a type of inflammatory reaction to the filler. Granuloma formation is affected by a couple of factors such as:

  • volume of injection,
  • impurities present in fillers,
  • physical properties of fillers.

How much do chin fillers cost in Singapore?

chin-fillers-cost-in-singapore

Depending on the type of fillers per syringe, it can cost between $800 to $1200. One syringe may not be sufficient to achieve the desired result. 2 to 3 syringes will be sufficient for most patients.

Do I need chin fillers?

You can compare the proportions of your face with the golden ratio above but should know that it is just a general guide.

Different people have different aesthetic senses. Therefore, your desired outcome should be discussed with your doctor.

Who should avoid chin fillers?

Patients with chin implants in place but want more augmentation will not be suitable for fillers. Similarly, patients who have had chin implants done and removed are not suitable, as scarring may occur at the site where the fillers are supposedly injected. Personally, I would not offer chin fillers in this case as the scar tissue may be too tough, affecting the results of a filler. 

How long do I have to wait to get my next chin filler?

That will depend on the type of filler used. A usual HA filler generally lasts for about a year, while newer-technology HA fillers like Volux claim to last for up to 2 years! That said, collagen-stimulating fillers may also last for about 2 years. 

However, these are arbitrary figures, as some patients metabolise fillers more quickly, and require a touch-up as early as 6 months after injection. Before going for your next session, be sure to ask your doctor first.

Who should I consult to get chin fillers in Singapore?

It is important that you go for a doctor that can:

  • understand your needs,
  • discuss the risks and benefits,
  • have a good understanding of filler injection,
  • know which type of filler is more suitable,
  • has qualifications and experience.

In short

  • Getting chin fillers is a temporary procedure that can help give you the desired outcome for your chin. The procedure is almost painless and there is no downtime, with minimal to no side effects. However, when it is overdone, it does not give a great outcome.
  • Your chin is a key area in balancing your face. It is the anchor point for the eye. Therefore, having a profile with a well-proportioned chin will enhance your overall look.
  • You should always consult your doctor on your expectations so that he/she may advise you on what results are achievable. 

Dr Justin Boey is a medical doctor with Sozo Aesthetic Clinic. Dr Boey has a special interest in facial aesthetics relating to pigmentation, acne scars and facelifts, as well as hair loss.

Read more from Dr Justin Boey in his Q&A here. 


 

References:

1. Vashi NA, de Castro Maymone MB, Kundu RV. Aging Differences in Ethnic Skin. The Journal of clinical and aesthetic dermatology. 2016;9(1):31-38. Accessed November 13, 2019.

2. Gold MH. Use of hyaluronic acid fillers for the treatment of the aging face. Clinical interventions in aging. 2007;Volume 2:369-376. doi:10.2147/cia.s1244

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All content posted is for general informational purposes only and is not a substitute for professional medical advice. This Q&A is not a patient consultation and any information provided herein is not intended to replace consultation with a qualified medical professional. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

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