According to board-certified plastic surgeon David Shafer, for those who may describe their chins as “wear,” chin augmentation with Restylane Defyne may be a desirable and effective option. “Any patient with hypoplastic or recessed chin is a good candidate,” he tells Allure, explaining that dermal fillers approved for chin augmentation have been a game-changer for lower-face aesthetics. “Traditionally, the only options were radical surgery with cutting and advancing the chin for more projection or surgically placed implants. While an implant is a relatively minor surgery and has permanent effects, many patients like the idea of fillers as they are temporary and reversible.”
So does injectable chin augmentation replace surgical solutions? It depends on who you ask. “Restylane Defyne is a great alternative for those who would prefer nonsurgical treatment options for chin enhancement and augmentation versus undergoing surgery with a chin implant,” Chapas tells Allure. “There may be cases that implants are warranted, but in my experience, I’ve found I’m able to achieve great results with the use of Restylane Defyne, with little to no downtime incurred by my patients.”
Andrew Jacono, a board-certified plastic surgeon, on the other hand, sees it more as a temporary way to preview what a permanent implant could do for a patient. “While injectables cannot replace surgical procedures for a variety of reasons, including that the majority of them are hyaluronic acid fillers which degrade over time, Restyle Defyne can be used to provide patients with a glimpse into what a cheek, chin augmentation, or rhinoplasty may look like,” he tells Allure.
Board-certified dermatologist Deanne Mraz Robinson brings up another factor in choosing between a treatment like Restylane Defyne and an implant: “Something to consider is filler requires maintenance and re-injection and may ultimately cost more than a one-time chin augmentation surgery,” she notes. According to Chapas, the average price for one chin augmentation session with Restylane Defyne is $975.
Restylane Defyne’s FDA approval for chin augmentation comes nearly eight months after another hyaluronic-acid filler, Juvéderm Voluma XC, received approval for similar lower-face usage. The main difference, according to the doctors Allure spoke to, is how long they respectively last. “While both Restylane Defyne and Juvéderm Voluma XC are quite viscous and can be used for sculpting areas like the chin, Juvéderm Voluma XC lasts almost twice as long at Restylane Defyne — up to two years,” Jacono explains. Each of the experts Allure spoke with say Restylane Defyne lasts approximately one year.
That’s not to say Defyne is somehow inferior because it doesn’t last as long. “Defyne is an outstanding and comparable alternative, and a welcome addition to our armamentarium for augmentation and enhancement of the chin,” Kolker says. According to Galderma’s Restylane website, the most common side effects are swelling, redness, pain, bruising, headache, tenderness, lump formation, and itching at the injection site, which are comparable to Juvéderm Voluma XC’s.
Ultimately, which filler to use is a decision to be made between you and your board-certified dermatologist or plastic surgeon.
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