Chin Filler 101

before and after chin filler

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When most people think of dermal fillers, chin filler is probably not on their minds. But for many clients, precisely injected chin filler gives them the opportunity to enhance the shape and proportions of their chin. In this article we’ll break down what chin filler is, what the procedure is like, and how much chin filler costs. 

What is chin filler?

Chin fillers are dermal fillers injected into the chin with the goal of enhancing the shape, size, or proportion of the chin. It can be done as a single treatment or as a series of injections spaced 2-4 weeks apart, depending how much the chin needs to be built up. It is a nonsurgical procedure that is not permanent but can last several years. Many clients getting chin fillers hope that the procedure will give them a stronger, more balanced chin.

How much does chin filler cost?

Chin filler cost is mainly dependent on the type of filler used, the amount of filler needed, and where you have the procedure done. For most procedures chin filler will cost between $500-$1500. This is the point where we have to remind you that the most expensive type of filler is the kind you have to have twice. Make sure you pick the right injector, not just the cheapest.

What is chin filler treatment like?

A chin filler treatment is a very quick outpatient procedure that should take an hour or less. The injection portion of the procedure may only be a few minutes. When you get to the office the injector will walk you through the procedure and assess the structure of your face. After going through any questions you may have, they will carefully select where to place their injections using a needle and syringe or in some cases a cannula. The injections will be done quickly and without much discomfort and after some brief aftercare instructions, you will be on your way to resume your day. 

Is chin filler painful?

The chin filler procedure can be mildly uncomfortable but tolerable. The mentalis muscle (chin muscle) can be a bit tender, especially afterward because we move the chin so much to talk and eat. The quick pricks with a needle will feel mildly uncomfortable in some areas and sharper in others. Most fillers used for the chin have small amounts of lidocaine to help reduce the discomfort of the injections.

After your procedure, your chin may feel a bit sore and possibly heavier than it usually feels which may make things uncomfortable temporarily while it heals.

What types of filler are used for chin filler?

In general, injectors use a thicker filler for the jaw and chin area to add volume. In most cases, injectors will use a Hyaluronic Acid (HA) filler or a calcium hydroxylapatite (Radiesse) filler “off label” for the procedure. Some of the commonly used fillers are:

  • Restylane Lyft (HA)
  • Radiesse (calcium hydroxylapatite) 
  • Juvederm Voluma (HA)

To learn more about these fillers, check out our guide on filler.

How long does chin filler last?

Depending on the type of filler injected, and how much was injected, chin filler can last quite a long time, between 10-24 months. At that point, patients will often have the procedure redone to maintain results. They may also come in at regular intervals for touch-ups to maintain the treatment.

What should you do to prepare for chin filler?

Talk to your injecting provider for a complete list of pre-care instructions and things to avoid. In general, it will likely be recommended that you:

  • Avoid over the counter blood-thinning medications and supplements like ibuprofen, fish oil, and aspirin (unless these are prescribed for a health condition).
  • Eat pineapple in the week leading up to your treatment if you are nervous about swelling. You can also take Bromelain tablets in the 24 hours before treatment to help reduce pain and swelling.
  • Consider taking arnica which will help limit bruising at the injection site.
  •  Avoid drinking alcohol prior to your treatment. You’ll be unable to consent to the procedure and it may also make your recovery slower by increasing bleeding and bruising.
  • Consider limiting the amount of sodium you consume prior to your appointment. Sodium can cause your body to retain more water which will increase your swelling.
  • Talk to your injecting provider about any medical conditions or concerns that you may have. 
  • Show up with a clean, makeup-free face.

What is chin filler aftercare like?

You’ll want to talk to your injector about specific aftercare instructions that may be specially geared to your situation. Most likely, you’ll be able to return to mild activity immediately following your procedure. In general, it will be recommended that you:

  • Consider applying an ice pack to the area injected to reduce swelling for the first 24 hours.
  • Avoid touching or massaging the area treated.
  • Take acetaminophen as directed to alleviate any pain or discomfort. Ibuprofen can delay the healing of bruises or make them worse if present.
  • Avoid any heat with the area (places like saunas and hot showers, as well as hot wax) unless instructed to use warm compresses for bruising after the first 24 hrs.
  • Consider taking arnica to help reduce any bruising or discomfort
  • Avoid alcohol or exercise for 24 hours afterward to keep down the potential bruising.

Is chin filler safe?

Dermal fillers like chin filler are generally very safe when injected by an experienced professional like Ali. Make sure you do your research and read reviews of different injectors before having your procedure done. That being said, any aesthetic procedure comes with inherent risks, talk to your injector about any concerns you may have. 

What are the side effects of chin filler?

In the days following your procedure you may experience the following mild side effects from your chin filler injections:

  • Redness
  • Itchiness at the injection site
  • Mild bruising
  • Swelling in the area treated
  • Soreness
  • Possible bone resorption (see below)

Can chin filler move?

Some injectors will massage filler after injecting it to prevent lumps and make sure that it has accurately treated the area. After your treatment, your injector will most likely advise that you do not touch the area treated and avoid certain activities that may cause it to migrate. That being said, filler migration in the chin area is rare but possible. Talk to your injecting provider about all possible side effects.  

Can chin filler cause bone loss?

A recent study of 80 patients in Asia showed unexpected bone loss of the chin after injections of hyaluronic acid fillers. It was correlated with the amount of filler used. The more filler used, the more bone loss there was. However, there was no change in the aesthetic effect of the chin despite this side effect. 

This phenomenon is not seen in other areas of the face like the cheeks or jawline, even when the filler is also injected directly on the bone. There are many theories on why this may happen. Talk to your injecting provider about his risk and all risks associated with aesthetic procedures.

Can chin filler fix a weak chin?

Chin filler can be injected in a way that adds definition to the chin and makes it appear stronger. This procedure can help patients that have a small, weak, or receding chins achieve more balance and harmony of their facial profile. 

Can filler get rid of a double chin?

Though chin filler will not remove tissue, sometimes the appearance of a double chin may come from the shape and structure of the chin. In these cases filler can be used to reshape the jawline and chin to give it a stronger look. 

If there is significant submental fat (fat below the chin) causing the appearance of a “double” chin, then Kybella is a great treatment to do in combination with chin and jawline filler to reduce the extra tissue. See other alternatives below. 

Client's before and after chin filler

before and after chin filler
chin filler before and after

What other procedures are an alternative to chin filler?

Chin implant

What is a chin implant: a chin implant is a surgical procedure where an implant of the desired shape and size is placed in the chin area to enhance this feature. 

Cost: $3000-5000

Benefits: This is a permanent procedure where the exact shape and size of the chin can be determined.

Negatives: This procedure requires surgery which always comes with risks and is more expensive than other options.

As above, when an enhanced chin profile is desired it may also be necessary to slim and contour the jawline for best results. This can be accomplished in many different ways but a few treatments often done with chin filler include:

  • Kybella/Deoxycholic acid for submental fat or “double chin” 
  • RF microneedling at deeper depths can tighten the skin and reduce fat 
  • Jawline and neck liposuction or “facetite” procedure done with a plastic surgeon to suction out versus melt fat along the jawline and below the chin

Is chin filler worth it?

Whether something is “worth it” or not is highly subjective but we have had immensely positive feedback from all of our chin filler clients. It is one of those areas that is subtle but quite noticeable and can really enhance someone’s look while ensuring they still look like themselves. 

If you live near Denver, CO consider coming in for a consultation at Elite Medical & Aesthetics, link below.

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All about under-eye filler

EMA client before and after Under Eye Filler

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All about under-eye filler

Have you gotten tired of trying under-eye creams hoping that they would help you get rid of the dark sunken look under your eyes? For many clients this area is extremely frustrating, but the good news is that there is a low maintenance solution. Under-eye (tear trough) filler can give the area under your eyes increased volume and reduce the appearance of dark spots. In this article we’ll dive into what types of fillers are used, what the procedure is like, and what under-eye fillers cost.

What is under-eye filler?

Tear trough filler is a treatment where hyaluronic acid (HA) dermal fillers are injected using a needle or cannula into and around the dark hollows under the eyes. It can be done alone or in conjunction with cheek filler. It’s important to address the whole face when treating this area for a natural and balanced look. Oftentimes under eye hollows can be from loss of volume in the cheek so it’s important to determine the underlying cause of the deficit before treating. 

It’s also important to go to an experienced provider as this area can not only be dangerous to inject but also difficult to inject in the correct plane (the correct level).

What types of filler can be used in the under-eye region?

Most of the softer HA (hyaluronic acid) fillers can be used in the under-eye area. Sometimes firmer HA’s can be used in severe cases or when they are diluted. It is not advised to use non-HA fillers in this thin sensitive area. 

The most commonly used hyaluronic acid fillers for under-eyes are:

Other fillers such as collagen, Sculptra and Radiesse are NOT recommended in this area due to risk of overfilling, pain, reaction and nodules. This is a high movement area that needs a soft and gentle HA filler for best results.  

For more information on fillers, check out our filler guide.

What does tear trough filler treat?

Our bodies can naturally lose volume in our tear trough as we age due to volume loss.  We also have separation of the fat pads under the eyes and the cheeks. This leaves an indentation or dark hollowing under the eye which can be softened with dermal fillers. 

Who is a good candidate for under-eye filler?

A good candidate for under eye filler is someone who:

  • Has always had dark under eye hollows genetically
  • Developed dark under eye hollows with aging
  • Has good skin quality and good cheek support


  • A poor candidate for under eye filler is someone:
  • Who has large under-eye bags rather than hollows 
  • Has extremely thin or fragile skin that appears “see-through”
  • Has full-face hollowing and requires full-face intervention prior to under-eye filler

Are tear trough fillers safe?

All medical and aesthetics procedures come with risks. Under-eye fillers done by experienced medical providers can be done safely. It’s important to consult with your injecting provider to discuss the risks and benefits of any procedure. Some of the risks involved in tear trough filler include:

  • A poor result, usually over-filling with a puffy appearance
  • Prolonged swelling from poor product selection or placement
  • A blue tinge under the eyes (tyndall effect) from too much filler, filler placed too superficially or filler placed on a poor candidate
  • A vascular occlusion where dermal filler gets into the artery (angular artery) which can lead to severe complications
Vascular system for under eye fillers
Image Courtesy of Plastic and Aesthetic Research

What are the benefits of tear trough filler?

  • Tear trough filler can add volume to lessen the “hollowness” under the eyes
  • It can give you a more rested and youthful appearance 
  • Filler will diminish under-eye bags (in certain cases) 
  • It will eliminate or lessen dark circles under the eyes

How much does under-eye filler cost?

Under-eye filler varies in cost based on the type that you receive, where you have the procedure done, and who is performing the procedure. Below is a breakdown of the cost  on average.

  • Hyaluronic Acid Fillers like Juvederm, Belotero, and Restylane generally cost between $600-$1200 per treatment. This does not including any other filler that may be recommended. When combined with other facial fillers the cost for the under-eye portion may be lower. 

How do you prepare for under-eye filler?

Talk to your injecting provider for a complete list of instructions but in general, it will likely be recommended to:

  • Avoid over the counter medications that may thin your blood like aspirin, ibuprofen, fish oil  (unless prescribed).
  • Not consume alcohol 24-48 hours before your procedure
  • Come to your appointment with a clean face and no make-up if possible. 

You can also consider icing under your eyes for 10-20 min prior to your procedure to decrease the risk of swelling or bruising. You can also consider taking arnica tablets to prevent bruising and swelling. As with any medication or supplement, talk to your provider about any medications or supplements you decide to take.

What is an under-eye filler treatment like?

Under-eye filler appointments are generally about 30-60 minutes. The actual procedure itself may only take about 5-minutes per side, but the preparation and discussions prior to the appointment will take up extra time. Your injector may also recommend injecting other areas first, such as the cheeks and midface, to support the tear trough area and for a better result which takes additional time.

What is under-eye filler aftercare like?

Every injector will have their own specific aftercare instructions. Below are some of the general recommendations for under eye filler aftercare:

  • Try to avoid using concealer or other eye makeup for the first 24 hours.
  • Do not rub the treated area for at least 24-48 hours after your injections. 
  • Avoid intense physical activity for 24-48 hours, if possible, as exercise may increase swelling to the area treated
  • Consider avoiding alcohol for 48 hours after your treatment. Drinking could increase the swelling and bruising.
  • Use an ice pack to ice the area for 5-10 minutes off and on for the first 48 hours. This will help you reduce  swelling quicker. It’s also a great reason to sit on the couch and relax.

When will I see results from tear trough filler?

Immediately after the procedure, you will be able to see your results. For many people, there will also be some swelling immediately post-procedure. The swelling will start to go down in about 48 hours. You will be able to see the final results in 7 to 14 days in most cases but in rare cases, it may take longer, especially during allergy season.

How long do under-eye fillers last?

Over the years we have discovered that filler tends to last much longer in this area than in other high movement areas. Lasting even longer than the lips. The same filler brand that may only last 6-8 months in the lips may last 1-2 years under the eyes.  More cross-linked fillers, such as the Juvederm family, can last 2-3 years, but this does come with an increased risk of reactions and late-onset nodules. Talk to your injecting provider about what dermal filler is best for you.

What is the best under-eye filler?

Hyaluronic acid fillers are the best fillers for under-eye treatments and we have tried almost all of the available brands on the U.S. market. Our favorites have been Belotero Balance and Restylane-L for most cases. 

We also use other, firmer HA fillers or Radiesse in the cheeks prior to doing under-eye fillers to support the area and also give a more natural look.

Under eye filler before and after

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Should You Get Needleless Lip Filler?

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For many, needleless lip fillers, such as the Hyaluron Pen, seem like the perfect cheap alternative to traditional lip fillers. But are the results the same? Is the Hyaluron Pen even a safe treatment? In this article we dive into needleless lip fillers to give you an expert opinion on results and risks of the Hyaluron Pen. 

What are needleless lip fillers?

Hyaluronic Acid (HA) Lip Infusion pens are pressurized devices that infuse HA serum into the top layers of skin. It does not use a needle to inject an HA solution like traditional fillers. The companies market these products as a way to promote collagen production and add volume to the area treated.


Unlike standard lip filler treatments that need to be done by licensed injectors, these procedures can be done by non-licensed professionals and are even available for at-home use.

How much do needleless lip fillers cost?

It will usually cost around $300 to have this procedure done each time. 

Are needleless lip fillers safe?

The short is answer is no. These devices use pressure to force the hyaluronic acid into the superficial (shallow) layers of the skin which can lead to: ulcerations in the lips, swelling, bruising, uneven results, vascular occlusions, infection, and cold sore outbreaks.


If you’re thinking that some of the above results can occur with regular lip filler, you’re correct. The difference is that when lip filler is injected by a trained medical professional they know how to avoid those side effects and also treat them in the rare instance they may occur. A non-trained individual may think all discoloration is a bruise whereas a medical professional (RN, PA, NP, Physician) will be able to identify a vascular occlusion and be able to respond immediately.



Because of so many adverse events these devices have been banned in other countries, such as Canada, and are getting more and more bad press for requiring medical attention post procedure.

Do needleless lip fillers work?

It can be temporarily effective to have needleless lip filler, but it may not give you the desired outcome. A major problem with needleless lip filler is that the product diffuses to a large area which can mean your body rapidly processes it in a short period of time. Results typically only last only 2-weeks. According to the Hyaluron Pen makers, “The skin gets a bit swollen at first, then the effects last for a couple of weeks, maybe a month, and the situation looks as it was before – no better, no worse.” 

It is also very difficult for someone that doesn’t have medical experience and proper training to achieve safe natural looking results. Anatomy of the lips, and a natural result, is a complex process that takes a lot of training and practice. You have to respect the natural borders, tubercles, and shape of each person’s unique set of lips along with having the technique to create the desired result. 

What’s the difference between needleless lip filler and regular lip filler injections?

Regular lip filler injections are done by trained medical professional that know the proper technique, anatomy, and safety. They can place precise threads of filler into the lips, exactly where they want it, to give a beautiful natural result. On the other hand, there is almost no control over where needleless lip filler will go and there doesn’t have to be any medical training for those injecting.

Does needleless lip filler work as well as regular lip filler injections?

No, as above these products are only going to last for around 2-4 weeks according to the manufacturers. Additionally, the product placement cannot be controlled in the pens like they can for injections. So the results won’t look as good, won’t last as long, and there are just as many risks or more due to being administered by anyone with or without training. 

Who can perform needleless lip fillers?

The biggest problem with needleless lip fillers (Hyaluron Pens) is that you don’t have to be a licensed medical professional to offer this treatment. Because of this, many spas will offer the procedure without having anyone specially trained to perform it on staff. This can lead to accidents and adverse events (bruising, vascular occlusions, infection, ulcers, etc.) as mentioned above, and may not be recognized as dangerous if no medical professional are present.

What is the recovery time like for needleless lip filler?

If there are no complications, then recovery time is fairly brief with less general swelling and bruising than with traditional lip injections. 

In most cases, swelling should go down in 24-48 hours but some consumers report having swelling for up to 1-2 weeks, just like with regular lip injections. 

Should you get needleless lip filler in our opinion?

At the end of the day you are an adult and you are gonna do what you are gonna do. Some people are hell-bent on saving a buck and will try the cheap DIY home product no matter what anyone says. If that’s you, just know the risks versus benefits. Know what to look for in case of an emergency like infection or vascular occlusion, and know where to go to have it fixed if it does occur.


With that in mind, remember that the most expensive procedure you’ll ever get will be the one you have to get twice. So if you do something at home, and it’s horrible or dangerous, you will have to pay to get it dissolved or to go to the emergency room. Then you will have to pay to get it fixed if you still want the result.


If you are in the Denver, CO area and want to talk to a trained medical professional, come see us at Elite!

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