Dr. Sam Lam Plastic Surgery Forum

Hi Dr. Lam-

I'm looking for a very subtle augmentation of my chin..maybe 2-3 mm. I want to go the injectable route and had a few questions...

Do you use Perlane or Radiesse? (I notice most doctors use Radiesse, but I thought I read you like to use Perlane)

How many syringes are needed for a 2mm change? Can one syringe do it?

How much input (if any) does a patient have on the shape of the chin during the procedure?

How much, if at all, can you mold the material once it's been injected?

Does Perlane tend to last longer/shorter in the chin than other areas?

Thank you!

I'm looking for a very subtle augmentation of my chin..maybe 2-3 mm. I want to go the injectable route and had a few questions...

Do you use Perlane or Radiesse? (I notice most doctors use Radiesse, but I thought I read you like to use Perlane)
I PREFER PERLANE BECAUSE IT IS REVERSIBLE AND ALSO CAN LAST AS LONG AS RADIESSE IN STATIC AREAS IN MY EXPERIENCE, LIKE THE CHIN.

How many syringes are needed for a 2mm change? Can one syringe do it?
JUST TO AUGMENT THE FRONT CHIN FOR A 2 MM CHANGE, YES ONE SYRINGE IS PROBABLY ENOUGH. IF YOU HAVE A BIG JOWL OR SOMETHING ELSE, THEN A 2ND SYRINGE MAY BE NEEDED. BASICALLY, THINK ONE SYRINGE.

How much input (if any) does a patient have on the shape of the chin during the procedure?
WELL, IF YOU WANT A CLEFT OR SOMETHING, I CAN SKIP THE CENTER. BEYOND THAT MAKING THINGS SQUARE OR WHAT NOT IS NOT THAT EASY WITH A FILLER BUT I CAN TAKE A LOOK AT YOUR SITUATION TO DECIDE MORE PRECISELY.

How much, if at all, can you mold the material once it's been injected?
I STILL CAN MOLD IT SOMEWHAT. NOT A LOT BUT SOME.

Does Perlane tend to last longer/shorter in the chin than other areas?
YES, IT SHOULD LAST LONGER THAN SAY THE SMILE LINES AND LIPS. TYPICALLY 6 MONTHS TO A YEAR AND A HALF. BUT OBVIOUSLY, IT COULD LAST MORE OR LESS TIME IN YOUR CASE.
Thank you!