Using Fillers for Lower Facial Sculpting

The use of fillers for the middle of the face has been well described and these products have been used for more than 25 years. Injecting fillers of these products into the lower third of the face is more technically challenging but also has the potential to make a dramatic difference to the patient and to brand the physician as an expert. Treatment of the marionette lines, prejowl sulcus, and chin can dramatically alter a patient’s self-image. Hyalurons, calcium hydroxylapatite, and collagen can all be utilized for these areas with differing degrees of success.