91 East Avenue, Norwalk, Connecticut 06851 | 203-899-0000

Facial Augmentation and Rejuvenation: Implants or Fillers?

If you feel that the balance of your face is less than pleasing because of a “weak” chin or not-so-full cheeks, you might wish to consider aesthetic enhancement through facial augmentation or rejuvenation. Perhaps you are planning to have rhinoplasty or a facelift, and your surgeon has suggested that your enhanced features would be better complemented by a fuller chin or better-proportioned jaw. Or maybe your cheeks have become less full with age, giving you a gaunt, tired look. If you are exploring the options for improving facial balance by augmentation or rejuvenation procedures, you may be wondering which would be best for you:  facial implants or injectable fillers?

Facial Implants

Facial implants are put into place during facial surgery, either alone or in combination with rhinoplasty, facelift, or other surgical procedures. This requires making a small incision through which the implant is inserted, though this can often be done inside the mouth or, for cheek implants, through the eyelid. A pocket is then made over the facial bone (cheekbone, chin, or jaw), the implant is affixed to the soft tissue or bone, and the incision is closed.


  • Give long-lasting results
  • Many sizes, shapes and materials are available to suit your needs
  • May be combined with our other surgical procedures
  • But require longer downtime as you recover from surgery
  • But may shift with time, requiring replacement
  • But may affect facial sensation

Injectable Fillers

Dermal fillers have been used for many years to fill wrinkles and fine lines, and help correct scars, in a safe, non-surgical manner. Fillers replace volume which has been lost, and can add structure as well. Most older fillers were made of animal-sourced collagen compounds, which gave only temporary results. Newer fillers, based on microsphere technology, give longer-lasting results. After injection into the target area, the filler (consisting of the microspheres suspended in a gel) is slowly broken down by the body and replaced with your body’s own collagen.

Among the newer injectable dermal fillers, Radiesse™ is a sterile, non-animal-based filler whose microspheres are made of calcium hydroxylapatite, a naturally-occurring compound. Injection of Radiesse promotes growth of long-lasting, natural collagen.


  • Gives immediate results that last up to 2 years
  • Improves facial symmetry without surgery & with no incision
  • Can be given in about 15 minutes in our office
  • Requires no downtime
  • But may not provide enough volume for chin or jaw augmentation

If you are considering aesthetic enhancement or rejuvenation of your face, and would like more information on your options in facial augmentation, please contact our offices. Our pleasant and professional staff will be happy to answer questions or set up a initial consultation. Our board-certified plastic surgeon has performed hundreds of safe, successful procedures.

Please contact the plastic surgery practice of Dr. Rick Rosen, M.D., F.A.C.S. today. Cosmetic & Reconstructive Plastic Surgery serves patients in and around Norwalk and Fairfield County in Connecticut.

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