Chin, Nose, Tear Troughs: When Filler Hits Its Limit

Filler is an easy first step — quick, pretty much reversible, affordable. But there’s a moment patients know well: you’ve been filling the same area for years, and something still isn’t quite right.Dr. Kiersten Riedler, facial plastic surgeon at La Jolla Cosmetic Surgery Centre who operates and injects, walks us through the three most common filler-versus-surgery conversations she has in the consult room — chin implants, rhinoplasty revisions, and tear troughs, where filler and fat transfer each tell a very different story.Find out why a weak chin can make an entire nose read wrong, when liquid rhinoplasty can actually last for years, and why so many patients show up thinking they need another eyelid lift when what they’re really seeing is a bluish shadow from filler placed a decade earlier.LinksMeet San Diego plastic surgeon Dr. Kiersten RiedlerLearn more about chin augmentation, rhinoplasty, eyelid surgery, and facial fat transferQuestions answered in this episode: What can chin filler do well, and where does it hit its ceiling?How does a weak chin affect the way your nose looks?What does a chin implant procedure involve, and what are they made of?When does it make more sense to get an implant than keep doing filler?Do you need to dissolve chin filler before getting an implant?When is filler the right call after a rhinoplasty versus going back to surgery?How long does liquid rhinoplasty actually last?What can filler not fix on a nose?When is filler appropriate for tear troughs — and when is it not?What is the Tyndall effect and why does it show up years later?Does filler actually disappear over time, or does it stay longer than we think?When is fat transfer a better option than filler under the eyes?What's the one thing to know before your first filler appointment?Learn from the talented plastic surgeons inside La Jolla Cosmetic Surgery Centre, the 12x winner of the San Diego’s Best Union-Tribune Readers Poll, global winner of the 2020 MyFaceMyBody Best Cosmetic/Plastic Surgery Practice, and the 2025 winner of Best Cosmetic Surgery Group in San Diego Magazine’s Best of San Diego Awards.Join hostess Monique Ramsey as she takes you inside LJCSC, where dreams become real. Featuring the unique expertise of San Diego’s most loved plastic surgeons, this podcast covers the latest trends in aesthetic surgery, including breast augmentation, breast implant removal, tummy tuck, mommy makeover, labiaplasty, facelifts and rhinoplasty.La Jolla Cosmetic Surgery Centre is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus.To learn more, go to LJCSC.com or follow the team on Instagram @LJCSCWatch the LJCSC Dream Team on YouTube @LaJollaCosmeticSurgeryCentreThe La Jolla Cosmetic Surgery Podcast is a production of The Axis: theaxis.io Theme music: Busy People, SOOP