Boston Chin Implant doctors

Frank P. Fechner, MD Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
428 Shrewsbury Street, Worcester
16 answers
G. Gregory Gallico III, MD G. Gregory Gallico III, MD
Boston Plastic Surgeon
170 Commonwealth Avenue, Boston
6 answers
Jeffrey H. Spiegel, MD Jeffrey H. Spiegel, MD
Boston Facial Plastic Surgeon
830 Harrison Avenue Suite 1400, Boston
1 answer
Mark B. Constantian, MD Mark B. Constantian, MD
Nashua Plastic Surgeon
19 Tyler St #302-304, Nashua
Edwin Ishoo, MD Edwin Ishoo, MD
Boston Facial Plastic Surgeon
1000 Plain St First Floor , Marshfield

Recent Answers

Neck Liposuction with Chin Implant - Waiting Time

I am 37 yo male. - My plastic surgeon said that I need chin implant with the liposuction. Do you think I can benefit from liposuction? He won't do them together. He will do the lipo first followed by the implant 2-3 months later. Why is the gap between the 2?

A: Neck liposuction and chin implant done together are ideal for you.

Neck liposuction and chin implant done together are ideal for you. They are best done at the same time because you have to go through with the surgery and the recuperation only once, and because the combo will usually cost less than the total done separately.

However, I have to suggest that you do some weight loss before doing any surgery. The result of your surgery will be much, much better if you rreduce the fat in your cheeks.

CLOSING INFO
G. Gregory Gallico, III, MD, FACS
Associate Professor, Plastic Surgery
Massachusetts General Hospital
Harvard Medical School
170 Commonwealth Avenue
Boston, MA  02116
Tel: 617-267-5553
Fax: 617-267-5507
ggallico@partners.org
 

G. Gregory Gallico III, MD
Boston Plastic Surgeon
Small Chin and Flat Cheeks - Best Treatment Option?

Im really disappointed with my profile. My small chin and my flat cheeks make my nose look big. Is it possible to fix it with a chin implant only or is a jaw surgery necessary? (I have 3 mm overbite but no practical problems). I'm also thinking to fix my flat cheeks(perhaps with an implant)?

A: Treatment for Enhance Chin and Cheeks

I agree that your nose appears prominent although it is not in absolute terms. A chin augmentation with an implant will significantly improve your profile. For the cheeks, implants are an option but will likely not fix all the problems that I see in your photo. You also have deep depression at the junction of central cheeks and lower lids which is best improved with facial fat grafting.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
Sliding Genioplasty Vs Chin Implant

I saw a plastic surgeon last year and we discussed buccal fat removal and sliding genioplasty. I've held off on the surgery due to the risks.

Would a chin implant work in my case? I'm hoping for options with less risk of complications than the sliding genioplasty. What do you suggest in my situation? I'm 24 years old and very unhappy with the lower half of my face. Thank you!

A: Chin Implant or Sliding Genioplasty

Personally, I prefer chin implant to sliding genioplasty. This preference is mainly guided by the final esthetic outcome which, in my opinion, is superior with chin implant. Why? With the boney advancement, only the central chin bone itself is advanced leaving the patient with a relative deficit in the sides of the chin - an area commonly referred to as prejowls. The chin implant provides a softer enhancement because it extends more to the sides and allows for a gentler transition. As a side effect, the recovery after chin implant is usually easier and quicker than after bone alteration.

A quick word regarding your cheek: I would hesitate to recommend buccal fat removal. Your face is already relatively long and narrow and reduction of your lower cheeks will further accentuate this. Rather, consider cheek upper cheek enhancement which will widen your narrow upper face and improve the overall balance of the face. Buccal fat extraction is a procedure that is commonly is seen with regret years later.

Isn't it interesting how cosmetic facial surgeons have differing views on how to enhance the face?

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
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