Worcester Chin Implant doctors
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Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
428 Shrewsbury Street, Worcester |
16 answers | |
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Kimberley O'Sullivan, MD
Boston Plastic Surgeon
14 Denton Road, Wellesley |
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Stuart H. Bentkover, MD
Worcester Facial Plastic Surgeon
123 Summer Street Suite 675, Worcester |
Recent Answers
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)?
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.
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!
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?
I had a chin implant 2 years ago and it is not fitted properly in the pocket. I've started to notice it in pictures and if it hits the light in a certain way. I went to my doctor and he told me to push on the implant, and that the pocket will stretch and the implant will move into the right position. Does this sound right? Or does it need to be fixed with surgery?
Most chin implants used today are made of flexible, non-liquid silastic. These implants ultimately heal into place by formation of a thick tissue capsule around them.
Personally, I do not think that external pushing, massage, taping etc. will have any noticable impact on the position of the implant - not after 3 months and not after 2 years. The implant usually stays, where the surgeon placed it in the first place. Surgical repositioning of the implant is the treatment of choice with the highest chance of appropriate chin implant placement.