Dallas Chin Implant doctors

Chin implant and rhinoplasty are two procedures which are commonly performed at the same operation in order to restore facial balance. The profile of the nose and chin are altered with these procedures and it has been shown that if one is left undone the perceived result of the operation is compromised. I would always discuss this with my rhinoplasty patients after the review of their photos. A chin implant is usually a silicone and I usually place this through a small incision under the chin. This procedure adds about an hour to the rhinoplasty surgery, but really does not contribute to prolonging the recovery after the surgery. I would consider doing both the chin implant and rhinoplasty at the same time if your surgeon does do these operations.

Chin implants can be made of multiple different substances including silicone, porous polyethylene, and gore-tex. They can usually don't have the same propensity for scar formation as a breast implant because of the solid nature of the implant, though softer implants with liquid silicone have been available. That being said, scar formation can occur around the implant, as well as boney erosion of the chin(mandible). If there is a change in the chin consistency, and your implant is 18 years old, you should consider at least an evaluation with a plastic surgeon and possible imaging of the mandible with an x-ray and CT scan to determine the condition of the bone under the implant. Removing scar in this area can lead to injury to nerves and muscle in this area, so it depends on the implant pocket condition and need for soft tissue augmentation after the implant is removed. Placing another implant at the time of the removal may be an option, as well as changing to a solid porous material as well. Biostimulators such as Sculptra, as well as fillers like Juvederm and Radiesse may also be a nice transition from needing an implant replaced. Fat grafting could also be considered. If there is a need for more augmentation and an implant is not an option to replace back in the pocket secondary to scar you could consider an osseous genioplasty. 

I hope this helps.

Dr. Trussler

Rhinoplasty or nose job can improve both the look and function of your nose. Your nose is an important component to your face and correction of the cosmetic flaws in the nose depends on your face and facial balance. In profile, the chin and nose are points of focus and balance between the two is vital. A prominent nose and weak chin can give your face a rounded appearance, and in correcting the prominent nose an uncorrected chin can lead to a perceived underwhelming result. In a harmonious female face, the projection of the lower lip should be slightly in front of that of the chin. A weak chin can be easily corrected with a chin implant which is placed through a small incision in the natural crease in under the chin. This can be referred to as a mentoplasty or implant genioplasty, and the implant can be made of silicone(most common), porous polyethylene, or Gore-tex. Injectable fillers or biostimulators such as Sculptra can also be used as an adjunct to the implant. The operation can be performed at the time of the rhinoplasty and usually takes approximately one hour with no increase in recovery time. Some weak chins are too weak to be improved with even a large chin implant or the crease above the chin is too deep, which in this circumstance can be addressed with a more invasive and complicated jaw surgery (osseous genioplasty). The amount of chin projection should be discussed with your plastic surgeon and pre-operative measurements and imaging can be a useful tool in figuring the value of the procedure.

A chin implant is a nice complement to a rhinoplasty and should only improve the cosmetic appearance of your nose and face. It will not change your face too much!

I hope this helps.

Dr. Trussler

Dallas TX