Chin Implant Q&A
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Chin Implant Methods and Options?

asked 2 years ago by manderpanders in Atlanta, GA
Latest answer by Richard P. Rand, MD, FACS
Question viewed 1,270 times
Tags: chin, female, permanent

I am considering getting a chin implant, but I am concerned with the possibility of it shifting. I was wondering if someone could explain to me the differences as to why some doctors place the implant from under the chin and others screw it in place. Is one method better?

Also, what other types of surgeries are an option? Is it possible to move my entire jaw or chin bone into place to obtain a more permanent fix?

6 answers to Chin Implant Methods and Options?

+2

Chin implants

A Chin Augmentation would GREATLY improve your appearance. The chin can be augmented with man made synthetic implants or by advancing your own jaw forward (Sliding genioplasty). As regards chin implants - as you pointed out they are made by different manufacturers but can be divided into 3 groups : Silicone elastomers, PTFE (formerly Goretex) and POREX implants. Of these the cheapest and easiest to put in are the silicone implants. They are also the most apt to rotate and when surrounded by... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+2

Chin implant options

You appear to be a good candidate for chin augmentation and there are some options available. The most common approach is with a chin implant. Most commonly, these are either silicone or a more porous material. There are pro's and con's with each and your surgeon should discuss those with you. I personally place a screw in all implants to prevent any migration or shifting. This screw is not visible nor palpable. There is the option of making the incision underneath the chin, or going... more
Dean Fardo, MD

Atlanta Plastic Surgeon
+1

Chin augmentation

Chin augmentation can be easily done with an implant. I prefer to use a tiny external incision and never expose the implant to the bacteria in the mouth, hopefully decreasing the risk of infection. As long as the pocket is perfect, the implant won't move and there is no need to anchor it with screws. A sliding genioplasty moves the lower front portion of the jaw forward like pulling out a drawer and is more versatile than a chin implant but more complex to perform.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Chin implant placement options

A chin implant is placed through an incision on the underneath side of the chin and inserted directly over the bone and underneath the skin and muscle, and placed in an envelope underneath the periosteum covering the bone. It is directly inserted between the periosteum and the bone and fit in a very anatomical, snug pocket that will not shift, move, or migrate. It does not need to be screwed in place into the bone. The types of implant used are typically Silastic implants. This is a... more
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Chin implant options

You are justified in your confusion. All the options you have mentioned are a possibility. Implants do shift. Therefore some surgeons fix them in place with screws or stitches. Other surgeons, prefer implants that promote tissue ingrowth and create a velcro effect diminishin the chance of shifting. Other surgeons prefer bone surgery as opposed to implants. Each approach has advantages and disadvantages.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Many chin options

Your chin is very weak and your profile would be improved with chin enhancement. There are many possibilities depending on how your jaws and teeth fit and how much correction you want. If your whole jaw is receded and your teeth need alignment you may benefit from jaw surgery. This is generally more surgery than most people want. You chin can be enlarged by advancing the bone or placing an implant. Bone advancement has the advantage of not having an implant that could cause problems... more
Marcus L. Peterson, MD

Saint George Plastic Surgeon

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