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Benefits of External or Internal Incision Site for Chin Implant?

asked 1 year ago by NEWCHIN in SEATTLE
Latest answer by Stephen Prendiville, MD
Question viewed 379 times
Tags: benefit, incision

and is it true that you cant get a chin implant lower on the inferior part edge by going thru the mouth?

8 answers to Benefits of External or Internal Incision Site for Chin Implant?

Incision for Chin Implant

My personal preference is the external incision. The infection rate is lower (the mouth is impossible to completely sterilize), and implant positioning tends to be more favorable than with the intraoral approach.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

Chin Incision

Chin implants can be undertaken through either intraoral or external incisions. The infection rate through the intraoral incision is slightly higher than with the external incision but still fairly minimal. With the intraoral incision you do run a slightly greater risk of changing the way that your chin moves but in some cases this can be advantageous. The external approach leaves a small scar on the chin but this is usually well hidden under the chin. In the end, there is no clear... more

D.J. Verret, MD
Dallas Facial Plastic Surgeon

External vs internal chin implant approach

I have done over 1000 chin implants in 30 years and over 95% have been by the external approach. The reason for this is the placement of the implant along the inferior border of the chin is much better via external approach. The implant is also more stable this way and tends not to drift upwards when healing. As a side the chance of infection is reduced. The 1 cm submental scar is very hard to find after 6-12 months

Richard Galitz, MD
Miami Facial Plastic Surgeon

Chin implant

Both the submental and intraoral "sulcus" incision is good when done by experienced surgeon. The intra oral incision have a slightly higher incidence of infection. As for positioning the implant that depends on the experience of your doctor. Choose a BOARD CERTIFIED PLASTIC SURGEON ( AMERICAN BOARD OF PLASTIC SURGERY)

Samir Shureih, MD
Baltimore Plastic Surgeon

External incision preferred for chin implant

An external incision under the chin is preferable to the intra-oral route for several reasons. With an external incision, there is lower risk of infection and the implant is less likely to migrate. The implant is placed directly over the chin bone and once healed, does not require a screw to keep it in place. When placed through an incision under the chin, your surgeon is able to place the implant as inferior as the patient desires.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Chin Implant Incisions and Approach

This is a point of ongoing debate amongst plastic surgeons. I personally prefer to do my chin implants by using an external incision made just underneath the chin. I prefer doing chin implants in this manner because there is less chance of an infection occurring using this method. When you place a chin implant thru the mouth (internal incision), you cannot do so in a completely sterile manner. By definition, the mouth will always be contaminated with bacteria. If you are attempting to... more

John M. Hilinski, MD
San Diego Facial Plastic Surgeon