Chin Augmentation-Which method is best? (photo)
Doctor Answers 10
Chin Augmentation-Which method is best?
Kenneth Hughes, MD
Los Angeles, CA
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Either approach is good
I've been performing chin implants for 27 years and do both approaches (if the patient is having neck work, I place it through the submental incision, but otherwise place it intraorally). I have never had an implant infection using in intraoral (inside the mouth approach) using numerous types of implants and when placed properly, there should not be problems with mobility. The key, just like with everything, is that your surgeon is experienced and comfortable with whatever approach they recommend for you. There certainly should be no cost difference dependent on the approach.
Chin Augmentation approach
In thirty years and thousands of chin augmentations I have never done one from inside the mouth. I do not even know any other surgeons I respect who do. The indications for doing an oral approach to chin augmentation almost do not exist. The only possible advantage is the absence of a 1/2 inch very hard to see scar under the chin. I cannot think of any of my patients who ever complained or said anything about this incision afterwards. However the oral approach leaves the possibility of infection with an implant a real and serious concern. It is also harder to position the implant along the inferior border of the mandible from the oral approach. I do the whole chin augmentation procedure under local anesthesia in the office in under 20 minutes skin to skin. A simple, great, easy, and very rewarding surgery. Do the surgery on a thursday and go back to work on monday. I have lots of before and after photos on our web site with and without combined rhinoplasty work
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Submental vs Intraoral Chin Implant Placement
While placing a chin implant can be done from either inside the mouth (intraoral) or under the chin (submental), the most important issue is getting the desired result with the least recovery and a low risk of potential complications. This is almost always going to be from the submental approach. While the small scar to place it is often a concern to patients, it shouldn't be as it is rarely an aesthetic problem when well done. Coming from below disrupts the least amount of the muscular attachments, is more assured in getting proper implant position that is stable and will not cause any temporary interference with lip function, eating or oral hygiene, thus making recovery easier.
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Stephen Weber MD, FACS
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I personally prefer a small incision under the chin. This has the lowest risk of complications such as implant malposition and infection. This can also be combined with a small amount of neck liposuction in some people. Most of my patients expect minor bruising and swelling with a rapid return to work (within a week). We can discuss this in much more detail during your consultation.
The 2 approaches are the submental and intraoral approach. The intraoral approach saves you an external incision but has chance for post -op complication. The submental approach involves a small submental incision in the chin crease but has less chance for infection. Overall the surgeon will choose the approach he/she is more comfortable with. The is very little bruising and 4 to 5 days of recovery for sweliing.
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