When Getting a Chin Implant is It Better to Do Incision Via the Mouth or Under the Chin?

What are the pros and cons for both? Why would one doctor choose outside chin and another inside mouth. If you had a chin implant via an incision under the chin and you need to do a revision. Should the doctor make incision under the chin as well? Which is safer?

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External vs Internal approach for Chin Implant placement

I personally prefer the external approach. The incision heals extremely well and ois very small. Also the implant does not touch the bacteria of the internal mouth, so theoretically infections should be less. The operative time is also reduced with the external approach. In summary, talk with your surgeon about his or her particular approach and what works for them. Both work well in the right hands. Best regards. Dr D

Atlanta Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Chin implant Incision inside the mouth or under the chin

This comes down to training and experience. Clearly the single primary advantage of placing the incision inside the mouth is the advantage of concealing the scar whereas the disadvantage is placing an implant through likely the most contaminated part of the human body with the potential increased risk of infection as well as the possible disinsertion or disruption of the mentalis muscel. The advantage of placing it under the chin is the cleaner anatomic path but the disadvantage of a potentially more visible incision.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 54 reviews

Better to place chin implant via incision under the chin

Placing a chin implant through an incision under the chin is the best way to perform chin augmentation. There is a lower risk of infection, the implant is less likely to migrate and there is no need for a screw.

Not only is infection more likely to occur when the implant is placed through the mouth, the implant tends to move upwards away from where it was originally placed.   

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Either surgical approach is acceptable.

You are asking well thought-out questions. In my opinion, if a young patient is having a chin implant, I prefer an intraoral incision, so there is no visible scar. If I am planning a chin incision anyway, like for a facelift or neck liposuction, then I place the implant through the skin incision. The scar in the chin is generally very acceptable cosmetically.

Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

Intraoral versus External Incision for A Chin Implant

Both approaches have their merits.  An external approach allows for more accurate placement of silastic implants with less potential contamination of bacteria from the mouth.  Intraoral incision avoids an external incision at the theoretic risk of bacterial contamination and less accurate placement of solid state implants.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 85 reviews

Approach for Chin Augmentation With An Implant

My personal preference is to use an external incision for placement of a chin implant. I still believe that it is a more sterile approach than using an intra-oral incision. I also feel like placement is more accurate in my hands with an external incision. My surgical dissection allows a more direct visualization of the lower border of the jaw and affords me a more accurate placement. As others have highlighted, this incision made under the chin heals so well that it is barely perceptible once healed.

John M. Hilinski, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 21 reviews

Chin implant approaches

My personal preference for placing a chin implant is to go through a small incision below the chin. The advantage of this approach is that a larger anatomic chin implant can be placed right along the jaw line. Also, if it needs to be removed or replaced or revised, this is more accessible this way. The other advantage of this approach is that you stay away from the nerves that are responsible for sensation of the lower lip and there is a lower infection rate. Finally, implants that are placed via the mouth can ride higher and are more easily displaced in my opinion.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews

Chin implant incision choice

Both the intraoral and external incisions are acceptable and I perform the procedure from both approaches.  However, each patient is different and one must take into account the anatomy, the size of implant, the particular patients healing potential and the desires of the patient.  Having said that, I performed an intraoral incision for most patients during the first 10 years of my practice, but had 3 get infected from bacteria in the mouth.  In most cases today, I prefer the external incision as the approach is direct, and I have had zero get infected by avoiding the intraoral bacteria.  Discuss your concerns with your surgeon to arrive at the best choice for your individual needs.

Darrick E. Antell, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 19 reviews

Chin Implant incision

Both the intraoral and submental incisions do very well. It is really a matter of preference of the surgeon. I prefer the intraoral incision since the attachment at the edge of the jawbone is not disturbed. At one time I worried about contamination, but many studies have shown no increase in infection rate over the submental incision.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.